Page 102 - Cover Letter and Evaluation for Paul Dorroh

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Retail $57.00 Annual Drug Doctor All Your Drugs on $4,060 Enroll
Annual: Deductible: $0 Choice: Any Formulary :N/A This plan got
$684.00 Drug: Doctor
$57.00 Health Plan Drug Medicare's
Mail Order Health: Deductible: Out of Pocket Restrictions: N/A highest
Annual: N/A $0.00 $500 annual Spending rating (5
deductible Limit: MTM Program : stars)
Part B Drug Copay/ $10,000 In Yes
Premium Coinsurance: and Out-of-
Reduction $0 - $95, 33% network
:No $5,900 In-
network

Advantra Platinum (HMO) (H5302-011-0)
Organization: Coventry Health Care
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 $62.00 Annual Drug Doctor All Your Drugs on $4,130 Not enough Enroll
Annual: Deductible: $0 Choice: Plan Formulary :N/A data
$260.40 Drug: Doctors for available
$21.70 Health Plan Most Services Drug
Deductible: $0 Restrictions: N/A
Mail Order Health:
Annual: N/A $40.30 Drug Copay/ Out of Pocket
Spending
Coinsurance: MTM Program :
Part B $2 - $100, Limit: $4,900 Yes
Premium 33% In-network
Reduction
:No
Kaiser Permanente Senior Advantage Enhanced (HMO)
(H1170-002-0)
Organization: Kaiser Permanente
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 $71.00 Annual Drug Doctor All Your Drugs on $3,820 Enroll
Annual: Deductible: $0 Choice: Plan Formulary :N/A 4.5 out of 5
$685.20 Drug: Doctors for
$57.10 Health Plan Most Services Drug stars
Deductible: $0 Restrictions: N/A
Mail Order Health:
Annual: N/A $13.90 Drug Copay/ Out of Pocket
Spending
Coinsurance: MTM Program :
Part B $0 - $85, 33% Limit: $4,000 Yes
Premium In-network
Reduction
:No
HumanaChoice R3392-002 (Regional PPO) (R3392-002-0)
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 $77.00 Annual Drug Doctor All Your Drugs on $4,240 Enroll
Annual: Deductible: Choice: Any Formulary :N/A
$417.60 Drug: $340 Doctor 3.5 out of 5
$34.80 Drug stars
Mail Order Health: Health Plan Out of Pocket Restrictions: N/A
Annual: N/A $42.20 Deductible: $0 Spending
Drug Copay/ Limit: $6,700 MTM Program :
Part B Coinsurance: In and Out-of- Yes
Premium $7 - $97, 26% network
Reduction $6,700 In-
:No network

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