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2/24/2017                                             Your Plan Results







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         Your Plan Results
                                                                          Zip Code:  32783
                                                                          Current Coverage:  Original Medicare
                                                                          Current Subsidy: No Extra Help [?]
                                                                          Drug List ID:  7892434304
         Your plan results are organized by plan type and are initially sorted by lowest  Password Date:  02/24/2017
         estimated cost. To view more plans, select View 20 or View All. Select any plan
         name for details. Compare up to 3 plans by using the checkboxes and selecting  Important Coverage Information
         Compare Plans. The costs displayed are estimates; your actual costs may vary.




                                                           This is a list of stand-alone drug plans with
              Symbols
                                                           their costs for the three Rx drugs you take.
                                                           The list is sorted by the plans' costs if you
               Nationwide Coverage                         continue to get monthly refills, with the
                                                           lowest-cost plans listed first.
                Your Current Plan(s)

               Original Medicare (H0001­001­0)
               Includes Part A (Hospital Insurance) and/or Part B (Medical Insurance) ­ Excludes Part D Drug
               Coverage
           Estimated      Monthly   Deductibles:  Health Benefits: [?]  Drug Coverage [?]  Estimated  Overall Star
           Annual Drug    Premium:  [?] and Drug                   , Drug Restrictions  Annual Health  Rating: [?]
           Costs: [?]     [?]       Copay [?] /                    [?]              and Drug Costs:
                                    Coinsurance:                                    [?]
                                    [?]
           Retail         Standard  Part B       Doctor Choice: Any  N/A            $8,530        Not Available
           Cost as of Today:   Part B:  Deductible: $183  Willing Doctor            Includes $5,111
           $4,259         $109                                                      for drug costs
                                                 Out of Pocket Spending
                                                 Limit: Not Applicable



                Prescription Drug Plans


            20 plans were found in 32783 based on your search criteria.  View 10 View 20


            Sort Results By
               Aetna Medicare Rx Saver (PDP) (S5810­045­0)
               Organization: Aetna Medicare
           Estimated Annual  Monthly  Deductibles: [?] and Drug  Drug Coverage [?] , Drug  Overall Star
           Drug Costs: [?]  Premium:  Copay [?] / Coinsurance:  Restrictions [?] and Other  Rating: [?]
                            [?]       [?]                   Programs:
           Retail           $42.80    Annual Drug Deductible:  All Your Drugs on Formulary:       Enroll
                                      $400                  Yes
           Pharmacy Status:                                                        3.5 out of 5 stars
           Preferred Cost­            Drug Copay/ Coinsurance:  Drug Restrictions: Yes
           Sharing                    $1 ­ $35, 25% ­ 42%   Lower Your Drug Costs
           Cost as of Today:                                MTM Program [?] : Yes
           $1,073
           Mail Order
           Cost as of Today:
           $1,408
               First Health Part D Value Plus (PDP) (S5768­134­0)
               Organization: First Health Part D
      https://www.medicare.gov/find­a­plan/results/planresults/plan­list.aspx                                       1/4
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