BENEFITS ASSISTANCE PROGRAM 2015 ARIZONA PRESCRIPTION DRUG PLANS (PDP) Area Agency on Aging, Region One - 1 -

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1 AARP MedicareRx Saver Plus S Plan rating: 2.5 stars AARP MedicareRx Preferred S Plan rating: United Healthcare P.O. Box Hot Springs, AR (Members) (Non-members) $27.00 $40.10 LIS: $7.21 See plan name Aetna Medicare Rx Saver S Aetna Medicare 980 Jolly Rd. Blue Bell, PA (Member) (Non-member) $22.60 Aetna Medicare Rx Premier S $ LIS: $ $310 Blue MedicareRx Value S Blue MedicareRx Enhanced S Blue Cross Blue Shield of Arizona Customer Service 4301 Cambridge Road Fort Worth, TX (Member) (Non-member) $29.30 $94.10 LIS: $ stars - 1 -

2 CIGNA HealthSpring Rx Secure S Cigna HealthSpring Rx Secure-Xtra S CIGNA HealthSpring Rx Secure-Max S CIGNA Medicare Rx PO Box Weston, FL (Member) (Non-member) $20.50 $28.10 LIS: $11.70 $ LIS: $89.91 EnvisionRx Plus Silver S EnvisionRx Plus Clear Choice S EnvisionRx Plus 2181 E. Aurora Rd., #201 Twinsburg, OH (Member) (Non-member) $28.50 $42.00 LIS: $ Stars Express Scripts Medicare - Value S Express Scripts Medicare - Choice S Express Scripts Medicare P. O. Box Lexington, KY (Member) (Non-Mem) $57.00 LIS: $24.11 $82.90 LIS: $50.01 $50-2 -

3 First Health Part D Value Plus S First Health Part D 2222 Ewing Rd. Moon Township, PA (Member) (Non-Mem) $37.60 LIS: $4.71 First Health Part D Premier Plus S $ LIS: $66.81 $240 Humana Walmart Rx Plan S Humana Preferred Rx Plan S Humana Enhanced S Humana Insurance Co. 500 W. Main St. Louisville, KY (Member) (Non-Mem) $15.70 LIS: $11.90 $26.60 $48.00 LIS: $15.11 SilverScript Choice S SilverScript P.O. Box Phoenix, AZ (Member) (Non-Member) $18.70 SilverScript Plus S $81.10 LIS: $

4 SmartD Rx Saver S Express Scripts P. O. Box Lexington, KY $ stars Symphonix Value Rx S Symphonix Premier Rx S Symphonix Health Insurance 2111 Chestnut, Suite 270 Birmingham, AL $27.90 $92.90 LIS: Not enough data available Transamerica MedicareRx Classic S Stonebridge Life Insurance $ Transamerica MedicareRx Choice S $ LIS: $

5 United American - Essential S United American Insurance Company 3700 S. Stonebridge Dr. McKinney, TX $23.70 United American-Select S $29.80 United American-Enhanced S $76.00 LIS: $43.11 $230 $40 WellCare Classic S WellCare 8735 Henderson Blvd. Tampa, FL (Member) (Non-Mem) $26.60 WellCare Extra S $58.80 LIS: $25.91 LIS Limited Income Subsidy means getting Extra Help from Social Security to pay for medications Part D Benchmark Premium = $ Regional (Arizona) LIS Benchmark Premium = $32.89 Benefits/MMA/PartD/AZ PDPs 2015 Revised: 3/18/

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