Page 49 - Appendices to Donald Pender's Evaluation
P. 49
AVA (HMO)
Alignment Health Plan | Plan ID: H3815-027-0
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
$999 In-network Maximum you pay for health services
the ONE + Rite Aid (HMO)
Alignment Health Plan | Plan ID: H3815-034-0
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
