Page 14 - Cover Letter and Evaluation for Mike Peaseley

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.

Preferred pharmacies for the plans in your evaluation
Preferred pharmacies in each plan
SilverScript Choice Prescription Drug CVS, Chung Pharmacy, Good Pharmacy, and International
Plan Pharmacy

CVS, Chung Pharmacy, International Pharmacy, Lakewood
Envision Rx Plus Prescription Drug Plan
Pharmacy, Rite Aid, and Safeway

Aetna Medicare Select PPO Plan CVS, Safeway, and Walmart Pharmacies

Aetna Medicare Value HMO Plan CVS, Safeway, and Walmart Pharmacies
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The two lowest-cost Part D stand-alone plans for your drugs

SilverScript Choice Envision Rx Plus Prescription
Prescription Drug Plan Drug Plan
To enroll in a plan, call its toll-free
number (866) 552-6106 (888) 377-1439
Est. annual costs with monthly refills $1,245 at CVS $1,261 at CVS

Est. annual costs with mail-order refills $1,124 $1,202

This plan's Medicare quality rating 4 stars 3 stars
Medicare Advantage plans' costs for your drugs

These two Medicare Advantage plans
include prescription drug and medical Aetna Medicare Select PPO Aetna Medicare Value HMO
Plan
Plan
coverage
Est. annual costs with monthly refills $1,153 at CVS $835 at CVS

Est. annual costs with mail-order refills $1,174 $856

This plan's Medicare quality rating 4 stars 3.5 stars

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