Page 42 - Cover Letter and Evaluation for Barbara Lesswing

11/20/2017 Your Plan Results

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Your Plan Results
Zip Code: 14031
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 1026286272
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 11/18/2017
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.
This is a list of the Medicare Advantage
You are now viewing 2018 plan data. View 2017 plan data.
plans in your zip code that include
prescription drug benefits. This list is sorted
by the plans' est. 2018 costs for your Rx
Symbols
drugs if you continue to get refills at a local
pharmacy. The lowest-cost plans are listed
Some Dental Coverage Some Vision Coverage Nationwide Coverage Some Hearing Coverage
first -- your current plan is listed on page 5
Costs include premiums, deductibles, and
Your Current Plan(s)
co-payments.
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 $13,800 Not Available
Annual: $9,925 Part B: Deductible: $183 Willing Doctor Includes $9,925
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Medicare Health Plans with Drug Coverage

29 plans were found in 14031 based on your search criteria. View 10 View 20 View All

This plan has a low
Sort Results by
quality rating from
Centers Plan for Medicare Advantage Care (HMO) (H6988-001-0) Medicare.
Organization: Centers Plan for Healthy Living
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 $4,170 Enroll
Deductible: $0 Plan Doctors Formulary :Yes
Pharmacy Drug: $0.00 for Most 2 out of 5
Status: Health: Health Plan Services Drug Restrictions: stars
Standard Cost- $0.00 Deductible: $0 Yes
Sharing Drug Copay/ Out of Pocket Lower Your Drug
Part B Coinsurance: $3 Spending Costs
Annual: $1,221 Premium - $85, 33% Limit: $6,700
Reduction In-network MTM Program :
Mail Order :No Yes
Annual: $918

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