Page 32 - Cover Letter & Evaluation for Patricia Letizia
P. 32

10/11/2018                                               Your Plan Results







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         Your Plan Results
                                                                          Zip Code:  61615
                                                                          Current Coverage:  Original Medicare
                                                                          Current Subsidy: No Extra Help [?]
                                                                          Drug List ID:  7619927296
         Your plan results are organized by plan type and are initially sorted by lowest  Password Date:  10/11/2018
         estimated cost. To view more plans, select View 20 or View All. Select any plan  Important Coverage Information
         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.

         You are now viewing 2019 plan data.  View 2018 plan data.
                                                            This is a list of all the Advantage plans in
                                                            zip code 61615. This list is sorted by the
              Symbols
                                                            plans' costs for your Rx drugs if you get
              Some Dental Coverage     Some Vision Coverage  monthly refills, with the lowest-cost plans
                                                                                         Some Hearing Coverage
                                                                Nationwide Coverage
                                                            listed first. The Rx drug costs include
                                                            premiums, deductible, and co-payments.
                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      Annual Health Rating: [?]
           Costs: [?]     [?]       Copay [?] /                     Restrictions [?]  and Drug
                                    Coinsurance:                                    Costs: [?]
                                    [?]
           Retail         Standard  Part B         Doctor Choice: Any  N/A          $7,260        Not Available
           Annual: $3,372   Part B:  Deductible:   Willing Doctor                   Includes
                          $134      $183                                            $3,372 for drug
                                                   Out of Pocket                    costs
                                                   Spending Limit: Not
                                                   Applicable



                Medicare Health Plans with Drug Coverage

           23 plans were found in 61615 based on your search criteria.  View 10 View 20 View All

            Sort Results by
               MeridianCare Essential (HMO) (H5779-002-0)
               Organization: MeridianCare
           Estimated     Monthly   Deductibles   Health      Drug Coverage  Estimated  Overall
           Annual Drug   Premium:  [?] and Drug  Benefits: [?]  [?] , Drug  Annual     Star
           Costs: [?]    [?]       Copay [?] /               Restrictions [?]  Health and  Rating: [?]
                                   Coinsurance:              and Other      Drug
                                   [?]                       Programs:      Costs: [?]












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