United American - Enhanced PDP for North Carolina Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5755-011|
|Approved by CMS for:||NC Residents|
|Rx Plan Type:||National|
2014 Medicare Prescription Drug Plan Overview
United American - Enhanced (PDP) is an approved Medicare Prescription Drug Plan for North Carolina seniors.
The annual premium is $834.00 ($69.50 monthly), and it carries a $60.00 deductible on all prescribed medications. This year the maximum Part D deductible is $310. That's down $15 from last year.
The United American Insurance Company formulary ID for this plan is 00014282, and it features 5136 FDA approved medications.
For all North Carolina 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 United American - Enhanced:
- Express Scripts Medicare - Choice at $49.50 per month for North Carolina Seniors
- Transamerica MedicareRx Choice at $54.80 per month for North Carolina Seniors
- First Health Part D Value Plus at $41.20 per month for North Carolina Seniors
United American - Enhanced 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 that you must pay before ICP cost-sharing ICP begins.
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 United American - Enhanced (PDP) plan in North Carolina is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$1.00||328 Preferred Generics|
|2||$7.00||1836 Non-Preferred Generics|
|3||$37.00||697 Preferred Brand Drugs|
|4||$95.00||1750 Non-Preferred Brand Drugs|
|5||30%||525 Specialty Drugs|
The Initial Coverage Limit (ICL) is $2,850.00. This presdription drug plan does not qualify for the $0 LIS premium.
United American - Enhanced (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 United American - Enhanced (PDP) plan all depends on your prescriptions.
The Gap Coverage with this policy: No Gap Coverage
Nation wide, the number of seniors using the United American - Enhanced policy is 0. In region 8 (your region) there are approximately 0 people with this policy (based on 2011 CMS statistics).
Related Senior Services in North Carolina
More Information About United American Insurance Company
United American opened its doors in 1947 to provide life, health, and accident coverage to individuals in Texas. Today, UA operates in 49 states, the District of Columbia, and Canada. The Company has more than 800 people in the Home Office working to ensure our customers receive outstanding products, service, and support every day.
When Medicare was signed into law in 1966, the Company made the decision to focus its attention on the individual health market with an emphasis on Seniors. This foresight paid off, and as Senior health plans took a more prominent position in UA's product line, they gained recognition as one of the nation's leading writers of individual Medicare Supplements.
The summary (overall) rating for this United American Insurance Company plan is 3.0 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.