Page 69 - Cover Letter and Evaluation for Barbara Lesswing

11/20/2017 Your Medicare Health Plan Comparison

Cost at Rite Aid Pharmacy 03585 Cost at CVS Pharmacy

January $2,455.44 January $1,876.20
Enrollment Enrollment
Lowest cost of any
Cost at Rite Aid Pharmacy 03585 Cost at CVS Pharmacy option
Cost at CVS Pharmacy
Cost at Rite Aid Pharmacy 03585
January $2,455.44 January $2,139.24
Enrollment Enrollment

Cost at mail order pharmacy Cost at mail order pharmacy
January $2,163.71 January $1,799.58
Enrollment Enrollment
Lower your drug costs Lower your drug costs

Estimated Full Cost the Plan Charges Medicare for Your Drugs

Estimated Monthly Drug Costs

Monthly Drug Costs at Retail Pharmacies Monthly Drug Costs at Retail Pharmacies
View Drug Cost Summary View Drug Cost Summary
MILESTONES MONTH YOUR COST MILESTONES MONTH YOUR COST
1st $160.30 Deductible met 1st $373.60
2nd $160.30 2nd $103.60
3rd $160.30 3rd $103.60

4th $160.30 4th $103.60
5th $160.30 5th $103.60
6th $160.30 6th $103.60

MILESTONES 7th $160.30 MILESTONES 7th $103.60
MONTH
YOUR COST
MONTH
YOUR COST
Donut Hole reached 8th $250.38 8th $103.60
9th $270.74 Donut Hole reached 9th $186.52
10th $270.74 10th $196.96
11th $270.74 11th $196.96
12th $270.74 12th $196.96

Monthly Drug Costs Estimator Monthly Drug Costs Estimator
View monthly costs View monthly costs
comparison charts. comparison charts.

View monthly drug cost details by selected drugs View monthly drug cost details by selected drugs
Starting January 1, 2011, if you reach the coverage Starting January 1, 2011, if you reach the coverage
gap (also called the "donut hole") in your Medicare gap (also called the "donut hole") in your Medicare
prescription drug coverage, you will get prescription drug coverage, you will get approximately
approximately a 50% discount on covered brand a 50% discount on covered brand drugs. Medicare has
drugs. Medicare has also increased its coverage of also increased its coverage of generic drugs for
generic drugs for beneficiaries in the coverage gap so beneficiaries in the coverage gap so that beginning in
that beginning in 2011 you will pay less for generic 2011 you will pay less for generic drugs as well. The
drugs as well. The drugs eligible for the brand drugs eligible for the brand discount or the additional
discount or the additional generic savings may change generic savings may change based on the information
based on the information we have available. we have available.

Drug Coverage Information

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