Page 14 - Evaluation for 2018

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's pharmacy:
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
CVS
pharmacies.
Is CVS a preferred pharmacy in the following plans' networks

Envision Rx Plus Prescription Drug Plan CVS is a preferred pharmacy in this plan

Humana-Walmart Rx Plan Walmart pharmacies are the only preferred pharmacies

Humana Gold Plus HMO Plan
CVS is a preferred pharmacy in this plan
(H5619-060)

AARP Medicare Complete Plan 1 CVS is a preferred pharmacy in this plan
(H1286-002)
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The two lowest-cost Part D stand-alone plans for your drugs

Envision Rx Plus Prescription
Drug Plan Humana-Walmart Rx Plan
To enroll in a plan, call its toll-free
number 888-377-1439 (800) 706-0872

Est. annual costs for monthly refills $247 $353

Est. annual costs with mail-order refills $187 $309

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

Medicare Advantage plans' costs for your drugs

These two Medicare Advantage plans
include prescription drug and medical Humana Gold Plus HMO Plan AARP Medicare Complete HMO
(H5619-060)
Plan 1 (H1286-002)
coverage
Est. annual costs with monthly refills $276 $276

Est. annual costs with mail-order refills $0 $204

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

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