Page 68 - Cover Letter and Evaluation for Kirk Schmidt
P. 68

10/31/2017                                             Your Plan Results







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         Your Plan Results
                                                                          Zip Code:  95076
                                                                          Current Coverage:  Original Medicare
                                                                          Current Subsidy: No Extra Help [?]
                                                                          Drug List ID:  5773524704
         Your plan results are organized by plan type and are initially sorted by lowest  Password Date:  10/22/2017
         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


               Some Dental Coverage   Some Vision Coverage   Nationwide Coverage   Some Hearing Coverage


                Your Current Plan(s)
               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            $11,240       Not Available
           Annual: $7,366   Part B:  Deductible: $183  Willing Doctor               Includes $7,366
                          $134                                                      for drug costs
                                                 Out of Pocket Spending
                                                 Limit: Not Applicable



                Medicare Health Plans with Drug Coverage

          3 plans were found in 95076 based on your search criteria.



            Sort Results by
                                                         See following page
                                                         for the three
                                                         Medicare
                                                         Advantage plans in
                                                         your zip code. All of
                                                         them are
                                                         sponsored by
                                                         Aspire and have
                                                         very high costs for
                                                         your Rx drugs.








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