Page 82 - APPENDICES for Diane Falten
P. 82
ESTIMATED TOTAL DRUG + PREMIUM COST
CVS Pharmacy #10463
Preferred Preferred in-network pharmacy
This is incorrect
because it includes
the health premium
Total yearly drug + premium cost $893.88 of $35.10 a month
($421.20 a year).
When you'll meet your You won't meet your deductible in 2022
deductible
When you'll enter the You won't enter the coverage gap in 2022
coverage gap
