Page 10 - Cover letter and Medicare evaluation for Hans Burkhardt
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 pharmacy:             When you need a retail prescription filled or refilled, you will
                                                    usually get the lowest prices at one of your plan's preferred
                        Walgreens                   pharmacies. Some plans do not have preferred pharmacies.

                            Is Walgreens a preferred pharmacy in the following plans' networks

            SilverScript SmartRx Prescription Drug            Walgreens is not in this plan's network.
                                        Plan (PDP)








                              Medicare Advantage plans are not compared in this evaluation







                                                                    y       g

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

                                                        SilverScript SmartRx
                                                    Prescription Drug Plan (PDP)
                To enroll in a plan, call its toll-free
                                          number          (833) 526-2445

              Total premiums for last 3 months of
                         2021 (3 X $7.20 a month)             $21.60


                This plan's Medicare quality rating      3.5 out of 5 stars
                                   Medicare Advantage plans' costs for your drugs


             Medicare Advantage plans are not
                compared in this evaluation









                This plan's Medicare quality rating


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