Page 101 - Cover Letter and Evaluation for Paul Dorroh

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Retail $46.00 Annual Drug Doctor All Your Drugs on $4,020 Enroll
Annual: Deductible: $0 Choice: Any Formulary :N/A
$451.20 Drug: Doctor 4 out of 5
$37.60 Health Plan Drug stars
Mail Order Health: Deductible: $0 Out of Pocket Restrictions: N/A
Annual: N/A $8.40 Drug Copay/ Spending
Coinsurance: Limit: MTM Program :
Part B $2 - $100, $10,000 In Yes
Premium 33% and Out-of-
Reduction network
:No $6,700 In-
network

AARP MedicareComplete Plan 2 (HMO) (H1111-007-0)
Organization: UnitedHealthcare
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star
Costs: [?] [?] Copay [?] / Restrictions [?] Health Rating: [?]
Coinsurance: and Other and Drug
[?] Programs: Costs: [?]
Retail $53.00 Annual Drug Doctor All Your Drugs on $3,620 Enroll
Annual: Deductible: Choice: Plan Formulary :N/A
$390.00 Drug: $100 Doctors for 3 out of 5
$32.50 Most Services Drug stars
Health Plan Restrictions: N/A
Mail Order Health:
Annual: N/A $20.50 Deductible: $0 Out of Pocket
Spending
Drug Copay/ MTM Program :
Part B Coinsurance: Limit: $4,900 Yes
Premium $3 - $95, 31% In-network
Reduction
:No
HumanaChoice H5216-073 (PPO) (H5216-073-0)
Organization: Humana Insurance Company
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star
Costs: [?] [?] Copay [?] / Restrictions [?] Health Rating: [?]
Coinsurance: and Other and Drug
[?] Programs: Costs: [?]
Retail $55.00 Annual Drug Doctor All Your Drugs on $4,320 Enroll
Annual: Deductible: Choice: Any Formulary :N/A
$432.00 Drug: $360 Doctor 4 out of 5
$36.00 Drug stars
Mail Order Health: Health Plan Out of Pocket Restrictions: N/A
Annual: N/A $19.00 Deductible: Spending
$1,000 annual Limit: MTM Program :
Part B deductible $10,000 In Yes
Premium Drug Copay/ and Out-of-
Reduction Coinsurance: network
:No $6,700 In-
$7 - $100, network
25%

BCBSGa MediBlue Access (PPO) (H7728-005-0)
Organization: Blue Cross Blue Shield of Georgia
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star
Costs: [?] [?] Copay [?] / Restrictions [?] Health Rating: [?]
Coinsurance: and Other and Drug
[?] Programs: Costs: [?]

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