Page 75 - Cover Letter and evaluation for Paul J. Lingane

9/14/2017 Your Plan Results
AARP MedicareComplete SecureHorizons (HMO) (H0543-028-0)
Organization: UnitedHealthcare
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 $107.00 Annual Drug Doctor Choice: All Your Drugs on $3,890 Enroll
Annual: Deductible: Plan Doctors Formulary :N/A
Drug: $31.50 $360 for Most 4.5 out of 5
Mail Order Health: Services Drug Restrictions: stars
Annual: N/A $75.50 Health Plan Out of Pocket N/A
Deductible: $0
Part B Drug Copay/ Spending MTM Program : These are the only
Premium Coinsurance: $2 Limit: $4,900 Yes
Reduction - $100, 25% In-network two Medicare
:No
Advantage plans
Kaiser Permanente Senior Advantage Marin San Mateo (HMO) available in your
(H0524-031-0) zip code.
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 $106.00 Annual Drug Doctor Choice: All Your Drugs on $4,430 Enroll
Annual: Deductible: $0 Plan Doctors Formulary :N/A
Drug: $20.30 for Most This plan got
Mail Order Health: Health Plan Services Drug Restrictions: Medicare's
Annual: N/A $85.70 Deductible: $0 Out of Pocket N/A highest
rating (5
Drug Copay/
Part B Coinsurance: $0 Spending MTM Program : stars)
Premium - $100, 33% Limit: $4,400 Yes
Reduction In-network
:No

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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