Page 8 - Cover letter and evaluation for Thomas Barr

10/14/2017 Your Plan Results
Retail $30.00 Annual Drug Doctor Choice: All Your Drugs on $3,380 Enrollment begins
Deductible: $0 Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: $28.00 for Most This plan got
Status: Health: Health Plan Services Drug Restrictions: Medicare's
Standard Cost- $2.00 Deductible: $0 No highest
Sharing Drug Copay/ Out of Pocket Lower Your Drug rating (5
Part B Coinsurance: $0 Spending Costs stars)
Annual: $384 Premium - $100, 33% Limit: $5,500
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $336
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) (H2150-
009-0)
Organization: Kaiser Permanente
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $30.00 Annual Drug Doctor Choice: All Your Drugs on $3,540 Enrollment begins
Deductible: Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: $22.00 $300 for Most This plan got
Status: Health: Services Drug Restrictions: Medicare's
Standard Cost- $8.00 Health Plan No highest
Sharing Deductible: $0 Out of Pocket Lower Your Drug rating (5
Part B Drug Copay/ Spending Costs stars)
Annual: $312 Premium Coinsurance: $0 Limit: $6,000
Reduction - $95, 27% In-network MTM Program :
Mail Order :No Yes
Annual: $264
Cigna-HealthSpring PreventiveCare (HMO) (H2108-033-0)
Organization: Cigna-HealthSpring
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $12.00 Annual Drug Doctor Choice: All Your Drugs on $3,560 Enrollment begins
Deductible: Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: $8.00 $310 for Most 3 out of 5
Status: Health: Services Drug Restrictions: stars
Standard Cost- $4.00 Health Plan Yes
Sharing Deductible: Out of Pocket Lower Your Drug
Part B $199 In- Spending Costs High out-of-pocket
Annual: $127 Premium network Limit: $6,700
Reduction Drug Copay/ In-network MTM Program : limits for HMO's
Mail Order :No Coinsurance: $4 Yes
Annual: $115 - $90, 26%
Cigna-HealthSpring Preferred (HMO) (H2108-022-0)
Organization: Cigna-HealthSpring
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $49.00 Annual Drug Doctor Choice: All Your Drugs on $3,720 Enrollment begins
Deductible: Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: $13.20 $280 for Most 3 out of 5
Status: Health: Services Drug Restrictions: stars
Standard Cost- $35.80 Health Plan Yes
Sharing Deductible: Out of Pocket Lower Your Drug
Part B $147 In- Spending Costs
Annual: $190 Premium network Limit: $6,700
Reduction Drug Copay/ In-network MTM Program :
Mail Order :No Coinsurance: $4 Yes
Annual: $178 - $90, 27%
University of Maryland Health Advantage Complete (HMO) (H8854-
001-0)
Organization: University of Maryland Health Advantage
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]

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