Page 14 - Cover Letter and Evaluation for LuAnn Vander Vorste
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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
Refill Schedule: Monthly refills
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Pharmacy: Bel-Air Pharmacy
pharmacies.
Is Bel-Air Pharmacy a preferred pharmacy in the following plans' networks?
Aetna Medicare Rx Select Prescription No CVS, Safeway, and Save Mart
Drug Plan are preferred pharmacies
CVS is listed as a preferred
pharmacy, but you should
Express Scripts Medicare - Saver No
verify this if you choose this
plan
No Advantage plans were compared in this evaluation
y g
The two lowest-cost Part D stand-alone plans for your drugs
Aetna Medicare Rx Select Express Scripts Medicare-Saver
Lowest-cost stand-alone option
Prescription Drug Plan Prescription Drug Plan
To enroll in a plan, call its toll-free
number (855) 338-7030 (866) 477-5404
Est. annual costs for monthly refills $257 $318
Est. annual costs for mail-order refills NA $310
This plan's Medicare quality rating 3.5 stars 4 stars
Medicare Advantage plans' costs for your drugs
No Medicare Advantage plans are compared in this evaluation.
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