Page 12 - Cover Letter and Medicare Evaluation for Barbara Pender
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.
Pharmacy Information
Client's pharmacy: When you need a retail prescription filled or refilled, you will
usually get the lowest prices at one of your plan's preferred
Rite Aid pharmacies (some plans do not have preferred pharmacies).
Is Rite Aid a preferred pharmacy in the following plans' networks?
SilverScript SmartRx Prescription Drug Rite Aid is not a preferred pharmacy in this plan, but CVS and
Plan (PDP) Walmart are
Rite Aid, CVS, and Walmart are all preferred pharmacies in this
SCAN Classic Advantage HMO Plan
plan
Rite Aid is not a preferred pharmacy in this plan, but CVS and
Blue Shield Inspire Advantage HMO Plan
Walmart are
y g
The lowest-cost Part D stand-alone plan for your drugs
SilverScript SmartRx
Prescription Drug Plan (PDP)
To enroll in a plan, call its toll-free
number (833) 526-2445
Annual premiums $90
Mail-order refills NA
This plan's Medicare quality rating 3.5 out of 5 stars
Medicare Advantage plans' costs for your drugs
These two Medicare Advantage plans
include prescription drug and medical SCAN Classic Advantage HMO Blue Shield Inspire Advantage
HMO Plan
Plan
coverage
Annual premiums $0 $0
Mail-order refills NA NA
This plan's Medicare quality rating 4.5 out of 5 stars 4 out of 5 stars
4
