Page 12 - Cover Letter and Evaluation for Barbara Lesswing
P. 12
Your Prescription Drug Costs
These costs are for your prescription drugs and are based on the dosages and monthly quantities that
you use. 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 pharmacies. Some
Rite-Aid plans, though, do not have preferred pharmacies.
Is Rite-Aid a preferred pharmacy in the following plans' pharmacy networks?
Independent Health Encompass ----------------- This plan does not have preferred pharmacies
65 Basic HMO
CVS is a preferred pharmacy in this plan's
Aetna Medicare Rx Saver Plan -----------------
network
CVS is a preferred pharmacy in this plan's
Aetna Medicare Rx Select Plan ----------------- network
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The two lowest-cost Part D stand-alone plans for your drugs
Aetna Medicare Rx Aetna Medicare Rx
To enroll in a plan, call its toll- Saver prescription drug Select prescription
free number plan drug plan
(855) 338-7030 (855) 338-7030
Annual costs with monthly $1,876 $2,064
refills at CVS
Annual mail-order costs $1,800 NA
Medicare quality rating 3.5 stars 3.5 stars
Medicare Advantage plans' costs for your drugs
Independent Health Independent Health
Encompass 65 Basic
Your current plan Encompass 65 HMO
HMO
(800) 665-1502 (800) 665-1502
Annual costs with monthly
refills $2,455 This plan does not
include Rx drug
Annual costs with mail-order $2,164 benefits.
refills
Medicare quality rating 4.5 stars 4.5 stars
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