Page 12 - Cover Letter and Evaluation for Diann Weade
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
                       Monthly refills
                                                    usually get the lowest prices at one of your plan's preferred
           Costs shown below are at CVS and/or        pharmacies. Some plans, though, do not have preferred
                         Walgreens                                         pharmacies.
                                 Is CVS or Walgreens a preferred pharmacy in these plans?


                        Humana Preferred Rx Plan           This plan does not have preferred pharmacies


                AARP Medicare Rx Walgreens Plan          Walgreens is a preferred pharmacy but CVS is not


                      Anthem MediBlue Plus HMO
                                                       CVS and Kroger are preferred pharmacies in this plan
                               (your current plan)


                                                    CVS, Walgreens, and Kroger are preferred pharmacies in this
                    Humana Gold Plus Plan (HMO)                                plan
                                                                    y       g
                          The two lowest-cost Part D stand-alone plans for your drugs

                                                                                  AARP Medicare Rx Walgreens
                                                     Humana Preferred Rx Plan                  Plan

                To enroll in a plan, call its toll-free
                                          number          (800) 706-0872                 (800) 753-8004
               Est. annual costs for monthly refills        $826 at CVS                 $936 at Walgreens


            Est. annual costs with mail-order refills          $801                          $1,019


                This plan's Medicare quality rating      3.5 out of 5 stars              3 out of 5 stars

                                   Medicare Advantage plans' costs for your drugs

           These two Medicare Advantage plans       Anthem MediBlue Plus HMO   Humana Gold Plus Plan (HMO)
           include prescription drug  and  medical      (your current plan)                H5619-051
                         coverage
           Est. annual costs with monthly refills at           $760                           $496
                                              CVS

            Est. annual costs with mail-order refills          $492                           $319

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


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