WellCare Classic PDP for Arizona Seniors
| CMS Rating: |  |
|---|---|
| Plan Premium: | $25.40 |
| Pharmacy Co-Pay: | $0.00 |
| Initial Coverage Limit: | $2,970.00 |
| Pharmacy Mail Order: | Yes |
| Gap Coverage: | No Gap Coverage |
| Low Income Subsidy: | Yes |
| Medicare Formulary: | 2506 |
| PDP ID No: | S5967-165 |
| Plan Year: | 2013 |
| Approved by CMS for: | AZ Residents |
| Rx Plan Type: | Regional |
| Members in Region: | 7664 |
2013 Medicare Prescription Drug Plan Overview
WellCare Classic (PDP) is an approved Medicare Prescription Drug Plan insured by WellCare for Arizona seniors and other qualifying beneficiaries.
The plan's premium is $25.40 per month ($304.80 annually) and it has a $0.00 annual pharmacy deductible. That means prescription coverage assistance starts on day one. You simply make your co-payment at the pharmacy.
The plan's formulary ID is 00012170. It features 2506 approved prescription medications.
Arizona 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 WellCare Classic with:
- First Health Part D Premier Plus at $90.80 per month for Arizona Seniors
- AARP MedicareRx Preferred at $32.60 per month for Arizona Seniors
- Humana Enhanced at $37.20 per month for Arizona Seniors
WellCare Classic 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 no deductible so your initial coverage phase begins immediately.
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 tiered pharmacy co-pay with the WellCare Classic (PDP) is as follows:
| Tier | Co-Pay Amount | Medications in Tier |
|---|---|---|
| 1 | $0.00 | 785 Preferred Generics |
| 2 | $45.00 | 954 Non-Preferred Generics |
| 3 | $95.00 | 543 Preferred Brand Drugs |
| 4 | 25% | 224 Non-Preferred Brand Drugs |
| 5 | 0 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.
WellCare Classic (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 WellCare Classic (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 WellCare Classic plan nationally is 684,426. In your region (CMS PDP region 28) there are an estimated 7,664 people using the plan (previous year's statistics).
Related Senior Services in Arizona
More Information About WellCare
WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families; children; and the aged, blind and disabled; as well as prescription drug plans. The company served approximately 2.4 million members nationwide as of June 30, 2011.
The summary (overall) rating for this WellCare plan is 3.5 out of 5 based on reviews from 7664 user ratings from the previous year. For more information about the review process, visit http://cms.gov.
