Page 64 - APPENDICES for Stephen Spero
P. 64

Anthem Blue Cross
   Anthem MediBlue Coordination Plus (HMO)

   Plan type: Medicare Advantage with drug coverage

   Plan ID:H0544-070-0





   Overview





      PREMIUM



      Total monthly premium
      $5.80




      Health plan premium
      $0.00





      Drug plan premium
      $5.80




      Standard Part B premium
      $144.60




      Part B premium reduction
      No







      DEDUCTIBLE



      Health deductible
      $0





      Drug plan deductible
      $435.00
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