Page 11 - Cover letter and evaluation for Thomas Barr

10/14/2017 Your Plan Results
Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost) (H2150-
022-0)
Organization: Kaiser Permanente
Estimated Annual Monthly Deductibles: Health Benefits: Estimated Overall Star
Drug Costs: [?] Premium: [?] [?] [?] Annual Health Rating: [?]
and Drug Costs:
[?]
Retail $20.00 Health Plan Doctor Choice: $4,810 Enrollment begins
Annual: $1,433 Deductible: $0 Plan Doctors for Includes $1,433 October 15, 2017
Part B Most Services for drug costs This plan got
Premium Medicare's
Reduction Out of Pocket highest rating
:No Spending Limit: (5 stars)
$6,000 In-
network

Kaiser Permanente Medicare Plus High w/o D (AB) (Cost) (H2150-
021-0)
Organization: Kaiser Permanente
Estimated Annual Monthly Deductibles: Health Benefits: Estimated Overall Star
Drug Costs: [?] Premium: [?] [?] [?] Annual Health Rating: [?]
and Drug Costs:
[?]
Retail $98.00 Health Plan Doctor Choice: $5,190 Enrollment begins
Annual: $1,433 Deductible: $0 Plan Doctors for Includes $1,433 October 15, 2017
Part B Most Services for drug costs This plan got
Premium Medicare's
Reduction Out of Pocket highest rating
:No Spending Limit: (5 stars)
$4,500 In-
network

Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost) (H2150-
017-0)
Organization: Kaiser Permanente
Estimated Annual Monthly Deductibles: Health Benefits: Estimated Overall Star
Drug Costs: [?] Premium: [?] [?] [?] Annual Health Rating: [?]
and Drug Costs:
[?]
Retail $5.00 Health Plan Doctor Choice: $5,370 Enrollment begins
Annual: $1,433 Deductible: $0 Plan Doctors for Includes $1,433 October 15, 2017
Part B Most Services for drug costs This plan got
Premium Medicare's
Reduction Out of Pocket highest rating
:No Spending Limit: (5 stars)
$6,700 In-
network

Notes:
Your costs may be different depending on your Part B premium, any Part D penalty that may apply, and whether you qualify for
Extra Help from Medicare paying your drug costs.

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