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2/24/2017 Your Plan Results
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $4,150 Enroll
Deductible: Plan Doctors for Formulary: Yes
Pharmacy Status: Drug: $0.00 $200 Most Services 4 out of 5
Preferred Cost­ Health: $0.00 Drug Restrictions: stars
Sharing Health Plan Out of Pocket Yes
Part B Deductible: $0 Spending Lower Your Drug
Cost as of Today: Premium Drug Copay/ Limit: $6,700 Costs
$1,284 Reduction Coinsurance: $5 In­network
[?] : No ­ $95, 29% MTM Program [?]
Mail Order : Yes
Cost as of Today:
$1,444
HumanaChoice Florida H5415­076 (PPO) (H5415­076­0)
Organization: Humana Health Insurance Company of Florida, 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: [?]
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $4,700 Enroll
Deductible: Any Doctor Formulary: Yes
Pharmacy Status: Drug: $0.00 $250 3.5 out of 5
Preferred 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
$1,294 Reduction Coinsurance: $2 network
[?] : No ­ $100, 28% $6,700 In­ MTM Program [?]
Mail Order network : Yes
Cost as of Today:
$1,489
HumanaChoice R5826­074 (Regional PPO) (R5826­074­0)
Organization: Humana Insurance 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 Costs:
[?] Programs: [?]
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $4,760 Enroll
Deductible: Any Doctor Formulary: Yes
Pharmacy Status: Drug: $0.00 $400 3 out of 5
Preferred Cost­ Health: $0.00 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 $975 annual In and Out­of­ Costs
$1,358 Reduction deductible network
[?] : No Drug Copay/ $6,700 In­ MTM Program [?]
Mail Order Coinsurance: $6 network : Yes
Cost as of Today: ­ $100, 25%
$1,489
HumanaChoice R5826­005 (Regional PPO) (R5826­005­0)
Organization: Humana Insurance 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 Costs:
[?] Programs: [?]
Retail $95.00 Annual Drug Doctor Choice: All Your Drugs on $5,280 Enroll
Deductible: Any Doctor Formulary: Yes
Pharmacy Status: Drug: $33.60 $100 3 out of 5
Preferred Cost­ Health: Out of Pocket Drug Restrictions: stars
Sharing $61.40 Health Plan Spending Yes
Limit: $10,000
Deductible:
Cost as of Today: Part B $500 annual In and Out­of­ Lower Your Drug
Costs
$1,482 Premium deductible network
Reduction Drug Copay/ $6,700 In­ MTM Program [?]
Mail Order [?] : No Coinsurance: $3 network : Yes
Cost as of Today: ­ $85, 31%
$1,610
Humana Gold Choice H8145­061 (PFFS) (H8145­061­0)
Organization: Humana Insurance Company

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