Page 78 - Cover Letter and evaluation for Paul J. Lingane

9/14/2017 Your Plan Results

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Your Plan Results
Zip Code: 94062
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Important Coverage Information
Your plan results are organized by plan type and are initially sorted by lowest
estimated cost. To view more plans, select View 20 or View All. Select any plan
name for details. Compare up to 3 plans by using the checkboxes and selecting
Compare Plans. The costs displayed are estimates; your actual costs may vary.

Symbols This is a list of the lowest-premium Part D
stand-alone plans in your zip code. This list is
Nationwide Coverage sorted by plan premiums, with the lowest-
premium plans listed first.
Your Current Plan(s)
Original Medicare (H0001-001-0)
Includes Part A (Hospital Insurance) and/or Part B (Medical Insurance) - Excludes Part D Drug
Coverage
Estimated Monthly Deductibles: Health Benefits: [?] Drug Coverage [?] Estimated Overall Star
Annual Drug Premium: [?] and Drug , Drug Restrictions Annual Health Rating: [?]
Costs: [?] [?] Copay [?] / [?] and Drug Costs:
Coinsurance: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $3,420 Not Available
Annual: Part B: Deductible: $183 Willing Doctor
$109
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans

24 plans were found in 94062 based on your search criteria. View 10 View 20 View All

Sort Results By
Humana Walmart Rx Plan (PDP) (S5884-178-0)
Organization: Humana Insurance Company
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $17.00 Annual Drug Deductible: All Your Drugs on Enroll
Annual: $400 Formulary :N/A
3 out of 5 stars
Mail Order Drug Copay/ Coinsurance: Drug Restrictions: N/A
Annual: N/A $1 - $4, 20% - 35%
MTM Program : Yes

AARP MedicareRx Walgreens (PDP) (S0522-065-0)
Organization: UnitedHealthcare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:

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