AARP MedicareRx Enhanced PDP for Maine Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||Some Generics, Some Brands|
|Low Income Subsidy:||No|
|PDP ID No:||S5921-173|
|Approved by CMS for:||ME Residents|
|Rx Plan Type:||National|
2014 Medicare Prescription Drug Plan Overview
AARP MedicareRx Enhanced (PDP) is an approved Medicare Prescription Drug Plan for Maine seniors.
The annual premium is $1,198.80 ($99.90 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 UnitedHealthcare formulary ID for this plan is 00014359, and it features 4904 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 AARP MedicareRx Enhanced:
- Express Scripts Medicare - Choice at $70.50 per month for Maine Seniors
- 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
AARP MedicareRx 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. 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 AARP MedicareRx Enhanced (PDP) plan in Maine is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$2.00||66 Preferred Generics|
|2||$4.00||996 Non-Preferred Generics|
|3||$27.00||1133 Preferred Brand Drugs|
|4||$65.00||2097 Non-Preferred Brand Drugs|
|5||33%||612 Specialty Drugs|
The Initial Coverage Limit (ICL) is $2,850.00. This presdription drug plan does not qualify for the $0 LIS premium.
AARP MedicareRx 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 AARP MedicareRx Enhanced (PDP) plan all depends on your prescriptions.
The Gap Coverage with this policy: Some Generics, Some Brands
Nation wide, the number of seniors using the AARP MedicareRx Enhanced policy is 0. In region 1 (your region) there are approximately 0 people with this policy (based on 2011 CMS statistics).
Related Medicare Benefits in ME
More Information About UnitedHealthcare
United Healthcare is an operating division of UnitedHealth Group, the largest single health carrier in the United States. UnitedHealth Group is a diversified managed health care company headquartered in Minnetonka, Minnesota, USA. They offer a spectrum of products and services through two operating businesses: United Healthcare and Optum.
Through its family of subsidiaries and divisions, UnitedHealth Group serves approximately 70 million individuals nationwide. In 2010, the company posted a net income of $4.6 billion.
The summary (overall) rating for this UnitedHealthcare 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.
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