Page 39 - Cover Letter & Evaluation for Patricia Letizia

10/11/2018 Your Plan Results
AARP MedicareComplete (HMO) (H5253-046-0)
Organization: UnitedHealthcare
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: [?]
Retail $36.00 Annual Drug Doctor All Your Drugs on $4,580 † Enrollment begins
Annual: Deductible: Choice: Plan Formulary :Not 4 out of 5 October 15, 2018
†
$1,270 Drug: $190 Doctors for Available stars
$18.80
Health Plan Most Services Drug Restrictions:
Mail Order Health: Deductible: $0 Out of Pocket Not Available
Annual: Not $17.20 Spending
Available Drug Copay/ Lower Your
Part B Coinsurance: Limit: $3,900 Drug Costs
Premium $3 - $95, 29% In-network
Reduction MTM Program :
:No Yes
AARP MedicareComplete Choice (PPO) (H8768-003-0)
Organization: UnitedHealthcare
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: [?]
Retail $76.00 Annual Drug Doctor All Your Drugs on $4,850 † Plan too new Enrollment begins
Annual: Deductible: $0 Choice: Any Formulary :Not to be October 15, 2018
†
$1,244 Drug: Health Plan Doctor Available measured
$20.70
Deductible: $0 Out of Pocket Drug Restrictions:
Mail Order Health: Spending Not Available
Annual: Not $55.30 Drug Copay/ Limit: $5,100
Available Coinsurance: Lower Your
Part B $3 - $95, 33% In and Out- Drug Costs
Premium of-network
Reduction $3,400 In- MTM Program :
:No network Yes

Notes:
Your costs may be different depending on your Part B premium, any Part D penalty that may apply, and whether you qualify for
Extra Help from Medicare paying your drug costs.

† No drug pricing data is currently available for this plan. All costs provided are based on average estimated costs.

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