Page 13 - Cover Letter and Medicare Evaluation for Dorothy Smith
P. 13
Plans that appear to meet your criteria (cont'd)
AARP Medicare
Humana Gold Plus
Plan Name Medigap Plan F Medigap Plan N Advantage Choice
HMO-POS Plan
Plan 1 (PPO)
Toll-Free Number NA NA (800) 833-2364 (800) 555=5757
Estimated medical premiums for 2023
lity ratings from Medicare web site (best rating = 5 stars)
Standard Part B
$1,979 $1,979 $1,979 $1,979
premium *
Health plan premiums
(Medigap premiums are $1,900 $1,350 $0 $0
estimates)
Total $3,879 $3,329 $1,979 $1,979
Minimum costs for Medicare-covered services
Total medical premiums $3,879 $3,329 $1,979 $1,979
(from above)
Plan health deductible
(includes Part B deductible $226 $226 $0 $0
if not covered by plan**)
Est. annual Rx costs at
Rite Aid (premiums and co- $286 $286 $0 $0
pays)
Total Minimum Costs
(includes cost-sharing for $4,391 $3,841 $1,979 $1,979
the Rx drugs you now take)
Cost-sharing for doctors' office visits
=
In-Network Primary After Part B annual
Care Co-Pays No co-pays after deductible is paid, $0 in network $0 in network
In-Network Specialist the annual Part B up to $20 co-pays
Co-Pays deductible ($226) for doctors' office $25 in network $35 in network
Out-of-Network is paid visits and $50 for Varies and not $45 primary care;
ER visit
Co-Pays always covered $70 specialist
*The 2023 standard Part B premium for new enrollees is $164.90 a month; higher
income people may pay more. **Part B deductible in 2022 is $226.
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