Page 32 - APPENDICES for Hans Burkhardt
P. 32

An official website of the United States government
       Here's how you know


                                                                                                                 Menu

                                               Walgreens is not in this plan's network, but CVS
                                               is a preferred pharmacy. This is a national plan
                                               that is good in all 50 states.
   AETNA MEDICARE
   SilverScript SmartRx (PDP)
                                                                          Call this number to
   Plan type: Drug plan (Part D)                                          enroll.

   Plan ID: S5601-207-0

   Plan website     Non-members: 1-833-526-2445           Members: 1-866-235-5660




   What you'll pay



   Total monthly premium

   $7.20





   Overview



   PREMIUMS


   Total monthly premium                                      $7.20


   DEDUCTIBLES


   The amount you must pay each year before your plan starts to pay for covered services or drugs.


   Drug deductible                                            $445.00



   CONTACT INFORMATION


   Plan address                                               P.O. Box 30016
                                                              Pittsburgh, PA 15222
   27   28   29   30   31   32   33   34   35   36   37