HealthSpring Prescription Drug Plan-Reg 28 PDP for Arizona Seniors
| CMS Rating: |  |
|---|---|
| Plan Premium: | $26.50 |
| 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: | 2989 |
| PDP ID No: | S5932-027 |
| Plan Year: | 2013 |
| Approved by CMS for: | AZ Residents |
| Rx Plan Type: | National |
| Members in Region: | 125 |
2013 Medicare Prescription Drug Plan Overview
HealthSpring Prescription Drug-Reg 28 (PDP) is an approved Medicare Part D Drug Plan underwritten by HealthSpring Prescription Drug Plan for eligible Arizona seniors with Medicare benefits.
The monthly premium is $26.50 ($318.00 for a full 12 months) and the pharmacy deductible is $325.00 per year. The highest deductible allowed in 2013 is $325.
The plan is based on drug formulary ID 00012352. The formulary offers 2989 FDA approved medications. Be sure to verify that your medications are covered.
Arizona 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 HealthSpring Prescription Drug Plan-Reg 28 plan compares well with these plans:
- Medco Medicare Prescription Plan - Value at $51.40 per month for Arizona Seniors
- Medco Medicare Prescription Plan - Choice at $86.20 per month for Arizona Seniors
- WellCare Classic at $25.40 per month for Arizona Seniors
HealthSpring Prescription Drug Plan-Reg 28 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 Arizona the pharmacy co-pay for prescription drugs is as follows:
| Tier | Co-Pay Amount | Medications in Tier |
|---|---|---|
| 1 | 25% | 1984 Preferred Generics |
| 2 | 25% | 1005 Non-Preferred Generics |
| 3 | 0 Preferred Brand Drugs | |
| 4 | 0 Non-Preferred Brand Drugs | |
| 5 | 0 Specialty Drugs | |
The Initial Coverage Limit with HealthSpring Prescription Drug Plan-Reg 28 is $2,970.00. This drug plan qualifies for the full LIS benefit and a zero dollar monthly premium.
HealthSpring Prescription Drug-Reg 28 (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 HealthSpring Prescription Drug-Reg 28 (PDP) plan all depends on your prescriptions.
Here's how the carrier defines the 'donut hole' gap coverage for this policy: You must pay the $3727.50.
HealthSpring Prescription Drug Plan-Reg 28 Plan Members
The number of seniors using the HealthSpring Prescription Drug Plan-Reg 28 plan nationally is 466,785. In your area (PDP region 28) there are a reported 125 seniors using this pharmacy plan. That's based on the previous year's CMS information.
Additional Facilities and Services in AZ
More Information About HealthSpring Prescription Drug Plan
Based in Nashville, Tennessee, HealthSpring got its start in 2000 and is now one of the country’s largest and fastest-growing coordinated care plans whose primary focus is Medicare Advantage plans. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Delaware, Florida, Georgia, Illinois, Maryland, Mississippi, New Jersey, Pennsylvania, Tennessee, Texas, and Washington, D.C., as well as a national stand-alone prescription drug plan.
The summary (overall) rating for this HealthSpring Prescription Drug Plan plan is 2.5 out of 5 based on reviews from 125 user ratings from the previous year. For more information about the review process, visit http://cms.gov.
