Page 14 - Cover Letter and Evaluation for Stephen Spero
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

                                               When you need a retail prescription filled or refilled, you will
                        Rite Aid
                                               usually get the lowest prices at one of your plan's preferred
                                                 pharmacies. Some plans, though, do not have preferred
                        Monthly
                                                                    pharmacies.
                      Is Rite Aid a preferred pharmacy in this plan?

               Cigna-HealthSpring Rx Secure     No. Walmart Pharmacy is a
                  Prescription Drug Plan          preferred pharmacy.
                                                No. Walmart Pharmacy is a
             Anthem MediBlue Plus HMO Plan
                                                  preferred pharmacy.
            Anthem MediBlue Coordination Plus   No. Walmart Pharmacy is a
                       HMO Plan                   preferred pharmacy.




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

          If you get a Medigap policy, you will also   Cigna-HealthSpring Rx Secure
              need to enroll in a stand-alone drug   Prescription Drug Plan (PDP)
            plan. To enroll, call the plan's toll-free
                                      number         (800) 735-1459
           Est. 3-month costs for monthly refills at     $889
                            a Rite Aid pharmacy
           Est. 3-month costs for monthly refills at     $975
                                      Walmart
           Est. 3-month costs for mail-order refills     $625


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

                          Medicare Advantage plans' costs for your drugs

          This Medicare Advantage plan includes   Anthem MediBlue Plus HMO     Anthem MediBlue
              prescription drug  and  medical             Plan             Coordination Plus HMO Plan
                       coverage

           Est. 3-month costs for monthly refills at     $447                        $797
                            a Rite Aid pharmacy
           Est. 3-month costs for monthly refills at     $419                        $870
                           a Walmart pharmacy
                 Est. 3-month costs for mail order       $416                        $853

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


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