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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