Page 87 - APPENDICES for Stephen Spero
P. 87
SilverScript Choice (PDP)
SilverScript | Plan ID: S5601-064-0
Star rating:
MONTHLY PREMIUM
$30.50
Includes: Only drug coverage
Doesn't include: $144.60 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$5,265.40
Retail pharmacy: Estimated total drug + premium cost
$6,220.28
Mail-order pharmacy: Estimated total drug + premium cost
DEDUCTIBLE
$230.00
Drug deductible
View More Information
WellCare Medicare Rx Value Plus (PDP)
WellCare | Plan ID: S5768-155-0
Star rating:
MONTHLY PREMIUM
$74.50
Includes: Only drug coverage
Doesn't include: $144.60 Standard Part B premium
