Page 50 - Appendices to Donald Pender's Evaluation
P. 50
$0 Health deductible
$0.00 Drug deductible
$3,400 In-network Maximum you pay for health services
CalPlus (HMO)
Alignment Health Plan | Plan ID: H3815-009-0
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
$480.00 Drug deductible
$4,900 In-network Maximum you pay for health services
Blue Shield 65 Plus (HMO)
Blue Shield of California | Plan ID: H0504-015-0 This plan is
compared in your
Star rating: evaluation.
MONTHLY PREMIUM
$0.00 Includes: Health & drug coverage
Doesn't include: $148.50 Standard Part B premium
