Page 70 - Cover Letter & Evaluation for Isaac Kapon

10/4/2017 Your Plan Results

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Your Plan Results
Zip Code: 89014
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Important Coverage Information
Your plan results are organized by plan type and are initially sorted by lowest
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
Compare Plans. The costs displayed are estimates; your actual costs may vary.

This list is sorted by the plans'
You are now viewing 2018 plan data. View 2017 plan data.
monthly drug premiums (medical
premiums are also shown). The
Symbols lowest-premium drug coverages are
listed first.
Some Dental Coverage Some Vision Coverage Nationwide Coverage Some Hearing Coverage

Your Current Plan(s)
Original Medicare (H0001-001-0)
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 $8,510 Not Available
Annual: Part B: Deductible: $183 Willing Doctor Includes $4,632
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Medicare Health Plans with Drug Coverage

12 plans were found in 89014 based on your search criteria. View 10 View 12

Sort Results by
Anthem Value Plus (HMO) (H4346-001-0)
Organization: Anthem Blue Cross and Blue Shield
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 $0.00 Annual Drug Doctor Choice: All Your Drugs on $3,790 Coming Soon Enrollment begins
Annual: Deductible: $0 Plan Doctors Formulary :No October 15, 2017
Drug: $0.00 for Most
Mail Order Health: Health Plan Services Drug Restrictions:
Annual: N/A $0.00 Deductible: $0 Out of Pocket No
Drug Copay/ Spending Lower Your Drug
Part B Coinsurance: $0 Costs
Premium - $85, 33% Limit: $2,500
Reduction In-network MTM Program :
:No Yes

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