Page 12 - Cover letter and evaluation for Michele Buros
P. 12

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.

                                              Preferred Pharmacy Information


                                                    When you need a retail prescription filled or refilled, you will
              Refill Schedule: Monthly (retail)
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                  Pharmacy: Giant Eagle                                    pharmacies.

                      Is Giant Eagle a preferred pharmacy in the following plans' pharmacy networks?


              Community Blue Medicare PPO                       Yes
                       Signature Plan


                  Advantra Silver PPO Plan                      Yes


                Humana Value Plus PPO Plan                      Yes



               Aetna Medicare Gold PPO Plan                     Yes






                                                                    y       g
                          2018 estimated Rx drug costs for the plans in your evaluation*


                                                     Estimated annual costs in      Estimated annual costs in
                        Plan name
                                                       2018 for retail refills      2018 for mail-order refills


              Community Blue Medicare PPO                      $155                           $155
                       Signature Plan


                  Advantra Silver PPO Plan                     $264                           $264




                 Humana Value Plus PPO Plan                    $329                           $329




               Aetna Medicare Gold PPO Plan                    $349                           $301


          *Estimated costs include plan premiums, deductibles, and co-payments



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