FIRST LOOK 2018 Prescription drug plans

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2 Power up your portfolio with Aetna and Coventry Medicare Part D 0 With premiums ranging from $21 to $100, there is a plan just right for everyone. We anticipate being below the LIS benchmark in every state except for Florida in 2018 so low income members can feel right at home in our Aetna Medicare Rx Saver (PDP). Through our referral program, you can earn a one-time referral payment for each referred client who chooses to enroll in an Aetna or Coventry PDP. To participate in the referral program, you must be contracted with Aetna, but you don t have to complete the annual certification process New for 2018, we re launching a $21 premium plan, Aetna Medicare Rx Select, in 27 states and DC, that includes a $0 Tier 1 copay and gap coverage We expect our Aetna Medicare Rx Saver plan to be below the low-income subsidy benchmark in most states Our First Health Part D Value Plus and Premier plans round out our portfolio and offer more robust formulary coverage, $0 deductibles, low cost sharing and gap coverage 404

3 Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Conȴdential and proprietary. *Medicare members in 50 U.S. states and DC. **Consolidated Value Plus/Premier Plus. 1 Updated Portfolio: In these 20 C Regions, we updated the PDP portfolio by moving First Health Premier Plus members into First Health Value Plus and introducing Aetna Select. 2 Roll-forward Portfolio: In these 14 C Regions, we rolled-forward the 2017 portfolio that included Aetna Saver, First Health Value Plus, and First Health Premier Plus. Aetna Medicare Rx Saver First Health Value Plus First Health Premier Plus Aetna Medicare Rx Saver Aetna Medicare Rx Select (new) First Health Value Plus** 3RUROLR 3RUROLR 14/34 C regions 20% Medicare members* 20/34 C regions 80% Medicare members* RROO IRUZDUG SRUROLR2 8SGDWHG SRUROLR1 Launch the Aetna SelectSM plan in 20 of 34 C regions; roll forward existing in remainder Product portfolio FIRST LO

4 Benefit designs T regions (27 states + DC ///,,, DC//, /,,,,,, /,,, /,,,,,, ) R S 1, 2 R S 1, 2 F 1, 2 Moderate brand Under LIS benchmark (except ) O ers essential Part D co erage to meet prescription drug needs with low premiums and cost sharing S 2 Richer brand Gap co erage Pro ides more robust Part D co erage with 0 T1 copa s and our lowest premiums Richer brand Gap co erage Deli ers alue or predictable out-o -pocket costs with more robust Part D co erage The amount the member pa s be ore the plan begins to pa (not applicable to T1/T2) $0 I Once the deductible is reached, member cost share is paid or drugs until the member s total drug expenditure (regardless o who pa s) reaches,750 0-da retail copa /coinsurance (pre erred cost share pharmacies/standard cost share pharmacies) Tier 1 Pre erred generic 1/ 0/ 10 1/ 10 Tier 2 Generic 2/ 1 / 20 2/ 20 Tier Pre erred brand 0/ 0 7/ 7 7/ 7 Tier Nonpre erred brand 5 / 5 2 / 2 50 /50 2 Tier 5 Specialt da mail order (pre erred pharmac ) Aetna Rx Home Deli er pharmac No mail order eature 90-da mail order (pre erred pharmac ) Aetna Rx Home Deli er pharmac Tiers 1 (T5 limited to 0 da s) x pre erred retail cost sharing x pre erred retail cost sharing x pre erred retail cost sharing Member remains in this phase until their earl true out-o -pocket drug costs reaches 5,000 De ned standard cost sharing Continued T1/T2 co erage ICL cost share Continued T1/T2 and partial T co erage ICL cost share A ter member true out-o -pocket costs exceed 5,000 a small copa or coinsurance is re uired or each co ered prescription Greater o 5 coinsurance, or. 5 or generic drugs (including brand drugs dispensed as generic) or 8. 5 or brand drugs P1 P P1 F 1 A ailable in 27 states. 2 Premiums and member deductible/copa s/coinsurance ar b C region. Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Con dential and proprietary. 406

5 Benefit designs T 2018 R 1 regions (2 states /,,,,,, //////,,,, /, /,, ) R S 1, 2 F 1, 2 F 1, 2 Moderate brand Under LIS benchmark (except ) O ers essential Part D co erage to meet prescription drug needs with low premiums and cost sharing S 2 Richer brand Gap co erage Deli ers alue or predictable out-o -pocket costs with more robust Part D co erage Richest brand Enhanced gap co erage O ers our highest le el o Part D co erage, protecting against increasing drug costs or unexpected illness $ $ 0 2 $ The amount the member pa s be ore the plan begins to pa (not applicable to T1/T2) $ 1 2 $0 $0 I Once the deductible is reached, member cost share is paid or drugs until the member s total drug expenditure (regardless o who pa s) reaches,750 0-da retail copa /coinsurance (pre erred cost share pharmacies/standard cost share pharmacies) Tier 1 Pre erred generic 1/ 2/ 10 1/ 10 Tier 2 Generic 2/ 1 5/ 20 2/ 20 Tier Pre erred brand 0/ 0 2 7/ 7 7/ 7 2 Tier Nonpre erred drug 7 / /50 2 /50 2 Tier 5 Specialt da mail order (pre erred pharmac ) Aetna Rx Home Deli er Tiers 1 (T5 limited to 0 da s) x pre erred retail cost sharing x pre erred retail cost sharing x pre erred retail cost sharing Member remains in this phase until their earl true out-o -pocket drug costs reaches 5,000 De ned standard cost sharing Continued T1/T2 co erage ICL cost share Continued T1/T2 and partial T co erage ICL cost share A ter member true out-o -pocket costs exceed 5,000 a small copa or coinsurance is re uired or each co ered prescription Greater o 5 coinsurance, or generic drugs (including brand drugs dispensed as generic) P1 P1 P1 F 1 A ailable in 2 states. 2 Premiums and member deductible/copa s/coinsurance ar b C region. Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Con dential and proprietary. 40

6 2018 preferred pharmacies We want you to pay the lowest price possible for your prescription drugs. You ll save money on your copays when you use preferred retail pharmacies. It s easy to find a pharmacy near you. In 2018, Aetna Rx Home Delivery mail-order pharmacy is your preferred mail provider. 1, AC Pharmacy 2 Osco Sav-on 2 Shaws 2 Star Market 2 United Supermarkets of Texas I LO, Harveys 2 Winn-Dixie, Super 1 Foods S, Navarro Longs 2 2, 3 K K, Baker s City Market 2 Copps Dillons Fred Meyer Harris Teeter King Soopers Kroger Sav-on Mariano s QFC Pick n Save Ralph s 2 Roundy s Smith s 2 S, Carrs Pavilions Randalls Tom Thumb Vons S S S R 2 S R L, Cub Farm Fresh Shop n Save T 3 2, 3 1 These pharmacies are out of network for Aetna Medicare Rx Select (PDP). 2 Not all pharmacies with this name are part of the preferred chain. Please consult the online directory. 3 These pharmacies are not preferred for Aetna Medicare Rx Select (PDP). Plan designs and service areas described in this document are pending government approval and are therefore subject to change. For producer use only. Con dential and proprietary. 408

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