Page 12 - Cover Letter and Evaluation for Paul Dorroh
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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
Walgreens
pharmacies.
Is Walgreens a preferred pharmacy in the following plans' networks?
Walgreens is not a preferred pharmacy, but CVS, Longs, and
Envision Rx Plus Prescription Drug Plan
Pci are preferred pharmacies
Aetna Medicare Rx Select Prescription Walgreens is not listed in this plan's network at all, but CVS is
Drug Plan a preferred pharmacy
Aetna Medicare Essential Plan (Local Walgreens is not a preferred pharmacy, but CVS is a preferred
PPO) pharmacy
Walgreens is not a preferred pharmacy, but CVS is a preferred
Aetna Medicare Select Plan (HMO) pharmacy
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The two lowest-cost Part D stand-alone plans for your drugs
Lowest premium stand- Envision Rx Plus Prescription Aetna Medicare Rx Select
alone drug plan Drug Plan Prescription Drug Plan
To enroll in a plan, call its toll-free
number (888) 377-1439 (855) 338-7030
Annual premiums $151 $235
Estimated annual cost for mail-order NA NA
This plan's Medicare quality rating 3 stars out of 5 3.5 stars out of 5
Medicare Advantage plans' costs for your drugs
These two Medicare Advantage plans
include prescription drug and medical Aetna Medicare Essential Plan Aetna Medicare Select Plan (HMO)
(Local PPO)
coverage
Annual premiums $0 $0
Est. annual costs with mail-order refills NA NA
This plan's Medicare quality rating 4 stars 4 stars
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