Page 20 - Cover Letter and Evaluation for Patricia Hendrickson
P. 20
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 prefers mail-order refills usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Walgreens pharmacies.
Annual out-of-pocket costs for the prescription drug that you take are $120 in the Express Scripts Rx
drug plan that's bundled with the CIGNA Medicare Supplemental Plan. A portion of your monthly
premium is for Rx drug coverage, but it is not separately identified.
y g
Costs for your drugs in the two Medicare plans
Horizon Blue Medicare
Humana-Walmart Rx Plan
Advantage HMO
To enroll in a plan, call its toll-free
number (800) 706-0872 (866) 477-5704
Costs for monthly refills $252 $108
Costs for mail-order refills $240 $56
This plan's Medicare quality rating 3.5 stars 4 stars
Medicare Advantage plans' costs for your drugs
No Medicare Advantage plans are compared in this evaluation.
4
