Page 57 - APPENDICES for Fred Falten
P. 57
$295.00 Drug deductible
$7,550 In and Out-of-network
$7,550 In-network Maximum you pay for health services
Humana Value Plus H5619-065 (HMO)
Humana | Plan ID: H5619-065-0
Star rating:
MONTHLY PREMIUM
$27.00 Includes: Health & drug coverage
Doesn't include: $148.50 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$344.97 Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
OTHER COSTS
$203 per year for in-network services. Health deductible
$445.00 Drug deductible
$7,550 In-network Maximum you pay for health services
WellCare Value (HMO)
WellCare | Plan ID: H2162-001-0
Star rating:
Plan too new to be measured
MONTHLY PREMIUM
$30.00 Includes: Health & drug coverage
