Page 48 - Appendices for Rick Leininger
P. 48

$1,142.65 Retail pharmacy: Estimated total drug + premium cost


      $1,401.24 Mail-order pharmacy: Estimated total drug + premium cost



      DEDUCTIBLE


      $300.00 Drug deductible









      SilverScript SmartRx (PDP)

      Aetna Medicare | Plan ID: S5601-207-0
      Star rating:





      MONTHLY PREMIUM


      $7.20 Includes: Only drug coverage



      YEARLY DRUG & PREMIUM COST


      $1,152.68 Retail pharmacy: Estimated total drug + premium cost


      $1,409.00 Mail-order pharmacy: Estimated total drug + premium cost



      DEDUCTIBLE


      $445.00 Drug deductible









      Blue Shield Rx Plus (PDP)

      Blue Shield of California | Plan ID: S2468-003-0
      Star rating:





      MONTHLY PREMIUM


      $59.00 Includes: Only drug coverage



      YEARLY DRUG & PREMIUM COST
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