Page 59 - Cover Letter & Evaluation for Michael Novotny

6/9/2018 Your Plan Results
Retail $0.00 Annual Drug Doctor All Your Drugs on $3,110 Enroll
Annual: $0.00 Deductible: $0 Choice: Plan Formulary :N/A
Drug: $0.00 Doctors for This plan
Mail Order Health: Health Plan Most Services Drug Restrictions: got
Annual: N/A $0.00 Deductible: $0 N/A Medicare's
highest
Drug Copay/ Out of Pocket
Part B Coinsurance: Spending MTM Program : rating (5
Premium $0 - $100, 33% Limit: $4,900 Yes stars)
Reduction In-network
:No This plan is

Alignment Health Plan My Choice (HMO) (H3815-001-0) compared in your
Organization: Alignment Health Plan evaluation.
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: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $2,100 Enroll
Annual: $0.00 Deductible: $0 Choice: Plan Formulary :N/A
Drug: $0.00 Doctors for 4.5 out of 5
Mail Order Health: Health Plan Most Services Drug Restrictions: stars
Annual: N/A $0.00 Deductible: $0 N/A
Drug Copay/ Out of Pocket
Part B Coinsurance: Spending MTM Program :
Premium $1 - $75, 33% Limit: $3,400 Yes
Reduction In-network
:No Dr. Hall is not listed
in this plan's
Anthem Value Plus (HMO) (H0544-002-0) provider directory.
Organization: Anthem Blue Cross
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: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $1,970 Enroll
Annual: $0.00 Deductible: $0 Choice: Plan Formulary :N/A
Drug: $0.00 Doctors for 4.5 out of 5
Mail Order Health: Health Plan Most Services Drug Restrictions: stars
Annual: N/A $0.00 Deductible: $0 N/A
Drug Copay/ Out of Pocket
Part B Coinsurance: Spending MTM Program :
Premium $0 - $85, 33% Limit: $1,900 Yes
Reduction In-network
:No

Anthem MediBlue Plus (HMO) (H0544-061-0)
Organization: Anthem Blue Cross
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: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $3,730 Enroll
Annual: $0.00 Deductible: $0 Choice: Plan Formulary :N/A
Drug: $0.00 Doctors for 4.5 out of 5
Mail Order Health: Health Plan Most Services Drug Restrictions: stars
Annual: N/A $0.00 Deductible: $0 Out of Pocket N/A This plan has a high
Drug Copay/ out-of-pocket limit
Part B Coinsurance: Spending MTM Program :
Premium $0 - $95, 33% Limit: $6,700 Yes for an HMO. Dr. Hall
Reduction In-network
:No is in this plan's
network.
AARP MedicareComplete SecureHorizons Plan 1 (HMO) (H0543-
004-0)
Organization: UnitedHealthcare

This plan is
compared in your
evaluation.
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