Page 53 - Cover Letter and Evaluation for Debbie Workman

12/13/2017 Your Plan Results
AARP MedicareComplete Plan 2 (HMO) (H1286-009-0)
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 $55.00 Annual Drug Doctor Choice: All Your Drugs on $3,900 Enroll
Deductible: Plan Doctors Formulary :Yes
Pharmacy Drug: $40.40 $180 for Most 4 out of 5
Status: Health: Services Drug Restrictions: stars
Standard Cost- $14.60 Health Plan Yes
Sharing Deductible: $0 Out of Pocket Lower Your Drug
Part B Drug Copay/ Spending Costs
Annual: Premium Coinsurance: $2 Limit: $4,200
Reduction - $95, 29% In-network MTM Program :
Mail Order :No Yes
Annual: $485 Monthly combined
HumanaChoice H5216-047 (PPO) (H5216-047-0) premium of $100
Organization: Humana Insurance Company
and high costs for
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annualyour Rx drugs.
Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $100.00 Annual Drug Doctor Choice: All Your Drugs on $5,000 Enroll
Deductible: Any Doctor Formulary :Yes
Pharmacy Drug: $36.20 $320 4 out of 5
Status: Health: Out of Pocket Drug Restrictions: stars
Preferred Cost- $63.80 Health Plan Spending Yes
Sharing Deductible: $0 Limit: $10,000 Lower Your Drug
Part B Drug Copay/ In and Out-of- Costs
Annual: Premium Coinsurance: $4 network
Reduction - $100, 26% $6,700 In- MTM Program :
Mail Order :No network Yes
Annual: $486

Allwell Medicare Plus (HMO) (H0029-006-0)
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 $34.50 Annual Drug Doctor Choice: All Your Drugs on $4,330 Plan too new Enroll
Deductible: Plan Doctors Formulary :Yes to be
Pharmacy Drug: $34.50 $405 for Most measured
Status: Health: Services Drug Restrictions:
Standard Cost- $0.00 Health Plan No
Sharing Deductible: Out of Pocket Lower Your Drug
Part B Coming soon Spending Costs
Annual: Premium Drug Copay/ Limit: $6,700
Reduction Coinsurance: In-network MTM Program :
Mail Order :No 25% Yes
Annual: $769
Community HealthFirst MA Pharmacy Plan (HMO) (H5826-008-0)
Organization: Community HealthFirst Medicare Advantage Plan
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 $67.00 Annual Drug Doctor Choice: All Your Drugs on $4,340 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $51.60 for Most 3.5 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Standard Cost- $15.40 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $2 Spending Costs
Annual: Premium - $47, 25% - Limit: $6,700
Reduction 33% In-network MTM Program :
Mail Order :No Yes
Annual: $781

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