Page 79 - Cover Letter and evaluation for Paul J. Lingane

9/14/2017 Your Plan Results
Retail $22.40 Annual Drug Deductible: All Your Drugs on Enroll
Annual: $400 Formulary :N/A
2.5 out of 5 stars
Mail Order Drug Copay/ Coinsurance: Drug Restrictions: N/A
Annual: N/A $0 - $27, 25% - 32%
MTM Program : Yes

Humana Preferred Rx Plan (PDP) (S5884-114-0)
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 $28.20 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 $0 - $1, 20% - 35%
MTM Program : Yes

SilverScript Choice (PDP) (S5601-064-0)
Organization: SilverScript
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $29.90 Annual Drug Deductible: $0 All Your Drugs on Enroll
Annual: Formulary :N/A
Drug Copay/ Coinsurance: 4 out of 5 stars
Mail Order $3 - $47, 33% - 48% Drug Restrictions: N/A
Annual: N/A
MTM Program : Yes

Symphonix Value Rx (PDP) (S0522-034-0)
Organization: UnitedHealthcare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $30.60 Annual Drug Deductible: All Your Drugs on Enroll
Annual: $400 Formulary :N/A
2.5 out of 5 stars
Mail Order Drug Copay/ Coinsurance: Drug Restrictions: N/A
Annual: N/A $1 - $26, 25% - 33%
MTM Program : Yes

Aetna Medicare Rx Saver (PDP) (S5810-066-0)
Organization: Aetna Medicare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $32.10 Annual Drug Deductible: All Your Drugs on Enroll
Annual: $400 Formulary :N/A
3.5 out of 5 stars
Mail Order Drug Copay/ Coinsurance: Drug Restrictions: N/A
Annual: N/A $1 - $30, 25% - 38%
MTM Program : Yes

AARP MedicareRx Saver Plus (PDP) (S5921-376-0)
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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