Page 91 - Appendices for Eric Hartman

An official website of the United States government
Here's how you know

This is a list of stand-alone drug plans Menu
ranked by their costs for your Rx drugs.
The lowest-cost plans are listed first. You
would enroll in a stand-alone drug plan
Showing 10 of 26 drug plans only if you decide to get a Medigap policy.

SilverScript SmartSaver (PDP)

Aetna Medicare | Plan ID: S5601-207-0 This is the lowest-
cost plan for the
Star rating: drugs you take.

MONTHLY PREMIUM

$4.50 Includes: Only drug coverage

YEARLY DRUG & PREMIUM COST

$139.56 Retail pharmacy: Estimated total drug + premium cost

$134.04 Mail-order pharmacy: Estimated total drug + premium cost

DEDUCTIBLE

$505.00 Drug deductible

Cigna Saver Rx (PDP)

Cigna | Plan ID: S5617-382-0

Star rating:

MONTHLY PREMIUM

$12.70 Includes: Only drug coverage