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2/24/2017 Your Plan Results
AARP MedicareComplete Choice Plan 2 (Regional PPO) (R7444­003­
0)
Organization: UnitedHealthcare
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
This plan is
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug Costs: compared in your
[?] Programs: [?]
evaluation
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $3,430 Enroll
Deductible: Any Doctor Formulary: Yes
Pharmacy Status: Drug: $0.00 $230 4 out of 5
Standard Cost­ Health: $0.00 Out of Pocket Drug Restrictions: stars
Sharing Health Plan Spending Yes
Part B Deductible: $0 Limit: $10,000 Lower Your Drug
Cost as of Today: Premium Drug Copay/ In and Out­of­ Costs
$160 Reduction Coinsurance: $2 network
[?] : No ­ $100, 28% $6,700 In­ MTM Program [?]
Mail Order network : Yes Note zero costs for
Cost as of Today:
$0 your Rx drugs if
BlueMedicare HMO LifeTime (HMO) (H1026­040­0) you switch to mail-
Organization: Florida Blue HMO order refills
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Drug Costs:
Coinsurance: and Other This plan is
[?] Programs: [?]
compared in your
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $3,430 Enroll
Deductible: $0 Plan Doctors for Formulary: Yes evaluation
Pharmacy Status: Drug: $0.00 Most Services 3.5 out of 5
Preferred Cost­ Health: $0.00 Health Plan Drug Restrictions: stars
Sharing Deductible: $0 Out of Pocket Yes
Part B Drug Copay/ Spending Lower Your Drug
Cost as of Today: Premium Coinsurance: $5 Limit: $6,500 Costs
$390 Reduction ­ $93, 33% In­network
[?] : No MTM Program [?]
Mail Order : Yes
Cost as of Today:
$453
BlueMedicare Regional PPO (Regional PPO) (R3332­001­0)
Organization: Florida Blue
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 Costs:
[?] Programs: [?]
Retail $41.00 Annual Drug Doctor Choice: All Your Drugs on $4,510 Enroll
Deductible: Any Doctor Formulary: Yes
Pharmacy Status: Drug: $39.90 $280 3.5 out of 5
Preferred Cost­ Health: $1.10 Out of Pocket Drug Restrictions: stars
Sharing Health Plan Spending Yes
Part B Deductible: Limit: $10,000 Lower Your Drug
Cost as of Today: Premium $950 annual In and Out­of­ Costs
$1,004 Reduction deductible network
[?] : No Drug Copay/ $6,700 In­ MTM Program [?]
Mail Order Coinsurance: network : Yes
Cost as of Today: $10 ­ $93, 27% $10,000 Out­
$1,058 of­network
CareOne (HMO) (H1019­043­0)
Organization: CarePlus Health Plans, Inc.
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 Costs:
[?] Programs: [?]

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