The member  must  contact transportation vendor to arrange 
transportation. 2022 - 10 - Summary of Benefits H1036265001 
Prescription Drug Benefits 
Medicare Part Bdrugs •Chemotherapy drugs:  20% of the cost 
•Other Part Bdrugs:  20% of the cost 
PRESCRIPTION DRUGS 
If you don't receive Extra Help for your drugs, you'll pay the following:  
Deductible This plan does not have adeductible.   
Initial coverage