Page 11 - Cover Letter and Evaluation for Bob O'Connell
P. 11
Plans that appear to meet your criteria (2019 cont'd)
Plan name Medigap Plan F Medigap Plan G Medigap Plan N Medigap Plan L
Toll-Free Number NA NA NA NA
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
2018 standard Part B
premium of $134 a $1,608 $1,608 $1,608 $1,608
month*
Health plan annual
premiums (Medigap $1,800 $1,600 $1,400 $1,300
premiums are estimates)
Total $3,408 $3,208 $3,008 $2,908
Minimum costs for Medicare-covered services
Total medical premiums
(from above) $3,408 $3,208 $3,008 $2,908
2018 Part B deductible
(if not covered by plan**) $0 $183 $183 $183
Annual Rx costs for
monthly refills at $6,199 $6,199 $6,199 $6,199
Walgreens
Total Minimum Costs
(includes cost-sharing for the $9,607 $9,590 $9,390 $9,290
Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary
Care Co-Pays up to $20 for
No co-pays for
No co-pays for
In-Network Specialist Medicare-covered Medicare-covered Medicare-approved 5% of Medicare-
doctor's visit; $50
Co-Pays services services for emergency approved cost
Out-of-Network room visit
Co-Pays
*This is 2018 Part B premium for new enrollees. Higher income people may pay more.
**Part B deductible in 2018 is $183.
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