Page 72 - Cover letter and evaluation for Linda Hosier

11/15/2017 Your Plan Results

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Your Plan Results
Zip Code: 90803
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 2702154240
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 11/15/2017
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 2018 plan data. View 2017 plan data.

Symbols This is a list of the lowest-cost Part D stand-
alone plans for the Rx drugs that you take. The
Nationwide Coverage
list is sorted by the plans' costs if you get mail-
order refills, with the lowest-cost plans listed
Your Current Plan(s) first.
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 Restrictions Annual Health Rating: [?]
Costs: [?] [?] Copay [?] / [?] and Drug Costs:
Coinsurance: [?]
[?]
Retail Standard Part B Doctor Choice: Any N/A $7,050 Not Available
Annual: $3,173 Part B: Deductible: $183 Willing Doctor Includes $3,173
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans Lowest-cot of any
option.
25 plans were found in 90803 based on your search criteria. View 10 View 20 View All

Sort Results By
Humana Walmart Rx Plan (PDP) (S5884-178-0)
Organization: Humana Insurance Company
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $20.40 Annual Drug Deductible: All Your Drugs on Enroll
$405 Formulary :Yes
Pharmacy Status: 3.5 out of 5 stars
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $4, 22% - 35% Lower Your Drug Costs
Annual: $1,049 MTM Program : Yes
Mail Order
Annual: $770
Humana Preferred Rx Plan (PDP) (S5884-114-0)
Organization: Humana Insurance Company

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