Page 58 - Cover Letter & Evaluation for Michael Novotny

6/9/2018 Your Plan Results

This is a list of the 40
Medicare Advantage plans
Return to previous page in your zip code that
Your Plan Results include Rx drug coverage.
The plans with the lowest
Zip Code: 92886
monthly premiums are Current Coverage: Original Medicare
listed first. 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

When you see this symbol near a plan name, it means that Medicare has given the plan a 5-star rating (the highest rating). If a
plan has a 5-star rating, people with Medicare can switch into that plan at any time during the year, even if it’s not during an
enrollment period.
Some Dental Coverage Some Vision Coverage Nationwide Coverage Some Hearing Coverage

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 Annual Health Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] and Drug
Coinsurance: Costs: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $3,890 Not Available
Annual: N/A Part B: Deductible: Willing Doctor
$134 $183
Out of Pocket
Spending Limit: Not
Applicable
The last two plans in this list are
the only two Advantage PPO
Medicare Health Plans with Drug Coverage plans in Orange County, but
both have high premiums and
40 plans were found in 92886 based on your search criteria. View 10 View 20 View All
high out-of-pocket limits.

Sort Results by This plan employs its
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) own physicians
(H0524-003-0)
Organization: Kaiser Permanente
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star
Costs: [?] [?] Copay [?] / Restrictions [?] Health and Rating: [?]
Coinsurance: and Other Drug
[?] Programs: Costs: [?]

https://www.medicare.gov/find-a-plan/results/planresults/plan-list.aspx 1/12