Page 12 - Cover letter and evaluation for Marcelle Nesci

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
CVS
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Monthly as well as mail-order
pharmacies.
Is CVS a preferred pharmacy in these plans' networks? Are there others nearby?

Express Scripts Medicare-Saver
Prescription Drug Plan Yes Walmart Pharmacy
SilverScript Choice Prescription Drug Yes Jefferson Valley Pharmacy,
Plan Robbins Pharmacy

UnitedHealthcare MedicareComplete This plan does not have
Choice Plan 1 NA preferred pharmacies

y g
The lowest-cost Part D stand-alone plans for your drugs

If you get a Medigap policy, you will also Express Scripts Medicare- SilverScript Choice Prescription
need to enroll in a stand-alone drug Saver Prescription Drug Plan Drug Plan
plan. To enroll, call the plan's toll-free
number (866) 477-5704 (866) 552-6106

Est. annual costs for mail-order refills $761 $765

Est. annual costs for monthly refills at $760 $813
CVS

This plan's Medicare quality rating 2.5 out of 5 stars 3.5 out of 5 stars

Medicare Advantage plan's costs for your drugs

UnitedHealthcare
This Medicare Advantage plan includes
prescription drug and medical coverage MedicareComplete Choice
Plan 1

Est. annual costs for mail-order refills $624

Est. annual costs for monthly refills $967

This plan's Medicare quality rating 3.5 out of 5 stars

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