Page 21 - Cover letter and evaluation for Peter Smith

11/27/2017 Your Plan Results
Anthem StartSmart Plus (HMO) (H4346-009-0)
Organization: Anthem Blue Cross and Blue Shield
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $4,990 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $0.00 for Most 3.5 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Preferred Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $5 Spending Costs
Annual: $3,067 Premium - $90, 33% Limit: $3,400
Reduction In-network MTM Program :
Mail Order :Yes Yes
Annual: $2,918
AARP MedicareComplete Plan 1 (HMO) (H0609-028-0)
Organization: UnitedHealthcare
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $5,940 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $0.00 for Most 4 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Standard Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $2 Spending Costs
Annual: $3,634 Premium - $100, 33% Limit: $2,500
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $3,368
Senior Dimensions Southern Nevada (HMO) (H2931-002-0)
Organization: UnitedHealthcare
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $6,050 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $0.00 for Most 3.5 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Standard Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $2 Spending Costs
Annual: $3,634 Premium - $100, 33% Limit: $2,500
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $3,368
Anthem Connect Plus (HMO) (H4346-011-0)
Organization: Anthem Blue Cross and Blue Shield
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $25.00 Annual Drug Doctor Choice: All Your Drugs on $7,350 Enroll
Deductible: Plan Doctors Formulary :Yes
Pharmacy Drug: $25.00 $405 for Most 3.5 out of 5
Status: Health: Services Drug Restrictions: stars
Standard Cost- $0.00 Health Plan Yes
Sharing Deductible: Out of Pocket Lower Your Drug
Part B Coming soon Spending Costs
Annual: $3,910 Premium Drug Copay/ Limit: $6,700
Reduction Coinsurance: In-network MTM Program :
Mail Order :No 25% Yes
Annual: $3,840
Humana Gold Plus H6622-028 (HMO) (H6622-028-0)
Organization: Humana WI Health Organization Insurance Corp

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