Page 53 - Cover Letter and Evaluation for Barbara Lesswing
P. 53

11/20/2017                                             Your Plan Results
           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:  $13,130                     Enroll
           Annual: $9,925               Deductible: $0   Plan Doctors for  Includes $9,925
                            Part B                   Most Services  for drug costs  4 out of 5 stars
                            Premium
                            Reduction                Out of Pocket
                            :No                      Spending Limit:
                                                     $6,700 In-
                                                     network


               UnitedHealthcare MedicareComplete Choice Essential (Regional
               PPO) (R5342-002-0)
               Organization: UnitedHealthcare
           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:  $13,440                     Enroll
           Annual: $9,925               Deductible: $0   Any Doctor  Includes $9,925
                            Part B                                  for drug costs  3.5 out of 5
                            Premium                  Out of Pocket                stars
                            Reduction                Spending Limit:
                            :No                      $10,000 In and
                                                     Out-of-network
                                                     $6,700 In-
                                                     network


               Today's Options Premier 300 (PFFS) (H2816-007-0)
               Organization: Universal American, A WellCare Company
           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:  $13,250                     Enroll
           Annual: $9,925               Deductible: $0   Plan Doctors for  Includes $9,925
                            Part B                   Most Services  for drug costs  3.5 out of 5
                            Premium                                               stars
                            Reduction                Out of Pocket
                            :No                      Spending Limit:
                                                     $6,700 In and
                                                     Out-of-network


               WellCare Advance (HMO) (H3361-059-0)
               Organization: WellCare
           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:  $13,080                     Enroll
           Annual: $9,925               Deductible: $0   Plan Doctors for  Includes $9,925
                            Part B                   Most Services  for drug costs  3 out of 5 stars
                            Premium
                            Reduction                Out of Pocket
                            :No                      Spending Limit:
                                                     $6,700 In-
                                                     network


               Fidelis Medicare Advantage without Rx (HMO-POS) (H3328-001-0)
               Organization: Fidelis Care
           Estimated Annual  Monthly    Deductibles:  Health Benefits:  Estimated  Overall Star
           Drug Costs: [?]  Premium: [?]  [?]        [?]            Annual Health  Rating: [?]
                                                                    and Drug Costs:
                                                                    [?]






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