Page 13 - SAMPLE
P. 13
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
CVS
pharmacies.
Is CVS a preferred pharmacy in the following plans' pharmacy networks?
CVS is not a preferred
Aetna Medicare Rx Saver No
pharmacy but Walgreens is
CVS is not a preferred
First Health Part D Value Plus No
pharmacy but Walgreens is
CVS is not a preferred
Blue Medicare Lifetime HMO No
pharmacy but Walgreens is
This plan does not have
AARP Medicare Complete Choice Plan 2 NA
y g preferred pharmacies
The two lowest-cost Part D stand-alone plans for your drugs
Lowest-cost stand-alone option Aetna Medicare Rx Saver Plan First Health Part D Value Plus
Plan
To enroll in a plan, call its toll-free
number (855) 338-7030 (855) 389-9688
Annual costs with monthly refills at a $1,282 $1,369
preferred pharmacy
Annual costs with mail-order refills $1,494 $1,361
Medicare quality rating 3 stars 3.5 stars
Medicare Advantage plans' costs for your drugs
AARP Medicare Complete
Most Medicare Advantage plans include Blue Medicare Lifetime HMO Choice Plan Two
prescription drug and medical coverage
(855) 601-9465 (800) 555-5757
Annual costs with monthly refills at a $468 $192
preferred pharmacy
Annual costs with mail-order refills $453 $0
This plan's Medicare quality rating 3.5 stars 4 stars
4
