Page 82 - Cover Letter and Evaluation for John

10/9/2018 Your Plan Results

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Your Plan Results
Zip Code: 92586
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 3199691584
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 10/09/2018
estimated cost. To view more plans, select View 20 or View All. Select any plan Important Coverage Information
name for details. Compare up to 3 plans by using the checkboxes and selecting
Compare Plans. The costs displayed are estimates; your actual costs may vary.

You are now viewing 2019 plan data. View 2018 plan data.

Symbols These are the 10 lowest-cost plans for
your drugs in 2019. This list is sorted by
Nationwide Coverage
the plans' costs for your drugs if you get
monthly refills. Costs include premiums,
Your Current Plan(s) deductible, and co-payments.
Original Medicare (H0001-001-0)
Includes Part A (Hospital Insurance) and/or Part B (Medical Insurance) - Excludes Part D Drug
Coverage
Estimated Monthly Deductibles: Health Benefits: Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug [?] [?] , Drug Annual Health Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] and Drug
Coinsurance: Costs: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $24,590 Coming Soon
Annual: $20,697 Part B: Deductible: Willing Doctor Includes
$134 $183 $20,697 for
Out of Pocket drug costs
Spending Limit: Not
Applicable
These are your estimated annual costs
in 2019 for your Rx drugs. These are
Prescription Drug Plans your total costs -- premiums,
deductible, and co-payments.

Monthly refills at Walgreens will cost
30 plans were found in 92586 based on your search criteria. View 10 View 20 View All
you $3,056 for the year and mail-
order refills will cost $3,249.
Sort Results By
AARP MedicareRx Walgreens (PDP) (S5921-413-0)
Organization: UnitedHealthcare
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Other Rating: [?]
[?] Coinsurance: [?] Programs:
Retail $28.10 Annual Drug Deductible: All Your Drugs on Formulary Coming Soon Enrollment begins
$415 :Yes October 15, 2018
Pharmacy Status:
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $0 - $30, 25% - 32% Lower Your Drug Costs

Annual: $3,056 MTM Program : Yes

Mail Order
Annual: $3,249

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