Page 10 - Cover Letter and Evaluation for Dr. Maury Rosenstein
P. 10

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 drug coverage is through his   When you need a retail prescription filled or refilled, you will
                      employer plan                 usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                 Thomas Family Pharmacy                                    pharmacies.


                     Is Thomas Family Pharmacy a preferred pharmacy in the following plans' networks


                            NA                                  NA                             NA


                            NA                                  NA                             NA


                            NA                                  NA                             NA


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


          If you get a Medigap policy, you will also
               need to enroll in a stand-alone drug
             plan. To enroll, call the plan's toll-free
                                          number     No stand-alone drug plans are compared in this evaluation
               Est. annual costs for monthly refills  because client has creditable drug coverage through his
                                                                          employer plan.
             Est. annual costs for mail-order refills


                This plan's Medicare quality rating

                                   Medicare Advantage plans' costs for your drugs


           These two Medicare Advantage plans
           include prescription drug  and  medical
                         coverage


               Est. annual costs for monthly refills   No Advantage plans are compared in this evaluation.

             Est. annual costs for mail-order refills

                This plan's Medicare quality rating



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