Page 37 - Cover Letter and Evaluation for Chris Parlin

10/11/2017 Your Medicare Health Plan Details

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Your Plan Details

Zip Code: 20817
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Select the tabs below for more detailed information about the plan health benefits, drug costs Drug List ID: 1763257664
and more coverage and star ratings.
Password Date: 10/10/2017
Important Coverage Information

You are now viewing 2018 plan data. View 2017 plan data. This is the plan you are currently
enrolled in and its estimated costs for
Symbols
2018.
Nationwide Coverage
* Estimated

Humana Enhanced (PDP) 500 West Main Street Overall Star Rating: [?] Enrollment begins
Louisville, KY 40202 October 15, 2017
(S5884-004-0)
3.5 out of 5 stars
Members:
Organization: Humana Insurance 1-800-281-6918
Company 711 (TTY/TDD)
Plan Type:
Non Members:
1-800-706-0872
711 (TTY/TDD)

NOTE: Health Plan Benefits are based on Original Medicare

Fixed Costs

Monthly Drug Plan Premium [?] $77.90

Monthly Health Plan Premium [?] N/A

Annual Drug Deductible [?] $0.00
Medicare costs at a glance

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

Full Year Cost (based on January enrollment) [?]
Walgreens $2,023.06
Walmart Pharmacy 10-5936 $2,014.99
Mail Order Pharmacy $1,797.26
Lower your drug costs

Estimated Full Cost the Plan Charges Medicare for Your Drugs

https://www.medicare.gov/find-a-plan/results/planresults/plan-details.aspx?cntrctid=S5884&plnid=004&sgmntid=0 1/3