AARP MedicareRx Saver Plus (PDP) Florida Medicare Part D Plan S5921-356

AARP MedicareRx Saver Plus Florida Medicare Part D Plan S5921-356-FLAARP MedicareRx Saver Plus for Florida is an approved Medicare Prescription Drug Plan (Part D Plan or PDP) for seniors and other beneficiaries on Medicare living in Florida. According to the Centers for Medicare and Medicaid Services (CMS), this plan's quality is "Below Average". Medicare rated it 2.5 out of 5.0 stars.

The monthly premium (payment) is $23.90. It features a $320.00 deductible. There are more cost related details on the premium page. You also have co-payments when you pickup your prescriptions at the pharmacy. Be sure to look at the coverage page to make sure it fits your needs.

This plan qualifies for the full low income subsidy (LIS) benefit ($0.00 monthly premium).

Premium Details

Like all Medicare Part D plans sold in Florida, AARP MedicareRx Saver Plus is a cost sharing based prescription drug plan (PDP). With the AARP MedicareRx Saver Plus PDP you have several different costs, including the premium (monthly), a deductible (annual), and pharmacy co-pays.

This plan's annual premium is $286.80 ($23.90 paid monthly), and it has a $320.00 deductible. For 2015, the maximum Part D deductible is $320. A plan with the maximum deductible does not necessarily mean that it is more expensive than a plan with a lower deductible or no deductible at all. You need to consider all costs.

Here's a rundown of your shared costs. Like all other types of insurance, you must pay your premium. The premium has nothing to do with how many prescriptions you have filled. If the plan has a deductible, you must pay one hundred percent of your prescription costs until you reach the amount of the deductible. When the deductible is met, then you pay the copayment amount at the pharmacy. All other costs are paid by the plan until you hit the donut hole (initial coverage limit)

Most people in Florida on Medicare pay the standard premium. However, if you qualify for Extra Help with your Medicare Part D plan due to your income, your premium may be lower or cost you nothing at all. But, if you did not enroll in a Part D plan as soon as you were first eligible, Medicare can impose a penalty and your premium will be higher. To get an exact rate for your situation, contact a Florida Medicare Insurance Agent.

Coverage Details

AARP MedicareRx Saver Plus for Florida seniors features an initial coverage limit (ICL) of $2,960, and there is a $320.00 deductible. Be aware that the ICL is calculated using the full retail price of your medications, not the amount paid by the insurance carrier. In addition to the premium, you will make co-payments at your pharmacy. Visit the co-pay page to see the co-payment plan.

This PDP has a $320.00 deductible that you must pay at the pharmacy before the ICL phase of cost-sharing begins. The highest deductible allowed in 2015 is $320.

AARP MedicareRx Saver Plus Initial Coverage Limit

The ICL is the same for all Florida plans, but it changes from year-to-year. If you enroll in AARP MedicareRx Saver Plus, you share the cost of all covered medications with UnitedHealthcare, the insurance carrier. You each pay your share until $2,960 has been spent at the pharmacy. If you reach that level of spending on your prescriptions then you fall into the dreaded coverage gap and you are responsible for all costs. Fortunately, automatic discounts kick in to help you until you qualify for Medicare's catastrophic coverage in Florida.

Medicare Part D Coverage Gap (Donut Hole)

When you reach the coverage gap, commonly called the donut hole, you pay for your medications yourself. Most seniors never go into the coverage gap, but it is possible to hit it quickly if you have expensive long-term prescriptions.

In the coverage gap phase you are responsible for the full cost of your prescription drugs up until your total out-of-pocket expenses reach $4,550 (excluding premiums and expense paid by insurance) minus a 47.5% discount on brand-name prescription drugs and a 28% discount on generic drugs. Once you reach $4,550 in out-of-pocket expenses, you're out of the coverage gap. At this point you automatically get catastrophic coverage through Medicare, which assures you only pay a small amount for covered drugs for the remainder of the year.

Additional Gap Coverage with AARP MedicareRx Saver Plus

Some plans offer additional gap coverage. UnitedHealthcare does not offer additional coverage with the AARP MedicareRx Saver Plus PDP in Florida. If you reached the coverage gap last year and were not able to afford your medications, be sure to check with your local Florida Medicaid office. You may qualify for additional assistance. The Social Security Administration's Extra Help program is another opportunity for seniors on Medicare who are not able to afford their prescriptions.

Copayment & Coinsurance Details

In addition to the monthly premium and annual deductible, the AARP MedicareRx Saver Plus prescription drug plan has copayments and/or coinsurances that you must pay when you pickup your medications. Here's the schedule for this plan:

Tier  Co-Pay AmountMedications in Tier
1$1.0063 Preferred Generics
2$2.00732 Non-Preferred Generics
3$25.00947 Preferred Brand Drugs
4$45.00890 Non-Preferred Brand Drugs
525%647 Specialty Drugs

The AARP MedicareRx Saver Plus Medicare Part D plan uses UnitedHealthcare formulary number 00015003, which covers 3279 generic and brand name drugs.

Compare Plans

Here are some Florida PDPs worth comparing with this plan:

Availability

If you are entitled to Medicare Part A (enrolled or not) or currently enrolled in Medicare Part B you may join the AARP MedicareRx Saver Plus prescription drug plan. Unless you also receive benefits from Medicaid, enrollment in a Part D plan is voluntary. This plan is available in Miami, Fort Lauderdale, West Palm Beach, Tampa, Saint Petersburg, Clearwater, Orlando, Kissimmee, Sanford, Jacksonville, North Port, Sarasota, Bradenton, Cape Coral, Fort Myers, Lakeland, Winter Haven, Deltona, Daytona Beach, Ormond Beach, Palm Bay, Melbourne, Titusville and all other towns and cities in Florida.

This catalog is maintained by David Bynon and was last updated on 9/13/2015. CMS File Date: October 15, 2014.

About UnitedHealthcare

For more information, download the Summary of Benefits AARP MedicareRx Saver Plus (PDP) Medicare Part D Plan S5921-356 Summary of Benefits for Florida, visit the UnitedHealthcare website, or call UnitedHealthcare at N/A.