Page 54 - Cover Letter & Evaluation for Patricia Letizia

10/10/2018 Your Plan Results

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Your Plan Results
Zip Code: 53151
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 5933054208
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 10/10/2018
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 Advantage plans in
New Berlin, WI. This list is sorted by the
Symbols plans' costs for your Rx drugs if you
continue to get monthly refills. Rx drug
Some Dental Coverage Some Vision Coverage Nationwide Coverage Some Hearing Coverage
costs include premiums, deductibles, 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 This plan is
compared in your

23 plans were found in 53151 based on your search criteria. View 10 View 20 View All evaluation.

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Aetna Medicare Premier Plan (PPO) (H5521-150-0)
Organization: Aetna Medicare
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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