Page 48 - Appendices to Donald Pender's Evaluation
P. 48

Star rating:




      MONTHLY PREMIUM


      $0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium



      YEARLY DRUG & PREMIUM COST

      This plan doesn't cover mail order pharmacies.



      OTHER COSTS

      $0    Health deductible



      $0.00 Drug deductible


      $850 In-network Maximum you pay for health services









      My Choice (HMO)

      Alignment Health Plan | Plan ID: H3815-001-0

      Star rating:





      MONTHLY PREMIUM


      $0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium


      YEARLY DRUG & PREMIUM COST


      This plan doesn't cover mail order pharmacies.


      OTHER COSTS


      $0    Health deductible


      $0.00 Drug deductible


      $998 In-network Maximum you pay for health services
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