Page 14 - Cover letter and evaluation for Carol Smith

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.

Preferred Pharmacy Information

When you need a retail prescription filled or refilled, you will
Refill Schedule: NA
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Pharmacy: Walgreens pharmacies.

Is Walgreens a preferred pharmacy in the following plans' pharmacy networks?

Walgreens is listed as a
Humana Gold Plus HMO No preferred pharmacy in this
plan

AARP Medicare Complete Plan 1 HMO No

Senior Dimensions Southern Nevada These three plans do not have
HMO No preferred pharmacies in their
networks*

Aetna Medicare Choice PPO No

y g
2018 estimated Rx drug costs for the plans in your evaluation*

Estimated annual costs in
Plan name 2018 for mail-order and retail Annual premiums
refills

Humana Gold Plus (HMO) NA $0

AARP Medicare Complete Plan 1 (HMO) NA $0

Senior Dimensions Southern Nevada NA $0
(HMO)

Aetna Medicare Choice (PPO) NA $552

*Estimated costs are for premiums only because client does not take any Rx drugs

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