Page 101 - Cover Letter and Evaluation for John
P. 101
10/9/2018 Your Plan Results
Retail $0.00 Annual Drug Doctor All Your Drugs on $3,190 Coming Soon Enrollment begins
Deductible: $0 Choice: Plan Formulary :Yes October 15, 2018
Pharmacy Drug: $0.00 Doctors for
Status: Health: Health Plan Most Services Drug Restrictions:
Preferred Cost- $0.00 Deductible: $0 Yes In this HMO plan,
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: Spending Costs your Rx drug costs
Annual: $1,201 Premium $0 - $95, 31% Limit: $999 would be about
Reduction - 33% In-network MTM Program :
Mail Order :No Yes $2,000 less in 2019
Annual: $1,008 than they will be
Central Health Medicare Plan (HMO) (H5649-001-0) with the lowest-cost
Organization: Central Health Medicare Plan
stand-alone plan.
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star Rating:
Costs: [?] [?] Copay [?] / Restrictions [?] Health and [?]
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $3,650 Coming Soon Enrollment begins
Deductible: $0 Choice: Plan Formulary :Yes October 15, 2018
Pharmacy Drug: $0.00 Doctors for
Status: Health: Health Plan Most Services Drug Restrictions:
Standard Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: Spending Costs
Annual: $1,838 Premium $0 - $75, 33% Limit: $3,400
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $1,617
Alignment Health Plan My Choice (HMO) (H3815-001-0)
Organization: Alignment Health Plan
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star Rating:
Costs: [?] [?] Copay [?] / Restrictions [?] Health and [?]
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $3,910 Coming Soon Enrollment begins
Deductible: $0 Choice: Plan Formulary :Yes October 15, 2018
Pharmacy Drug: $0.00 Doctors for
Status: Health: Health Plan Most Services Drug Restrictions:
Preferred Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: Spending Costs
Annual: $1,993 Premium $1 - $75, 33% Limit: $3,400
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $1,538
Alignment Health Plan Platinum (HMO) (H3815-015-0)
Organization: Alignment Health Plan
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star Rating:
Costs: [?] [?] Copay [?] / Restrictions [?] Health and [?]
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor All Your Drugs on $3,790 Coming Soon Enrollment begins
Deductible: $0 Choice: Plan Formulary :Yes October 15, 2018
Pharmacy Drug: $0.00 Doctors for
Status: Health: Health Plan Most Services Drug Restrictions:
Preferred Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: Spending Costs
Annual: $1,993 Premium $1 - $75, 33% Limit: $3,400
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $1,610
Brand New Day Classic Care I Plan (HMO) (H0838-025-0)
Organization: Brand New Day
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