Page 16 - Cover Letter and Evaluation for Debbie Workman

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's pharmacy:
usually get the lowest prices at one of your plan's preferred
pharmacies. Some plans, though, do not have preferred
Walgreens
pharmacies.
Is NAME a preferred pharmacy in the following plans' networks

Walgreens is not a preferred pharmacy in this plan but CVS.
Envision Rx Plus Prescription Drug Plan
Rite-Aid and Sav-on are
Express Scripts Medicare Saver No, but CVS is
Prescription Drug Plan

Humana Gold Plus HMO Plan Yes

AARP Medicare Complete Plan 1 This plan does not have preferred pharmacies
y g

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

Envision Rx Plus Prescription Express Scripts Medicare Saver
Drug Plan Prescription Drug Plan
To enroll in a plan, call its toll-free
number 888-377-1439 866-477-5704

Est. annual costs for monthly refills $319 at CVS $391 at CVS, RIte-Aid, etc.

Est. annual costs with mail-order refills $223 $351

This plan's Medicare quality rating 3 out of 5 stars 4 out of 5 stars

Medicare Advantage plans' costs for your drugs

These two Medicare Advantage plans
include prescription drug and medical Humana Gold Plus HMO Plan AARP Medicare Complete Plan 1
coverage

Est. annual costs with monthly refills $222 $349

Est. annual costs with mail-order refills $40 $204

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

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