Page 14 - Cover Letter and Medicare Evaluation for Rod Morgan
P. 14

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
                          Safeway                   pharmacies. Some plans do not have preferred pharmacies.

                             Is Safeway a preferred pharmacy in the following plans' networks

           Wellcare Value Script Prescription Drug                              Yes
                                        Plan (PDP)

              Anthem MediBlue Access Advantage                                  Yes
                                         PPO Plan

          Aetna Medicare Prime 1 Advantage PPO                                  Yes
                                             Plan




                                                                    y       g

                          The lowest-cost Part D stand-alone plan for your drugs
                                                       Wellcare Value Script
                                                    Prescription Drug Plan (PDP)
                To enroll in a plan, call its toll-free
                                          number          (888) 293-5151
             Est. annual costs for monthly refills at         $1,008
                                          Safeway

             Est. annual costs for mail-order refills           NA


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

                                   Medicare Advantage plans' costs for your drugs

           These two Medicare Advantage plans        Anthem MediBlue Access          Aetna Medicare Prime 1
           include prescription drug  and  medical      Advantage PPO Plan             Advantage PPO Plan
                         coverage                         (855) 679-0546                 (833) 859-6031

             Est. annual costs for monthly refills at          $444                           $564
                                          Safeway
             Est. annual costs for mail-order refills           NA                             NA

                This plan's Medicare quality rating       4 out of 5 stars              4.5 out of 5 stars



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