Page 13 - Cover Letter and Medicare Evaluation for Mrs. Jane Miller
P. 13
Plans that appear to meet your criteria (cont'd)
AARP Medicare
Plan name Medigap Plan G Medigap Plan N Advantage Choice Aetna Medicare
PPO Plan Value PPO Plan
Toll-Free Number NA NA (800) 555-5757 (833) 859-6031
Estimated medical premiums for last 4 months of 2021
lity ratings from Medicare web site (best rating = 5 stars)
2021 Standard Part B
$594 $594 $594 $594
premium *
Health plan premiums
(Medigap premiums are $500 $400 $0 $0
estimates)
Total $1,094 $994 $594 $594
Minimum costs for Medicare-covered services
Total medical premiums $1,094 $994 $594 $594
(from above)
Plan health deductible
(includes Part B deductible $203 $203 $0 $1,000
if not covered by plan**)
Four-month Rx costs at
CVS (premiums, $29 $29 $0 $0
deductibles, co-pays)
Total Minimum Costs
(includes cost-sharing for $1,326 $1,226 $594 $1,594
the Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary
Care Co-Pays No co-pays after No co-pays after $0 $10
In-Network Specialist the annual Part B the annual Part B
Co-Pays deductible ($203) deductible ($203) $35 $45
Out-of-Network is paid is paid $45 PCP; $70
Co-Pays specialist 40% of cost
*This is 2021 standard Part B premium for new enrollees is $148.50 a month; higher
income people may pay more. **Part B deductible in 2021 is $203.
