Page 56 - Cover Letter and Evaluation for Mike Peaseley

11/17/2017 Your Plan Results

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Your Plan Results
Zip Code: 98499
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 6951340928
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 11/16/2017
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.

This a list of the Medicare
Symbols Advantage plans that have the
lowest-cost for your Rx drugs. The
Some Dental Coverage Some Vision Coverage Nationwide Coverage Some Hearing Coverage
list is sorted by the plans' costs if
you get monthly (retail) refills, with
Your Current Plan(s) the lowest-cost plans listed 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 $12,920 Not Available
Annual: $9,047 Part B: Deductible: $183 Willing Doctor Includes $9,047
$134 for drug costs
Out of Pocket Spending This plan is
Limit: Not Applicable
compared in your
evaluation

Medicare Health Plans with Drug Coverage

25 plans were found in 98499 based on your search criteria. View 10 View 20 View All

Sort Results by
Aetna Medicare Value Plan (HMO) (H3931-126-0)
Organization: Aetna Medicare
Estimated Monthly Deductibles Health Drug Coverage Estimated Overall Star
Annual Drug Premium: [?] and Drug Benefits: [?] [?] , Drug Annual Rating: [?]
Costs: [?] [?] Copay [?] / Restrictions [?] Health and
Coinsurance: and Other Drug
[?] Programs: Costs: [?]
Retail $0.00 Annual Drug Doctor Choice: All Your Drugs on $4,310 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $0.00 for Most 3.5 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Preferred Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $0 Spending Costs
Annual: $834 Premium - $100, 33% Limit: $6,500
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $856

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