Page 52 - 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.

You are now viewing 2018 plan data. View 2017 plan data.

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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 $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 without Drug Coverage This plan is
compared in your
9 plans were found in 14031 based on your search criteria. evaluation

Sort Results by
Independent Health Encompass 65 (HMO) (H3362-016-0)
Organization: Independent Health
Estimated Annual Monthly Deductibles: Health Benefits: Estimated Overall Star
Drug Costs: [?] Premium: [?] [?] [?] Annual Health Rating: [?]
and Drug Costs:
[?]
Retail $0.00 Health Plan Doctor Choice: $12,900 Enroll
Annual: $9,925 Deductible: $0 Plan Doctors for Includes $9,925
Part B Most Services for drug costs 4.5 out of 5
Premium stars
Reduction Out of Pocket
:No Spending Limit:
$3,400 In-
This is the full retail cost network
of your Rx drugs since
this plan does not include
BlueCross BlueShield Senior Blue 601 (HMO) (H3384-022-0)
drug coverage.
Organization: BlueCross BlueShield of WNY and BlueShield of NENY
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