Page 74 - Cover Letter and Evaluation for Amy Prack
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Your Plan Details
Zip Code: 43221
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Select the tabs below for more detailed information about the plan health benefits, drug costs Drug List ID: 3233662560
and more coverage and star ratings.
Password Date: 05/12/2019
Important Coverage Information
Symbols
Some Dental Coverage Some Vision Coverage Some Hearing Coverage
* Estimated
AARP MedicareComplete 3315 Central AVE Overall Star Rating: Enroll
Plan 2 (HMO) Hot Springs, AR 71913 [?]
Members: 1-800-643-4845 711
(H5253-053-0) (TTY/TDD) Non Members: 4 out of 5 stars
1-800-555-5757 711 (TTY/TDD)
Organization: UnitedHealthcare
Plan Type: HMO
Fixed Costs
Monthly Drug Plan Premium [?] $22.20
Monthly Health Plan Premium [?] $5.80
Annual Drug Deductible [?] $170.00
Medicare costs at a glance
Estimate of What YOU Will Pay for Drug Plan Premium and Drug Costs
Cost For Rest of Year (based on enrollment today) [?]
Giant Eagle Pharmacy #6515 $533.40
Mail Order Pharmacy $530.40
Lower your drug costs
Estimated Full Cost the Plan Charges Medicare for Your Drugs
Drug Costs During Coverage Levels
Giant Eagle Pharmacy #6515 Mail Order Pharmacy
Giant Eagle Pharmacy #6515 - Standard Retail Cost Sharing
