Page 12 - Cover Letter and Evaluation for Bob Workman
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
Walgreens
pharmacies.
Is Walgreens Pharmacy a preferred pharmacy in the following plans' networks?
Envision Rx Plus Prescription Drug Plan No CVS is a preferred pharmacy
AARP MedicareRx Walgreens Walgreens is this plan's only
Prescription Drug Plan Yes preferred pharmacy
Advantage Rx Drug coverage not
included NA NA
Estimated retail costs for your drugs
How good is the plan's catastrophic coverage for medical care?
The two lowest-cost Part D stand-alone plans for your drugs
Stand-alone plans provide Part D Envision Rx Plus Prescription AARP MedicareRx Walgreens
coverage for people who have Medigap Drug Plan Prescription Drug Plan
policies or who are enrolled in
Advantage plans that do not include Rx
benefits. (866) 250-2005 (800) 753-8004
Annual costs at Walgreens $707 $463
Annual costs at CVS $401 $901
Annual costs with mail-order refills $321 $454
This plan's Medicare quality rating 3 stars 3.5 stars
Medicare Advantage plans' costs for your drugs
This Medicare Advantage plan includes
prescription drug coverage
The Medicare Advantage Plan in your evaluation does not
Annual Rx costs with retail refills include prescription drug coverage. If you enroll in that
Advantage plan, you will also need to enroll in one of the Part
Annual Rx costs with mail-order refills D stand-alone plans shown above.
This plan's Medicare quality rating
4

