Page 9 - Cover letter and evaluation for Thomas Barr

10/14/2017 Your Plan Results
Retail $41.00 Annual Drug Doctor Choice: All Your Drugs on $3,920 Enrollment begins
Deductible: $0 Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: $26.00 for Most 2.5 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Standard Cost- $15.00 Deductible: $0 No
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $4 Spending Costs
Annual: $336 Premium - $100, 33% Limit: $6,700
Reduction In-network MTM Program :
Mail Order :No Yes Below average
Annual: $324 rating
Johns Hopkins Advantage MD (HMO) (H1225-001-0)
Organization: Johns Hopkins HealthCare
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 $25.00 Annual Drug Doctor Choice: All Your Drugs on $4,060 Plan too new Enrollment begins
Deductible: $0 Plan Doctors Formulary :Yes to be October 15, 2017
Pharmacy Drug: $25.00 for Most measured
Status: Health: Health Plan Services Drug Restrictions:
Standard Cost- $0.00 Deductible: $0 No
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $0 Spending Costs
Annual: $300 Premium - $100, 33% Limit: $6,700
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $300
Kaiser Permanente Medicare Advantage High MD (HMO) (H2172-
002-0)
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 $142.00 Annual Drug Doctor Choice: All Your Drugs on $4,260 Enrollment begins
Deductible: $0 Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: $51.70 for Most This plan got
Status: Health: Health Plan Services Drug Restrictions: Medicare's
Standard Cost- $90.30 Deductible: $0 No highest
Sharing Drug Copay/ Out of Pocket Lower Your Drug rating (5
Part B Coinsurance: $0 Spending Costs stars)
Annual: $669 Premium - $80, 33% Limit: $3,400
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $620
Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost)
(H2150-002-0)
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 $142.00 Annual Drug Doctor Choice: All Your Drugs on $4,330 Enrollment begins
Deductible: $0 Plan Doctors Formulary :Yes October 15, 2017
Pharmacy Drug: for Most This plan got
Status: $106.20 Health Plan Services Drug Restrictions: Medicare's
Standard Cost- Health: Deductible: $0 No highest
Sharing $35.80 Drug Copay/ Out of Pocket Lower Your Drug rating (5
Spending
stars)
Coinsurance: $0 Costs
Annual: $1,323 Part B - $80, 33% Limit: $4,500
Premium In-network MTM Program :
Mail Order Reduction Yes
Annual: $1,274 :No
Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost) (H2150-
033-0)
Organization: Kaiser Permanente

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