Page 14 - Cover Letter & Evaluation for Michael Novotny
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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
NA
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
CVS
pharmacies.
Is CVS a preferred pharmacy in the following plans' networks
Aetna Medicare Rx Select Plan CVS is a preferred pharmacy in this plan
Walmart and Sam's Club are this plan's only preferred
Humana Walmart Rx Plan
pharmacies
Alignment Health Plan My Choice (an No. In your area, Costco and Healthy Living are this plan's
HMO) preferred pharmacies
AARP Medicare Complete Secure This plan does not have preferred pharmacies
Horizons Plan 1 (an HMO)
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The two lowest-cost Part D stand-alone plans for your drugs
Aetna Medicare Rx Select Plan Humana Walmart Rx Plan
To enroll in a plan, call its toll-free
number (855) 338-7030 (800) 706-0872
Annual premiums $236 Not covered
Est. annual costs with mail-order refills NA NA
This plan's Medicare quality rating 3.5 out of 5 stars 3.5 out of 5 stars
Medicare Advantage plans' costs for your drugs
These two Medicare Advantage plans Alignment Health Plan My AARP Medicare Complete
include prescription drug and medical Choice (an HMO) Secure Horizons Plan 1 (an
coverage HMO)
Est. annual costs with monthly refills $0 $0
Est. annual costs with mail-order refills NA NA
This plan's Medicare quality rating 4.5 out of 5 stars 4.5 out of 5 stars
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