Page 14 - Evaluation and cover letter for Jack Barnhill

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
Client's pharmacy:
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
CVS/Target
pharmacies.
Is CVS a preferred pharmacy in the following plans' networks

Aetna Medicare Rx Select Plan CVS is a preferred pharmacy in this plan

Humana-Walmart Rx Plan Walmart is this plan's only preferred pharmacy

AARP Medicare Complete Secure This plan does not have preferred pharmacies
Horizons Plan 2 (an HMO)

Aetna Medicare Choice PPO Plan CVS is a preferred pharmacy in this plan
y g

The two lowest-cost Part D stand-alone plans for your drugs
Lowest cost stand-alone
drug plan 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

Est. annual costs for monthly refills $237 $401

Est. annual costs with mail-order refills NA $277

This plan's Medicare quality rating 3.5 stars 3.5 stars

Medicare Advantage plans' costs for your drugs

These two Medicare Advantage plans
include prescription drug and medical AARP Medicare Complete Secure Aetna Medicare Choice PPO Plan
Horizons Plan 2 (an HMO)
coverage

Est. annual costs with monthly refills $0 $302

Est. annual costs with mail-order refills $0 $302

This plan's Medicare quality rating 4.5 stars 4 stars

4