Page 14 - Cover letter and evaluation for John Johnson
P. 14

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
                            CVS
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                        Mail Order
                                                                          pharmacies.
                  Is CVS a preferred pharmacy in these plans' networks?             Are there others nearby?

           Wellcare Value Script Prescription Drug
                           Plan                                Yes                  Village Lane Apothecary
           Aetna Medicare Rx Select Prescription               Yes                  Market Street Pharmacy,
                         Drug Plan                                                      Savon Pharmacy

                                                                                    Market Street Pharmacy,
              Aetna Medicare Choice PPO Plan                   Yes
                                                                                        Savon Pharmacy




                                                                   y       g
                      The lowest-cost Part D stand-alone plans for your drugs


          If you get a Medigap policy, you will also   Wellcare Value Script        Aetna Medicare Rx Select
               need to enroll in a stand-alone drug   Prescription Drug Plan         Prescription Drug Plan
             plan. To enroll, call the plan's toll-free
                                         number           (888) 293-5151                 (855) 429-0700

             Est. annual costs for mail-order refills          $125                          $274


                Est. annual costs for monthly refills          $125                          $279


                This plan's Medicare quality rating       3 out of 5 stars               3 out of 5 stars

                            Medicare Advantage plan's costs for your drugs



           This Medicare Advantage plan includes   Aetna Medicare Choice PPO
          prescription drug  and  medical coverage             Plan


             Est. annual costs for mail-order refills          $261

                Est. annual costs for monthly refills          $266

                This plan's Medicare quality rating       4 out of 5 stars



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