Page 10 - Cover Letter and Medicare Evaluation for Diane Falten

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

Client's pharmacy: When you need a retail prescription filled or refilled, you will
usually get the lowest prices at one of your plan's preferred
CVS pharmacies. Some plans do not have preferred pharmacies.

Is CVS a preferred pharmacy in the following plans' networks

Martin's Point Generations Advantage Yes
Prime (HMO-POS) Plan

Humana Choice Advantage PPO Plan Yes

Martin's Point Generations Advantage Yes
Flex Regional PPO Plan

Only 3 plans are compared in this evaluation
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Plans' est. annual costs for your Rx drugs at CVS
Martin's Point Generations
To enroll in a plan, call its toll-free Advantage Prime (HMO-POS) Humana Choice Advantage
number and ask to be enrolled effective Plan PPO Plan
January 1, 2022
(888) 640-4423

Est. annual costs for retail refills at CVS $120 $226

Est. annual costs with mail-order refills NA NA

This plan's Medicare quality rating 5 out of 5 stars 4 out of 5 stars

Plans' est. annual costs for your Rx drugs at CVS

Martin's Point Generations
To enroll in a plan, call its toll-free Advantage Flex Regional PPO
number and ask to be enrolled effective Plan
January 1, 2022 Only 3 plans are compared in
(888) 640-4423
this evaluation
Est. annual costs for retail refills at CVS $473

Est. annual costs with mail-order refills NA

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

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