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


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