BENEFITS ASSISTANCE PROGRAM 2016 ARIZONA PRESCRIPTION DRUG PLANS (PDP) Area Agency on Aging, Region One
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1 AARP MedicareRx Saver Plus S Plan rating: AARP MedicareRx Preferred S Plan rating: United Healthcare P.O. Box Hot Springs, AR (Member) (Non-member) $44.60 LIS: $11.40 $51.30 LIS: $18.10 Aetna Medicare Rx Saver S Aetna Medicare 980 Jolly Rd. Blue Bell, PA (Member) (Non-member) $28.50 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) $26.10 $ LIS: $76.50 Benefits/MMA/PartD/AZ PDPs Revised 10/5/15
2 CIGNA HealthSpring Rx Secure S Cigna HealthSpring Rx Secure-Xtra S CIGNA Medicare Rx PO Box Weston, FL (Member) (Non-member) $34.40 $45.70 LIS: $12.50 $250 EnvisionRx Plus Silver S EnvisionRx Plus 2181 E. Aurora Rd., #201 Twinsburg, OH (both Members and Non-members) $ Stars Express Scripts Medicare - Value S Express Scripts Medicare P. O. Box Lexington, KY (Member) (Non-Mem) $33.20 Express Scripts Medicare - Choice S $ LIS: $ stars Benefits/MMA/PartD/AZ PDPs Revised 10/5/15
3 First Health Part D Value Plus S First Health Part D 2222 Ewing Rd. Moon Township, PA (Member) (Non-Mem) $30.60 LIS: $7.80 First Health Part D Premier Plus S $ LIS: $55.00 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) $18.40 LIS: $13.10 $31.30 $65.70 LIS: $ stars Magellan Rx Medicare Basic S Magellan Rx Medicare N. 76 th Street, Suite 200 Scottsdale, AZ (Member) (Non-Member) $32.20 Plan too new for rating Benefits/MMA/PartD/AZ PDPs Revised 10/5/15
4 SilverScript Choice S SilverScript P.O. Box Phoenix, AZ (Member) (Non-Member) $21.70 SilverScript Plus S $ LIS: $ stars Symphonix Value Rx S Symphonix Health Insurance 2111 Chestnut, Suite 270 Birmingham, AL $31.80 Symphonix PrimeSaver Rx S $ LIS: $7.20 $ stars Transamerica MedicareRx Classic S Stonebridge Life Insurance P. O. Box San Diego, CA (Member) (Non-member) $ LIS: $70.70 Benefits/MMA/PartD/AZ PDPs Revised 10/5/15
5 United American Essential S United American Select S United American Enhanced S United American Insurance Company 3700 S. Stonebridge Drive McKinney, TX $41.50 LIS: $16.30 $40.71 LIS: $7.50 $82.10 LIS: $48.90 $230 $220 THIS PLAN IS NOT ABLE TO TAKE ENROLLMENTS AT THIS TIME If you currently have a plan and would like to speak to a Customer Service Representative, please call Sanctioned plan i WellCare Classic S WellCare 8735 Henderson Blvd. Tampa, FL (Member) (Non-Mem) $23.40 WellCare Extra S $ LIS: $ stars LIS Limited Income Subsidy means getting Extra Help from Social Security to pay for medications Part D Benchmark Premium = $ Regional (Arizona) LIS Benchmark Premium = $33.17 This publication has been created or produced by the Area Agency on Aging, Regione with financial assistance, in whole or in part, through a grant from the Administration for Community Living. Benefits/MMA/PartD/AZ PDPs Revised 10/5/15
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