Page 64 - Cover Letter and Evaluation for Barbara Lesswing

11/18/2017 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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This is a list of the Part D stand-
Nationwide Coverage alone plans in your zip code.
The list is sorted by the plans'
costs for the Rx drugs that you
Your Current Plan(s)
take if you get monthly refills at
Original Medicare (H0001-001-0) a local pharmacy.
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

Prescription Drug Plans This is the lowest-
cost Part D stand-
20 plans were found in 14031 based on your search criteria. View 10 View 20 alone plan for the
Rx drugs that you

Sort Results By take. It is the
lowest-cost plan
Aetna Medicare Rx Saver (PDP) (S5810-037-0) whether you
Organization: Aetna Medicare
continue to get
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
monthly refills or
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
switch to mail-order
Retail $38.60 Annual Drug Deductible: All Your Drugs on Enroll
$300 Formulary :Yes refills.
Pharmacy Status: 3.5 out of 5 stars
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $30, 27% - 35% Lower Your Drug Costs
Annual: $1,876 MTM Program : Yes
Mail Order
Annual: $1,800
Aetna Medicare Rx Select (PDP) (S5810-277-0)
Organization: Aetna Medicare

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