Page 106 - Cover Letter and Evaluation for John

10/9/2018 Your Plan Results
Anthem MediBlue Select (HMO) (H0544-067-0)
Organization: Anthem Blue Cross
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 $5,700 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: $3,396 Premium $0 - $95, 33% Limit: $1,800
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $3,035
Anthem MediBlue Plus (HMO) (H0544-060-4)
Organization: Anthem Blue Cross
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 $7,310 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: $3,495 Premium $0 - $95, 33% Limit: $6,700
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $3,394
Humana Value Plus H5619-037 (HMO) (H5619-037-0)
Organization: Humana This plan is
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall compared in your
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Star Rating:
Costs: [?] [?] Copay [?] / Restrictions [?] Health and [?] evaluation. It is the
Coinsurance: and Other Drug only Advantage PPO
[?] Programs: Costs: [?]
plan in the county.
Retail $33.30 Annual Drug Doctor All Your Drugs on $6,300 Coming Soon Enrollment begins
Deductible: Choice: Plan Formulary :Yes October 15, 2018
Pharmacy Drug: $415 Doctors for
Status: $33.30 Most Services Drug Restrictions:
Preferred Cost- Health: Health Plan Yes
Sharing $0.00 Deductible: Out of Pocket Lower Your Drug
Coming soon Spending Costs
Annual: $3,502 Part B Drug Copay/ Limit: $6,700
Premium Coinsurance: In-network MTM Program :
Mail Order Reduction $0 - $100, 25% Yes
Annual: $3,431 :No
Aetna Medicare Choice Plan (PPO) (H5521-126-0)
Organization: Aetna Medicare
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: [?]

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