Page 96 - Cover Letter and evaluation for Katherine Kensky

11/6/2017 Your Medicare Health Plan Comparison

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Your Plan Comparison
Zip Code: 31411
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Select the tabs below for more detailed information about the plan health benefits, drug costs
and coverage and star ratings. Drug List ID: 1571806240
Password Date: 11/06/2017
Important Coverage Information

You are now viewing 2018 plan data. View 2017 plan data.

Symbols
Side-by-side comparison of the Aetna Medicare Rx
Nationwide Coverage
Saver Plan, which has the lowest costs for your Rx
* Estimated
drugs if you get refills at a local pharmacy. and the
Humana Preferred Rx Plan, which has the lowest
cost if you switch to mail-order refills. Estimated
annual costs are shown on the following page -- they
include premiums, deductible, and co-payments.
Aetna Medicare Rx Saver (PDP) Humana Preferred Rx Plan (PDP)

(S5810-044) Plan Type: (S5884-135) Plan Type:
Organization: Aetna Medicare Organization: Humana Insurance Company
Members: 1-877-238-6211 Members: 1-800-281-6918
711(TTY/TDD) 711(TTY/TDD)
Non Members: 1-855-338-7030 Non Members: 1-800-706-0872
711(TTY/TDD) 711(TTY/TDD)
Coverage: Provides drug coverage only. Coverage: Provides drug coverage only.
NOTE: Health Plan Benefits are based on Original Medicare NOTE: Health Plan Benefits are based on Original Medicare

Enrollment phone numbers

Fixed Costs

Monthly Drug Plan Premium $23.80 Monthly Drug Plan Premium $25.40

Monthly Health Plan Premium N/A Monthly Health Plan Premium N/A
Annual Drug Deductible $350.00 Annual Drug Deductible $405.00
Medicare costs at a glance Medicare costs at a glance

Estimate of What YOU Will Pay for Drug Plan Premium and Drug Costs

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