Page 1 - Evaluation for Tom Tappan

October 9, 2017

Mr. Thomas Tappan
3930 N. Pine Grove Avenue #907
Chicago, IL 60613

Dear Mr. Tappan:

Your Medicare evaluation is attached. You might begin by checking the information on the
client data sheet on page 1 as well as the list of your Rx drugs and dosages attached to this
letter. If there is anything that needs to be changed, let me know.

In most cases the costs shown in the evaluation are estimates for the 2018 plan year. But
because Medicare’s costs, including the Part B premium, have not yet been released for next
year, the 2017 numbers are used.

Your evaluation compares four options -- two Medigap plans and the two new Bank of America
(BofA) Advantage PPO plans. None of these four options includes prescription drug coverage,
and so you will also need to enroll in a Part D plan. The Rx drug coverage in the BofA plan is
sponsored by Silverscript and it is discussed later in the section that deals with your
prescription drug coverage.

Summary Overview

The two Bank of America Advantage group health plans sponsored by UnitedHealthcare are
superior to the Medigap policies in almost every way. Their premiums are substantially lower
than those of Medigap policies, and their out-of-pocket limits are much lower than those of
non-subsidized Advantage plans. And the two BoA plans provide benefits that the Medigap
policies do not offer. Some of these benefits may be ones that you won’t use, but others like
annual routine vision exams will save you money.

One thing that is unusual about the BofA options is that, even though they are Advantage PPO
plans, there are no penalties or added costs for going to non-network providers – the co-
payments are the same as for network doctors and the out-of-pocket limit is not increased
when you go out-of-network.

In contrast, virtually all Advantage PPO plans that are not subsidized by the employer will
require a higher co-payment – often as much as 40% of the cost – when you go to a non-
network provider. And these plans have higher out-of-pocket limits that apply to out-of-