Page 14 - Cover Letter & Evaluation for David Steenburgen
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
                Refill Schedule: Mail order
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                     Pharmacy: Costco
                                                                           pharmacies.
                              Is Costco a preferred pharmacy in the following plans' networks

                                                                                     Costco and CVS are both
                 Aetna Medicare Rx Select                       Yes                preferred pharmacies in this
                                                                                               plan

                                                                                  Walmart is the only preferred
                 Humana-Walmart Rx Plan                         No
                                                                                      pharmacy in this plan




                                  No Advantage plans were compared in this evaluation


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


                       Lowest-cost stand-alone option  Aetna Medicare Rx Select     Humana-Walmart Rx Plan

                To enroll in a plan, call its toll-free
                                          number          (855) 338-7030                 (800) 706-0872

                          Costs for monthly refills            $152                           $367

                        Costs for mail-order refills            NA                            $309


                This plan's Medicare quality rating          3.5 stars                      3.5 stars

                                   Medicare Advantage plans' costs for your drugs







                              No Medicare Advantage plans are compared in this evaluation.









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