AR Blue Cross - Medi-Pak Rx Basic PDP for Arkansas Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5795-003|
|Approved by CMS for:||AR Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
AR Blue Cross - Medi-Pak Rx Basic (PDP) is an approved Medicare Part D Drug Plan underwritten by Arkansas Blue Cross And Blue Shield for eligible Arkansas seniors with Medicare benefits.
The monthly premium is $43.10 ($517.20 for a full 12 months) and the pharmacy deductible is $310.00 per year. The highest deductible allowed this year is $310.
The plan is based on drug formulary ID 00014106. The formulary offers 2839 FDA approved medications. Be sure to verify that your medications are covered.
Arkansas seniors, be aware that a few different circumstances may decrease or increase your actual premium. Specifically, if you qualify for Extra Help (full or partial), your premium will decrease. On the other hand, if you have a premium penalty, your premium will be slightly more.
The AR Blue Cross - Medi-Pak Rx Basic plan compares well with these plans:
- Express Scripts Medicare - Value at $29.20 per month for Arkansas Seniors
- Express Scripts Medicare - Choice at $49.60 per month for Arkansas Seniors
- Transamerica MedicareRx Choice at $52.20 per month for Arkansas Seniors
AR Blue Cross - Medi-Pak Rx Basic 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 Arkansas the pharmacy co-pay for prescription drugs is as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$4.00||615 Preferred Generics|
|2||$15.00||1008 Non-Preferred Generics|
|3||22%||341 Preferred Brand Drugs|
|4||41%||523 Non-Preferred Brand Drugs|
|5||25%||352 Specialty Drugs|
The Initial Coverage Limit with AR Blue Cross - Medi-Pak Rx Basic is $2,850.00. This plan does not qualify for a no cost LIS premium.
AR Blue Cross - Medi-Pak Rx Basic (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 AR Blue Cross - Medi-Pak Rx Basic (PDP) plan all depends on your prescriptions.
Here's how the carrier defines the 'donut hole' gap coverage for this policy: No Gap Coverage
AR Blue Cross - Medi-Pak Rx Basic Plan Members
The number of seniors using the AR Blue Cross - Medi-Pak Rx Basic plan nationally is 0. In your area (PDP region 19) there are a reported 0 seniors using this pharmacy plan. That's based on the previous year's CMS information.
Additional Facilities and Services in AR
More Information About Arkansas Blue Cross And Blue Shield
Founded in 1948, Arkansas Blue Cross and Blue Shield, an Independent Licensee of the Blue Cross and Blue Shield Association, is the largest health insurer in Arkansas. Arkansas Blue Cross and its family of affiliated companies have approximately 2,870 employees. Arkansas Blue Cross differs from commercial insurers in several ways. Arkansas Blue Cross is a not-for-profit mutual insurance company. As a not-for-profit, mutual insurance company, Arkansas Blue Cross is owned by its policyholders, not by stockholders. This means that premium dollars are used solely to pay claims and administrative costs, not to pay stock dividends. Any excess funds are held in reserve for payment of future claims.
The main office of Arkansas Blue Cross is located at 601 S. Gaines Street in downtown Little Rock. Arkansas Blue Cross operates full-service regional offices serving seven designated geographic areas of the state. The Regional Offices, headquartered in Fayetteville, Fort Smith, Hot Springs, Little Rock, Jonesboro, Pine Bluff and Texarkana, offer sales, customer service, medical management and provider relations services to counties in their parts of the state.
The summary (overall) rating for this Arkansas Blue Cross And Blue Shield plan is 3.5 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.