Page 11 - Evaluation for Tom Tappan
P. 11
Plans that appear to meet your criteria (cont'd)
BofA Medicare
Plan name Medigap Plan F Medigap Plan L BofA Medicare Advantage
Advantage Core Plan Comprehensive
Plan
Toll-Free Number NA NA NA NA
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
2017 standard Part B
premium of $134 a $1,608 $1,608 $1,608 $1,608
month*
Health plan annual
premiums (Medigap premiums $3,500 $2,750 $1,000 $1,549
are estimates)
Total $5,108 $4,358 $2,608 $3,157
Minimum costs for Medicare-covered services
Total medical premiums $5,108 $4,358 $2,608 $3,157
(from above)
Plan health deductible
(includes Part B deductible if not $0 $183 $300 $0
covered by plan**)
Annual Rx costs (premiums, $4,097 $4,097 $1,200 $1,200
deductibles, co-pays)
Total Minimum Costs
(includes cost-sharing for the Rx $9,205 $8,638 $4,108 $4,357
drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary
Care Co-Pays $20 $5
No co-pays for You pay 5% of
In-Network Specialist Medicare-covered Medicare approved
Co-Pays services amount $30 $10
Out-of-Network
Co-Pays Same as above Same as above
*This is 2017 standard Part B premium for new enrollees who are not yet receiving Social Security benefits.
**Part B deductible in 2017 is $183.
3
