Page 1 - Evaluation with Cover Letter for Henry Rose

September 18, 2017

Mr. Henry Rose
nd
1008 22 Street, South
Arlington, VA 22202

Dear Mr. Rose:

Your Medicare evaluation is attached. You might begin by checking the information on the
client data sheet on page 5 to make sure it is correct. Also, attached to this letter is Medicare’s
list of the drugs and dosages that you take – the list that was used to find the lowest-cost plans
for your drugs.

In most cases the costs shown in the evaluation are estimates for the entire 2017 plan year,
even though you will be enrolled for only the last three months of the year. You indicated on
your questionnaire that in choosing your supplemental coverage, you wish to consider only
Medigap policies. You also mentioned that you are interested in plans that have high
deductibles, so your evaluation includes the high-deductible version of Medigap Plan F (this is
the only high-deductible option among the various Medigap plans). Also included in the
evaluation is Plan K, which although not a high-deductible plan, includes substantial cost-
sharing combined with low premiums. These plans are described in more detail below.

The four Medigap plans in your evaluation

The Medigap plans that are compared are Plan F, Plan L, the high-deductible version of Plan F,
and Plan K. These plans’ benefits range from the very comprehensive Plan F, which you can use
as a point of comparison, to the much less comprehensive High-Deductible Plan F (HDF) and
Plan K.

As you may know, Medigap policies can be purchased during the first six months you have Part
A and Part B without your having to answer questions about your health. After that six-month
guaranteed issue period has passed, however, you will likely have to answer questions about
your health before you can get a premium quote. This also holds true if you later decide to
upgrade to a more comprehensive plan – most insurance companies medically underwrite
people wanting to switch to a plan with stronger benefits.

There is a small risk, then, in choosing a high-deductible or a plan that has high cost-sharing. For
people who have serious health issues, the risk is that they may not be able to purchase a policy
or upgrade their benefits after their guaranteed issue period is past. It’s important not to

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