Page 14 - Cover Letter & Evaluation for Carol Evans
P. 14

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
                    Refill Schedule: NA
                                                    usually get the lowest prices at one of your plan's preferred
                                                      pharmacies. Some plans, though, do not have preferred
                   Pharmacy: Walgreens
                                                                           pharmacies.
                            Is Walgreens a preferred pharmacy in the following plans' networks

                                                                                  Walgreens is not in this plan's
                                                                                  pharmacy network. Preferred
           Aetna Medicare Rx Select Prescription                No
                         Drug Plan                                                   pharmacies include CVS,
                                                                                  Banner Family Pharmacy, and
                                                                                             Costco.
                                                                                     Walmart and Sam's Club
           Humana-Walmart Rx Prescription Drug                  Yes                 pharmacies are preferred
                            Plan
                                                                                     pharmacies in this plan.



                                  No Advantage plans were compared in this evaluation


                                                                    y       g
                          The two lowest-cost Part D stand-alone plans for your drugs


                                                     Aetna Medicare Rx Select          Humana-Walmart Rx
                                                       Prescription Drug Plan         Prescription Drug Plan
                To enroll in a plan, call its toll-free
                                          number          (855) 338-7030                 (800) 706-0872

                                Annual premiums                $152                           $245

             Est. annual costs for mail-order refills           NA                             NA


                This plan's Medicare quality rating      3.5 out of 5 stars             3.5 out of 5 stars

                                   Medicare Advantage plans' costs for your drugs






                              No Medicare Advantage plans are compared in this evaluation.







                                                            4
   9   10   11   12   13   14   15   16   17   18   19