Aetna CVS/pharmacy Prescription Drug Plan PDP for New Hampshire 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: | NH 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 insured by Aetna Medicare for New Hampshire seniors and other qualifying beneficiaries.
The plan's premium is $30.30 per month ($363.60 annually) and it has a $325.00 annual pharmacy deductible. The maximum deductible allowed by Medicare in 2013 is $325. Your prescription coverage assistance begins when the deductible is reach.
The plan's formulary ID is 00012369. It features 3158 approved prescription medications.
New Hampshire 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 Aetna CVS/pharmacy Prescription Drug Plan with:
- Medco Medicare Prescription Plan - Value at $49.10 per month for New Hampshire Seniors
- Medco Medicare Prescription Plan - Choice at $81.40 per month for New Hampshire Seniors
- WellCare Classic at $33.50 per month for New Hampshire 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, 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. 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.
In New Hampshire the tiered pharmacy co-pay with the Aetna CVS/pharmacy Prescription Drug (PDP) is 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 ICL (Initial Coverage Limit) on this Part D plan is $2,970.00. This plan qualifies for full LIS benefits and a $0.00 monthly premium.
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 'donut hole' gap coverage on this policy is: You must pay the $3727.50.
Prescription Drug Plan Members
The reported number of Medicare beneficiaries using the Aetna CVS/pharmacy Prescription Drug Plan plan nationally is 334,045. In your region (CMS PDP region 1) there are an estimated 728 people using the plan (previous year's statistics).
Additional Facilities and Services in NH
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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.
