Page 83 - Cover Letter and Evaluation for John

10/9/2018 Your Plan Results
AARP MedicareRx Preferred (PDP) (S5820-031-0)
Organization: UnitedHealthcare
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Other Rating: [?]
[?] Coinsurance: [?] Programs:
Retail $84.30 Annual Drug Deductible: $0 All Your Drugs on Formulary Coming Soon Enrollment begins
:Yes October 15, 2018
Pharmacy Status: Drug Copay/ Coinsurance:
Preferred Cost- $5 - $40, 33% - 40% Drug Restrictions: Yes
Sharing Lower Your Drug Costs

Annual: $3,251 MTM Program : Yes

Mail Order
Annual: $3,263
Cigna-HealthSpring Rx Secure-Essential (PDP) (S5617-311-0)
Organization: Cigna-HealthSpring Rx
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Other Rating: [?]
[?] Coinsurance: [?] Programs:
Retail $21.90 Annual Drug Deductible: All Your Drugs on Formulary Coming Soon Enrollment begins
$415 :Yes October 15, 2018
Pharmacy Status:
Standard Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $3, 20% - 47% Lower Your Drug Costs

Annual: $3,263 MTM Program : Yes

Mail Order
Annual: $3,542
Cigna-HealthSpring Rx Secure-Extra (PDP) (S5617-277-0)
Organization: Cigna-HealthSpring Rx
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Other Rating: [?]
[?] Coinsurance: [?] Programs:
Retail $70.60 Annual Drug Deductible: All Your Drugs on Formulary Coming Soon Enrollment begins
$100 :Yes October 15, 2018
Pharmacy Status:
Standard Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $4 - $42, 31% - 49% Lower Your Drug Costs

Annual: $3,455 MTM Program : Yes

Mail Order
Annual: $4,050
Blue Shield Rx Enhanced (PDP) (S2468-004-0)
Organization: Blue Shield of California
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Other Rating: [?]
[?] Coinsurance: [?] Programs:
Retail $117.80 Annual Drug Deductible: $0 All Your Drugs on Formulary Coming Soon Enrollment begins
:Yes October 15, 2018
Pharmacy Status: Drug Copay/ Coinsurance:
Preferred Cost- $4 - $40, 25% - 33% Drug Restrictions: Yes
Sharing Lower Your Drug Costs

Annual: $3,475 MTM Program : Yes

Mail Order
Annual: $3,292
Cigna-HealthSpring Rx Secure (PDP) (S5617-158-0)
Organization: Cigna-HealthSpring Rx
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Other Rating: [?]
[?] Coinsurance: [?] Programs:

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