Aetna CVS/pharmacy Prescription Drug Plan PDP for Maine Seniors
| CMS Rating: |  |
|---|---|
| Plan Premium: | $30.30 |
| Pharmacy Co-Pay: | $325.00 |
| Initial Coverage Limit: | $2,970.00 |
| Pharmacy Mail Order: | Yes |
| Gap Coverage: | No Gap Coverage |
| Low Income Subsidy: | Yes |
| Medicare Formulary: | 3158 |
| PDP ID No: | S5810-035 |
| Plan Year: | 2013 |
| Approved by CMS for: | ME Residents |
| Rx Plan Type: | National |
| Members in Region: | 728 |
2013 Medicare Prescription Drug Plan Overview
Aetna CVS/pharmacy Prescription Drug (PDP) is an approved Medicare Prescription Drug Plan for Maine seniors.
The annual premium is $363.60 ($30.30 monthly), and it carries a $325.00 deductible on all prescribed medications. For 2013, the maximum Part D deductible is $325. That's up just $5 from last year.
The Aetna Medicare formulary ID for this plan is 00012369, and it features 3158 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 Aetna CVS/pharmacy Prescription Drug Plan:
- Medco Medicare Prescription Plan - Value at $49.10 per month for Maine Seniors
- Medco Medicare Prescription Plan - Choice at $81.40 per month for Maine Seniors
- WellCare Classic at $33.50 per month for Maine Seniors
Aetna CVS/pharmacy Prescription Drug Plan 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. 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. 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 Aetna CVS/pharmacy Prescription Drug (PDP) plan in Maine is tiered as follows:
| Tier | Co-Pay Amount | Medications in Tier |
|---|---|---|
| 1 | $3.00 | 1392 Preferred Generics |
| 2 | $10.00 | 529 Non-Preferred Generics |
| 3 | $40.00 | 329 Preferred Brand Drugs |
| 4 | 41% | 608 Non-Preferred Brand Drugs |
| 5 | 25% | 300 Specialty Drugs |
The Initial Coverage Limit (ICL) is $2,970.00. This drug plan offers the full LIS benefit ($0.00 monthly premium) for seniors with Medicare benefits.
Aetna CVS/pharmacy Prescription Drug (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 Aetna CVS/pharmacy Prescription Drug (PDP) plan all depends on your prescriptions.
The Gap Coverage with this policy: You must pay the $3727.50.
Plan Members
Nation wide, the number of seniors using the Aetna CVS/pharmacy Prescription Drug Plan policy is 334,045. In region 1 (your region) there are approximately 728 people with this policy (based on 2011 CMS statistics).
Related Medicare Benefits in ME
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The summary (overall) rating for this Aetna Medicare plan is 2.5 out of 5 based on reviews from 728 user ratings from the previous year. For more information about the review process, visit http://cms.gov.
