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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