Page 8 - Evaluation for John Shartle

Cost comparisons -- zip codes 20877 and 19970

Zip code 20877: Medigap Plan G and Part Zip code 19970: Medigap Plan G and Part
Plan name
D stand-alone plan D stand-alone plan
Rx refill schedule Mail-Order Retail Mail-Order Retail

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 $1,680 $1,680 $1,680 $1,680
premiums are estimates)

Total $3,288 $3,288 $3,288 $3,288

Minimum costs for Medicare-covered services

Total medical premiums
(from above) $3,288 $3,288 $3,288 $3,288

Plan health deductible

(includes Part B deductible if $183 $183 $183 $183
not covered by plan**)

Annual Rx costs
(premiums, deductibles, co- $2,027 $2,169 $2,027 $2,169
pays)
Total Minimum Costs

(includes cost-sharing for the $5,498 $5,640 $5,498 $5,640
Rx drugs you now take)

Comments

=
The above comparisons indicate that your costs are identical in both zip codes. The 2018 Part B
premiums will be the same as they are this year except for some high-income individuals. The 2018

Part B deductible is not known yet, and so the 2017 number ($183) is used. The minimum costs
assume that the Part B deductible will be spent. Also, your Medigap policy premium will be
increased at some point during 2018..

*This is 2017 Part B premium for new enrollees who are not yet receiving Social Security benefits. People who
have already started their Social Security benefits will pay $109 a month ($1,308 a year). Higher income people
may pay more. **Part B deductible is $183.

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