Page 60 - Cover Letter and Evaluation for Bob Workman

10/25/2017 Your Plan Results

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Your Plan Results
Zip Code: 99206
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 7744939488
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 10/23/2017
estimated cost. To view more plans, select View 20 or View All. Select any plan Important Coverage Information
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.

These are the lowest-cost plans in
2018 for the Rx drugs that you
Symbols
take. This listed is sorted by the
Nationwide Coverage plans' costs for your drugs if you
get monthly refills at a local
pharmacy, with the lowest-cost
Your Current Plan(s) plans listed first.
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 $7,500 Not Available
Annual: $3,624 Part B: Deductible: $183 Willing Doctor Includes $3,624
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans

22 plans were found in 99206 based on your search criteria. View 10 View 20 View All

These are the
Sort Results By
lowest costs for
EnvisionRxPlus (PDP) (S7694-030-0) retail refills ($401)
Organization: EnvisionRx Plus
and for mail-order
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
refills ($321).
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $12.60 Annual Drug Deductible: All Your Drugs on Enroll
$300 Formulary :Yes
Pharmacy Status: 3 out of 5 stars
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $34, 27% - 40% Lower Your Drug Costs
Annual: $401 MTM Program : Yes
Mail Order
Annual: $321
AARP MedicareRx Walgreens (PDP) (S5921-411-0)
Organization: UnitedHealthcare

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