Page 37 - APPENDICES for Stephen Spero
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Anthem MediBlue Select (HMO)
Anthem Blue Cross | Plan ID: H0544-091-0
Star rating:
MONTHLY PREMIUM
$0.00
Includes: Health & drug coverage
Doesn't include: $144.60 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$821.97
Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
OTHER COSTS
$0
Health deductible
$0.00
Drug deductible
$2,000 In-network Maximum you pay for health services
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Anthem MediBlue Coordination Plus (HMO)
Anthem Blue Cross | Plan ID: H0544-070-0
Star rating:
This plan is
compared in your
MONTHLY PREMIUM evaluation
$5.80
Includes: Health & drug coverage
