Page 37 - Cover Letter and Evaluation for Anne Parlin

10/10/2017 Your Plan Results

Your Plan Results
Zip Code: 20817
Current Coverage: Original Medicare
Current Subsidy: No Extra Help [?]
Drug List ID: 1039925088
Your plan results are organized by plan type and are initially sorted by lowest Password Date: 10/10/2017
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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Nationwide Coverage
Maryland
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 $7,040 Coming Soon
Annual: $3,165 Part B: Deductible: $183 Willing Doctor Includes $3,165
$134 for drug costs
Out of Pocket Spending
Limit: Not Applicable

Prescription Drug Plans
21 plans were found in 20817 based on your search criteria. View 10 View 20 View All
Lowest annual cost
Sort Results By for monthly refills
AARP MedicareRx Walgreens (PDP) (S5921-387-0)
Organization: UnitedHealthcare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $26.70 Annual Drug Deductible: All Your Drugs on Formulary Coming Soon Enrollment begins
$405 :Yes October 15, 2017
Pharmacy Status:
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: No
Sharing $0 - $31, 25% - 32% Lower Your Drug Costs
Annual: $320 MTM Program : Yes
Mail Order
Annual: $320 Lowest annual cost
Express Scripts Medicare - Saver (PDP) (S5660-221-0) for mail-order refills
Organization: Express Scripts Medicare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:
Retail $22.60 Annual Drug Deductible: All Your Drugs on Formulary Coming Soon Enrollment begins
$405 :Yes October 15, 2017
Pharmacy Status:
Preferred Cost- Drug Copay/ Coinsurance: Drug Restrictions: Yes
Sharing $1 - $4, 18% - 44% Lower Your Drug Costs
Annual: $331 MTM Program : Yes
Mail Order
Annual: $311
Express Scripts Medicare - Value (PDP) (S5660-107-0)
Organization: Express Scripts Medicare
Estimated Annual Monthly Deductibles: [?] and Drug Drug Coverage [?] , Drug Overall Star
Drug Costs: [?] Premium: Copay [?] / Coinsurance: Restrictions [?] and Other Rating: [?]
[?] [?] Programs:

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