Page 135 - Cover Letter and Evaluation for Gary Janke
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10/8/2018 Your Plan Results
WellCare Classic (PDP) (S4802-071-0)
Organization: WellCare
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Rating: [?]
[?] Coinsurance: [?] Other Programs:
Retail $29.90 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 - $37, 25% - 42% Lower Your Drug Costs
Annual: $1,847 MTM Program : Yes
Mail Order
Annual: $1,535
WellCare Extra (PDP) (S4802-109-0)
Organization: WellCare
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Rating: [?]
[?] Coinsurance: [?] Other Programs:
Retail $71.80 Annual Drug Deductible: All Your Drugs on Formulary Coming Soon Enrollment begins
$0 :Yes October 15, 2018
Pharmacy Status:
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $0 - $40, 33% - 46% Lower Your Drug Costs
Annual: $2,057 MTM Program : Yes
Mail Order
Annual: $1,786
Humana Preferred Rx Plan (PDP) (S5884-106-0)
Organization: Humana
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Rating: [?]
[?] Coinsurance: [?] Other Programs:
Retail $29.20 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 $0 - $1, 25% - 38% Lower Your Drug Costs
Annual: $2,316 MTM Program : Yes
Mail Order
Annual: $1,972
Humana Walmart Rx Plan (PDP) (S5884-158-0)
Organization: Humana
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Rating: [?]
[?] Coinsurance: [?] Other Programs:
Retail $28.80 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 - $4, 20% - 35% Lower Your Drug Costs
Annual: $2,736 MTM Program : Yes
Mail Order
Annual: $2,108
SilverScript Plus (PDP) (S5601-025-0)
Organization: SilverScript
Estimated Annual Monthly Deductibles: [?] and Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Drug Copay [?] / Restrictions [?] and Rating: [?]
[?] Coinsurance: [?] Other Programs:
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