Page 84 - Cover Letter and Evaluation for Dr. Herman Kensky

11/8/2017 Your Plan Results

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Your Plan Results
Zip Code: 31411
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Important Coverage Information
Your plan results are organized by plan type and are initially sorted by lowest
estimated cost. To view more plans, select View 20 or View All. Select any plan
name for details. Compare up to 3 plans by using the checkboxes and selecting
Compare Plans. The costs displayed are estimates; your actual costs may vary.

You are now viewing 2018 plan data. View 2017 plan data.

This is a list of the Part D stand-
alone plans in zip code 31411 that
Symbols
have the lowest monthly premiums.

Nationwide Coverage

Your Current Plan(s)
Original Medicare (H0001-001-0)
Includes Part A (Hospital Insurance) and/or Part B (Medical Insurance) - Excludes Part D Drug
Coverage
Estimated Monthly Deductibles: Health Benefits: [?] Drug Coverage [?] Estimated Overall Star
Annual Drug Premium: [?] and Drug , Drug Restrictions Annual Health Rating: [?]
Costs: [?] [?] Copay [?] / [?] and Drug Costs:
Coinsurance: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $3,880 Not Available
Annual: N/A Part B: Deductible: $183 Willing Doctor
$134
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans

24 plans were found in 31411 based on your search criteria. View 10 View 20 View All

Lowest premium
Sort Results By
plan. Annual
EnvisionRxPlus (PDP) (S7694-010-0) premiums are
Organization: EnvisionRx Plus
$151.20.
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $12.60 Annual Drug Deductible: All Your Drugs on Enroll
Annual: $151.20 $300 Formulary :N/A
3 out of 5 stars
Mail Order Drug Copay/ Coinsurance: Drug Restrictions: N/A
Annual: N/A $1 - $29, 27% - 40%
MTM Program : Yes

Second lowest-
Aetna Medicare Rx Select (PDP) (S5810-284-0) premium plan
Organization: Aetna Medicare

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