Page 14 - Cover Letter and Medicare Evaluation for Mrs. Jane Miller

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
CVS pharmacies. Some plans do not have preferred pharmacies.

Is CVS a preferred pharmacy in the following plans' networks

SilverScript SmartRx Prescription Drug CVS is a preferred pharmacy in this plan
Plan (PDP)
AARP Medicare Advantage Choice PPO CVS is a standard pharmacy in this plan
Plan

Aetna Medicare Value PPO Plan CVS is a preferred pharmacy in this plan

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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

Est. 4-month costs for monthly refills $29

Est. 4-month costs with mail-order refills $29

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 AARP Medicare Advantage Aetna Medicare Value PPO
Choice PPO Plan
Plan
coverage
Est. 4-month costs for monthly refills $0 $0

Est. 4-month costs with mail-order refills $0 $0

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