Page 14 - Cover Letter and Evaluation for Dr. Jim Fisgus

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
Client Pharmacy: CVS
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Client Refill Schedule: Mail Order pharmacies.

Is CVS a preferred pharmacy in these plans' networks? Are there others nearby?
Wellcare Value Script Prescription Drug
Plan Yes Dk Pharmacy

Aetna PPO Plan for Gensler Yes Target
(Current Plan)

Aetna Medicare Choice PPO Plan Yes Ralphs, Walmart

y g
The lowest-cost Part D stand-alone plan for your drugs

If you get a Medigap policy, you will also Wellcare Value Script
need to enroll in a stand-alone drug Prescription Drug Plan
plan. To enroll, call the plan's toll-free
number (888) 293-5151

Est. annual costs for mail-order refills $198

Est. annual costs for monthly refills $207

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

The two Aetna plans' costs for your drugs

The Gensler plan's Rx drug costs do not Aetna PPO Plan for Gensler Aetna Medicare Choice PPO
include Rx premiums, unlike the Aetna Plan
Medicare Choice PPO Plan (Current Plan)
Est. annual costs for mail-order refills $240 $475

Est. annual costs for monthly refills $360 $475

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

4