SmartD Rx Plus PDP for Iowa Seniors
| CMS Rating: |  |
|---|---|
| Plan Premium: | $73.60 |
| Pharmacy Co-Pay: | $0.00 |
| Initial Coverage Limit: | $2,970.00 |
| Pharmacy Mail Order: | No |
| Gap Coverage: | Some Generics |
| Low Income Subsidy: | No |
| Medicare Formulary: | 0 |
| PDP ID No: | S0064-060 |
| Plan Year: | 2013 |
| Approved by CMS for: | IA Residents |
| Rx Plan Type: | National |
| Members in Region: | 0 |
2013 Medicare Prescription Drug Plan Overview
SmartD Rx Plus (PDP) is an approved Medicare Prescription Drug Plan for Iowa seniors.
The annual premium is $883.20 ($73.60 monthly), and it carries a $0.00 deductible on all prescribed medications. With a zero dollar deductible you have first dollar coverage. Many plans have a policy deductible that must be paid in full prior to receiving prescription coverage assistance.
The SmartD Rx formulary ID for this plan is UNKNOWN, and it features 0 FDA approved medications.
For all Iowa seniors with Medicare benefits, there are two situations will change the amount you pay for you drug plan. First, if you qualify for the Extra Help program your premium may be lower. Second, if a premium penalty has been imposed on you for late entry, your premium will be a bit higher.
Here are a few Part D Plans that compare with SmartD Rx Plus:
- WellCare Classic at $38.80 per month for Iowa Seniors
- Humana Enhanced at $39.60 per month for Iowa Seniors
- AARP MedicareRx Preferred at $42.50 per month for Iowa Seniors
SmartD Rx Plus Initial Coverage
ICP - the Initial Coverage Phase - is where you share the cost of your prescriptions with your insurance company. You and the carrier each pay your share until you hit the Initial Coverage Limit (ICL). In 2013, the ICL is $2,970. This number is adjusted each year. No deductible means your initial coverage phase begins immediately.
All prescription drugs fall into one of several tiers within the insurance carrier's drug formulary. Carrier use the formulary tiers to manage cost-sharing. Be aware that tiers are not standardized. In other words, carriers assign drugs to the tier they deem most suitable.
The pharmacy co-pay with the SmartD Rx Plus (PDP) plan in Iowa is tiered as follows:
| Tier | Co-Pay Amount | Medications in Tier |
|---|---|---|
| 1 | 0 Preferred Generics | |
| 2 | 0 Non-Preferred Generics | |
| 3 | 0 Preferred Brand Drugs | |
| 4 | 0 Non-Preferred Brand Drugs | |
| 5 | 0 Specialty Drugs | |
The Initial Coverage Limit (ICL) is $2,970.00. This presdription drug plan does not qualify for the $0 LIS premium.
SmartD Rx Plus (PDP) 2013 Coverage Gap
The prescription drug Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. You can learn more about costs in the donut hole by reading What is the Medicare Part D Donut Hole? When you reach the donut hole with the SmartD Rx Plus (PDP) plan all depends on your prescriptions.
The Gap Coverage with this policy: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.50.
Plan Members
Nation wide, the number of seniors using the SmartD Rx Plus policy is 0. In region 25 (your region) there are approximately 0 people with this policy (based on 2011 CMS statistics).
Related Medicare Benefits in IA
More Information About SmartD Rx
Smart Insurance Company Holdings teamed with RxAlly (www.rxally.com), an alliance of more than 22,000 pharmacies nationwide, including independent pharmacies and national and regional chains, to form a national network.
The summary (overall) rating for this SmartD Rx plan is 0.0 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.
