Page 114 - Cover Letter and Evaluation for Anne Ellzey

11/8/2017 Your Plan Results

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Your Plan Results
Zip Code: 78704
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 3608244448
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 11/08/2017
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 is a list of the Part D stand-alone plans that have
Symbols
the lowest est. costs for your drugs in 2018. This list is
Nationwide Coverage sorted by the plans' costs for mail-order refills, with the
lowest-cost plans first. Costs include premiums,
deductible, and co-payments.
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 $41,940 Not Available
Annual: $38,062 Part B: Deductible: $183 Willing Doctor Includes $38,062
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans

24 plans were found in 78704 based on your search criteria. View 10 View 20 View All

Sort Results By Est. 2018 costs.
Aetna Medicare Rx Saver (PDP) (S5810-056-0)
Organization: Aetna Medicare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $24.40 Annual Drug Deductible: All Your Drugs on Enroll
$375 Formulary :Yes
Pharmacy Status: 3.5 out of 5 stars
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $30, 25% - 37% Lower Your Drug Costs
Annual: $4,217 MTM Program : Yes
Mail Order
Annual: $4,401
First Health Part D Value Plus (PDP) (S5768-145-0)
Organization: First Health Part D

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