Page 12 - Cover Letter and Medicare Evaluation for Scot Paltrow
P. 12

Your Prescription Drug Costs


           These costs are for your prescription drugs and are based on the dosages and monthly quantities that
                           you use.  These costs include premiums, deductible, and co-payments.

                                              Pharmacy Information

                                                    When you need a retail prescription filled or refilled, you will
                     Client's pharmacy:
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                            CVS
                                                                           pharmacies.
                               Is CVS a preferred pharmacy in the following plans' networks

            SilverScript SmartRx Prescription Drug                              Yes
                                             Plan
          Aetna Medicare Premier Advantage Plan                                 Yes
                                            (PPO)










                                                                    y       g

                          The lowest-cost Part D stand-alone plan for your Rx drugs in 2022

                                                        SilverScript SmartRx
                                                       Prescription Drug Plan
                To enroll in a plan, call its toll-free
                                          number          (833) 526-2445
             Est. annual costs for monthly refills at         $4,282
                                              CVS

            Est. annual costs with mail-order refills           NA


                This plan's Medicare quality rating

                     Your Medicare Advantage plan's est. costs for your drugs in 2022

                To enroll in a plan, call its toll-free   Aetna Medicare Premier
                                          number        Advantage Plan (PPO)
                                                          Already enrolled
           Est. annual costs with monthly refills at          $3,191
                                              CVS

            Est. annual costs with mail-order refills           NA

                This plan's Medicare quality rating       4.5 out of 5 stars


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