Express Scripts Medicare - Value PDP for Maine Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5660-104|
|Approved by CMS for:||ME Residents|
|Rx Plan Type:||National|
2014 Medicare Prescription Drug Plan Overview
Express Scripts Medicare - Value (PDP) is an approved Medicare Prescription Drug Plan insured by Medco for Maine seniors and other qualifying beneficiaries.
The plan's premium is $48.70 per month ($584.40 annually) and it has a $310.00 annual pharmacy deductible. The maximum deductible allowed by Medicare in this year is $310 (down from $325 last year). Your prescription coverage assistance begins when the deductible is reach.
The plan's formulary ID is 00014005. It features 3171 approved prescription medications.
Maine seniors, there are two circumstances that will change the premium. Seniors that qualify for Extra Help receive a lower premium. Beneficiaries with a late enrollment penalty will pay slightly more.
We think it is worth comparing Express Scripts Medicare - Value with:
- First Health Part D Premier Plus at $93.60 per month for Maine Seniors
- Transamerica MedicareRx Choice at $49.60 per month for Maine Seniors
- Transamerica MedicareRx Classic at $41.40 per month for Maine Seniors
Express Scripts Medicare - Value 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 2014, the ICL is $2,850. This number is adjusted each year. This plan has a deductible, so your ICP does not start until the deductible has been paid.
All prescription drugs fall into one of several tiers within the insurance carrier's drug formulary. Carriers 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.
In Maine the tiered pharmacy co-pay with the Express Scripts Medicare - Value (PDP) is as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$2.00||463 Preferred Generics|
|2||$8.00||1462 Non-Preferred Generics|
|3||25%||702 Preferred Brand Drugs|
|4||50%||166 Non-Preferred Brand Drugs|
|5||25%||378 Specialty Drugs|
The ICL (Initial Coverage Limit) on this Part D plan is $2,850.00. This plan doesn't qualify for a $0 LIS premium.
Express Scripts Medicare - Value (PDP) 2014 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 Express Scripts Medicare - Value (PDP) plan all depends on your prescriptions.
The 'donut hole' gap coverage on this policy is: No Gap Coverage
Prescription Drug Plan Members
The reported number of Medicare beneficiaries using the Express Scripts Medicare - Value plan nationally is 0. In your region (CMS PDP region 1) there are an estimated 0 people using the plan (previous year's statistics).
Related Medicare Benefits in ME
More Information About MedcoMedco Medicare Prescription Plan is a Medicare-approved Part D sponsor that is offered nationally in 35 Medicare regions, including the District of Columbia and Puerto Rico. This prescription drug plan is underwritten by Medco Containment Insurance Company of New York, an insurance company licensed in New York, and Medco Containment Life Insurance Company, an insurance company licensed or authorized to do business in the states that comprise the other 34 Medicare regions.
The summary (overall) rating for this Medco plan is 4.0 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.
Share this page with your friends using our social sharing buttons. This catalog of Medicare Part D prescription plans is managed by David Bynon. See an error? Please let him know.