Page 86 - Cover letter and evaluation for Michele Buros

Your Plan Results https://www.medicare.gov/find-a-plan/results/planresults/plan-list.aspx

Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $3,460 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $0.00 for Most 4 out of 5
Status: Health: $0.00 Health Plan Services Drug Restrictions: stars
Preferred Cost- Deductible: $0 No
Sharing Part B Drug Copay/ Out of Pocket Lower Your Drug
Premium Coinsurance: Spending Limit: Costs
Cost as of Today: Reduction $0 - $90, 33% $6,700 In-
$0 :Yes network MTM Program :
Yes
Mail Order
Cost as of Today:
$0
Allwell Medicare (HMO) (H2915-003-0)
Organization: Allwell
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 $0.00 Annual Drug Doctor Choice: All Your Drugs on $3,320 Plan too new Enroll
Deductible: $0 Plan Doctors Formulary :Yes to be
Pharmacy Drug: $0.00 for Most measured
Status: Health: $0.00 Health Plan Services Drug Restrictions:
Standard Cost- Deductible: $0 No
Sharing Part B Drug Copay/ Out of Pocket Lower Your Drug
Premium Coinsurance: Spending Limit: Costs
Cost as of Today: Reduction $0 - $100, $6,700 In-
$0 :No 33% network MTM Program :
Yes
Mail Order
Cost as of Today:
$0
Community Blue Medicare PPO Signature (PPO) (H3916-035-1)
Organization: Highmark Senior Health Company
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 $13.00 Annual Drug Doctor Choice: All Your Drugs on $3,670 Enroll
Deductible: $0 Any Doctor Formulary :Yes
Pharmacy Drug: $12.90 4 out of 5
Status: Health: $0.10 Health Plan Out of Pocket Drug Restrictions: stars
Preferred Cost- Deductible: $0 Spending Limit: No
Sharing Part B Drug Copay/ $10,000 In and Lower Your Drug
Premium Coinsurance: Out-of-network Costs
Cost as of Today: Reduction $0 - $90, 33% $6,700 In-
$129 :No network MTM Program :
Yes
Mail Order
Cost as of Today:
$129
AARP MedicareComplete Plan 1 (HMO) (H1944-010-0)
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 $14.00 Annual Drug Doctor Choice: All Your Drugs on $3,920 Enroll
Deductible: Plan Doctors Formulary :Yes
Pharmacy Drug: $14.00 $260 for Most 4.5 out of 5
Status: Health: $0.00 Services Drug Restrictions: stars
Standard Cost- Health Plan Yes
Sharing Part B Deductible: $0 Out of Pocket Lower Your Drug
Premium Drug Copay/ Spending Limit: Costs
Cost as of Today: Reduction Coinsurance: $6,700 In-
$189 :No $3 - $100, network MTM Program :
28% Yes
Mail Order
Cost as of Today:
$140
UPMC for Life HMO Deductible with Rx (HMO) (H3907-037-0)
Organization: UPMC Health Plan

3 of 10 02/21/18, 5:04 PM