Page 156 - Cover Letter and Evaluation for Sue Marx

2/6/2019 Your Plan Results

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Your Plan Results
Zip Code: 15206
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 1859577088
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 02/05/2019
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.

This is a list of the 33 Medicare Advantage plans in
your zip code. This list is sorted by the plans'
Symbols estimated costs for the Rx drugs that you take, with
the lowest cost plans listed first. The Rx drug costs
Some Dental Coverage Some Vision Coverage Nationwide Coverage Some Hearing Coverage
shown include premiums, deductibles, and co-
payments. Also, the costs are for the last 10 months
Your Current Plan(s) of this year -- the annual costs shown in your

evaluation are higher because they include two
Original Medicare (H0001-001-0)
additional months. In the list below one reason that
Includes Part A (Hospital Insurance) and/or Part B (Medical Insurance) - Excludes Part D Drug
Coverage the mail-order refill costs are higher is that, if you
Estimated Monthly Deductibles: Health Benefits: Drug Coverage Estimated Overall Star
start your coverage on March 1, you will still have
Annual Drug Premium: [?] and Drug [?] [?] , Drug Annual Health Rating: [?]
and Drug
Restrictions [?]
Costs: [?] [?] Copay [?] / two months of Rx drugs on hand at the end of the
Coinsurance: year. See explanation in cover letter.
Costs: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $79,080 Not Available
Cost as of Part B: Deductible: Willing Doctor Includes
Today: $135.50 $183 $75,166 for
$62,638 Out of Pocket drug costs
Spending Limit: Not
Applicable

Medicare Health Plans with Drug Coverage

33 plans were found in 15206 based on your search criteria. View 10 View 20 View All

Sort Results by
AARP MedicareComplete Plan 1 (HMO) (H1944-010-0)
Organization: UnitedHealthcare
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star
Costs: [?] [?] Copay [?] / Restrictions [?] Health and Rating: [?]
Coinsurance: and Other Drug
[?] Programs: Costs: [?]

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