Page 157 - Cover Letter and Evaluation for Sue Marx

2/6/2019 Your Plan Results
Retail $0.00 Annual Drug Doctor All Your Drugs on $8,620 Enroll
Deductible: $0 Choice: Plan Formulary: Yes 4 out of 5
Pharmacy Drug: $0.00 Doctors for stars
Status: Health: Health Plan Most Services Drug Restrictions:
Standard Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your
Part B Coinsurance: Spending Drug Costs
Cost as of Premium $3 - $100, 33% Limit: $6,700
Today: $4,738 Reduction: In-network MTM Program :
No Yes
Mail Order
Cost as of
Today: $4,896
AARP MedicareComplete Plan 2 (HMO) (H1944-011-0)
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: [?]
Retail $38.00 Annual Drug Doctor All Your Drugs on $8,990 Enroll
Deductible: $0 Choice: Plan Formulary: Yes 4 out of 5
Pharmacy Drug: Doctors for stars
Status: $15.20 Health Plan Most Services Drug Restrictions:
Standard Cost- Health: Deductible: $0 Yes
Sharing $22.80 Drug Copay/ Out of Pocket Lower Your
Coinsurance: Spending Drug Costs
Cost as of Part B $3 - $95, 33% Limit: $5,200
Today: $4,890 Premium In-network MTM Program :
Reduction: Yes
Mail Order No
Cost as of
Today: $5,048
AARP MedicareComplete Plan 3 (HMO) (H1944-025-0)
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: [?]
Retail $93.00 Annual Drug Doctor All Your Drugs on $9,260 Enroll
Deductible: $0 Choice: Plan Formulary: Yes 4 out of 5
Pharmacy Drug: Doctors for stars
Status: $28.10 Health Plan Most Services Drug Restrictions:
Standard Cost- Health: Deductible: $0 Yes
Sharing $64.90 Drug Copay/ Out of Pocket Lower Your
Coinsurance: Spending Drug Costs
Cost as of Part B $3 - $95, 33% Limit: $4,200
Today: $5,021 Premium In-network MTM Program :
Reduction: Yes
Mail Order No
Cost as of
Today: $5,177
Allwell Medicare (HMO) (H2915-003-0)
Organization: Allwell
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: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $8,660 Plan too new Enroll
Deductible: $0 Choice: Plan Formulary: Yes to be
Pharmacy Drug: $0.00 Doctors for measured
Status: Health: Health Plan Most Services Drug Restrictions:
Standard Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your
Part B Coinsurance: Spending Drug Costs
Cost as of Premium $0 - $100, 33% Limit: $6,700
Today: $5,015 Reduction: In-network MTM Program :
No Yes
Mail Order
Cost as of
Today: $6,771

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