2022
2023

Value Script

Plan: S4802-135

Premium: $11.60

Deductible: $0 (tier 1-2), $480 (tiers 3-5)


Summary of Benefits

Evidence of Coverage

CMS Star Rating

Classic

Plan: S4802-020

Premium: $35.50

Deductible: $480


Summary of Benefits

Evidence of Coverage

CMS Star Rating

Medicare Rx Value Plus

Plan: S4802-233

Premium: $68.90

Deducible: $0


Summary of Benefits

Evidence of Coverage

CMS Star Rating

Value Script

Plan: S4802-135

Premium: $11.10

Deductible: $0 (tier 1-2), $505 (tiers 3-5)


Summary of Benefits

Evidence of Coverage

CMS Star Rating

Classic

Plan: S4802-020

Premium: $35.70

Deductible: $505


Summary of Benefits

Evidence of Coverage

CMS Star Rating

Medicare Rx Value Plus

Plan: S4802-233

Premium: $71.40

Deducible: $0


Summary of Benefits

Evidence of Coverage

CMS Star Rating

Official Medicare Resources