Page 12 - Cover Letter and Evaluation for Paul Stelter

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 pharmacy: CVS usually get the lowest prices at one of your plan's preferred

pharmacies. Some plans, though, do not have preferred
Mail Order
pharmacies.

Is CVS a preferred pharmacy in these plans' networks? Other preferred pharmacies

Clear Spring Health Premier Rx
Prescription Drug Plan Yes NA

Wellcare Value Script Prescription Drug
Plan Yes NA

Aetna Medicare Value PPO Plan Yes NA

Humana Gold Plus HMO Plan Yes NA
y g
Lowest-cost stand-alone drug plans for 2021

If you get a Medigap policy, you will also Clear Spring Health Premier Rx Wellcare Value Script
need to enroll in a stand-alone drug Prescription Drug Plan Prescription Drug Plan
plan. To enroll, call the plan's toll-free
number (877) 317-6082 (888) 293-5151
Est. annual costs for monthly refills at a
CVS pharmacy $245 $270

Est. annual costs for mail order refills $245 $246

Plan is too new to be
This plan's Medicare quality rating 4 out of 5 stars
measured

Advantage Plan Rx drug costs for 2021

This Medicare Advantage plan includes Aetna Medicare Value PPO
prescription drug and medical coverage Plan Humana Gold Plus HMO Plan

Est. annual costs for monthly refills at a $43 $60
CVS pharmacy

Est. annual costs for mail-order refills $3 $0

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

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