Express Scripts Medicare - Choice 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:||S5660-172|
|Approved by CMS for:||ME Residents|
|Rx Plan Type:||National|
2014 Medicare Prescription Drug Plan Overview
Express Scripts Medicare - Choice (PDP) is an approved Medicare Prescription Drug Plan for Maine seniors.
The annual premium is $846.00 ($70.50 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 Medco formulary ID for this plan is 00014006, and it features 3250 FDA approved medications.
For all Maine 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 Express Scripts Medicare - Choice:
- 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
- First Health Part D Value Plus at $41.50 per month for Maine Seniors
Express Scripts Medicare - Choice 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. 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. 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.
The pharmacy co-pay with the Express Scripts Medicare - Choice (PDP) plan in Maine is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$2.00||463 Preferred Generics|
|2||$10.00||1463 Non-Preferred Generics|
|3||$40.00||730 Preferred Brand Drugs|
|4||$90.00||211 Non-Preferred Brand Drugs|
|5||33%||383 Specialty Drugs|
The Initial Coverage Limit (ICL) is $2,850.00. This presdription drug plan does not qualify for the $0 LIS premium.
Express Scripts Medicare - Choice (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 - Choice (PDP) plan all depends on your prescriptions.
The Gap Coverage with this policy: No Gap Coverage
Nation wide, the number of seniors using the Express Scripts Medicare - Choice policy is 0. In region 1 (your region) there are approximately 0 people with this policy (based on 2011 CMS statistics).
Related Senior Services in Maine
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.
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