Page 14 - Cover Letter and Evaluation for Forrest Hoover
P. 14

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

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

             Wellcare Value Script Prescription Drug                             Yes
                                               Plan

              Aetna Medicare Rx Select Prescription                              Yes
                                          Drug Plan

                AARP Medicare Complete Focus PPO             This plan does not have preferred pharmacies
                                               Plan


                       Humana Gold Plus HMO Plan                                 Yes
                                                                      y       g
                            The two lowest-cost Part D stand-alone plans for your drugs
                                                         Wellcare Value Script        Aetna Medicare Rx Select
                                                         Prescription Drug Plan         Prescription Drug Plan
                  To enroll in a plan, call its toll-free
                                            number          (888) 293-5151                 (833) 856-5680

                                  Annual premiums                $186                           $205


              Est. annual costs with mail-order refills           NA                             NA

                  This plan's Medicare quality rating           3 stars                        3 stars

                                     Medicare Advantage plans' costs for your drugs

             These two Medicare Advantage plans
             include prescription drug  and  medical   AARP Medicare  Complete Focus   Humana Gold Plus HMO Plan
                                                         PPO Plan (H2228-020)
                                                                                             (H5619-051)
                           coverage
                                  Annual premiums                 $0                             $0


              Est. annual costs with mail-order refills           NA                             NA

                  This plan's Medicare quality rating       4 out of 5 stars               4 out of 5 stars


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