Page 92 - Cover Letter and evaluation for Katherine Kensky

11/6/2017 Your Plan Results

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Your Plan Results
Zip Code: 31411
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 1571806240
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 11/06/2017
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 2018 plan data. View 2017 plan data. This is a list of the Part D stand-alone
plans that have the lowest costs for
your Rx drugs. This list is sorted by
Symbols the plans' costs if you get monthly
refills. Costs include premiums,
Nationwide Coverage 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 Restrictions Annual Health Rating: [?]
Costs: [?] [?] Copay [?] / [?] and Drug Costs:
Coinsurance: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $9,480 Not Available
Annual: $5,601 Part B: Deductible: $183 Willing Doctor Includes $5,601
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans

24 plans were found in 31411 based on your search criteria. View 10 View 20 View All

This plan is
Sort Results By compared in your
Aetna Medicare Rx Saver (PDP) (S5810-044-0) evaluation
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 $23.80 Annual Drug Deductible: All Your Drugs on Enroll
$350 Formulary :Yes
Pharmacy Status: 3.5 out of 5 stars
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $30, 26% - 35% Lower Your Drug Costs
Annual: $1,404 MTM Program : Yes
Mail Order Lowest-cost option
Annual: $1,387
for monthly (or
Cigna-HealthSpring Rx Secure-Extra (PDP) (S5617-255-0) retail) refills.
Organization: Cigna-HealthSpring Rx

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