WellCare Extra PDP for North Carolina Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5967-180|
|Approved by CMS for:||NC Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
WellCare Extra (PDP) is an approved Medicare Prescription Drug Plan insured by WellCare for North Carolina seniors and other qualifying beneficiaries.
The plan's premium is $53.30 per month ($639.60 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 00014172. It features 2844 approved prescription medications.
North Carolina 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 Extra with:
- Express Scripts Medicare - Choice at $49.50 per month for North Carolina Seniors
- Transamerica MedicareRx Choice at $54.80 per month for North Carolina Seniors
- First Health Part D Value Plus at $41.20 per month for North Carolina Seniors
WellCare Extra 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. 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. 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.
In North Carolina the tiered pharmacy co-pay with the WellCare Extra (PDP) is as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$0.00||281 Preferred Generics|
|2||$0.00||1576 Non-Preferred Generics|
|3||$38.00||264 Preferred Brand Drugs|
|4||$68.00||403 Non-Preferred Brand Drugs|
|5||33%||320 Specialty Drugs|
The ICL (Initial Coverage Limit) on this Part D plan is $2,850.00. This plan doesn't qualify for a $0 LIS premium.
WellCare Extra (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 WellCare Extra (PDP) plan all depends on your prescriptions.
The 'donut hole' gap coverage on this policy is: No Gap Coverage
Prescription Drug Plan Members
The reported number of Medicare beneficiaries using the WellCare Extra plan nationally is 0. In your region (CMS PDP region 8) there are an estimated 0 people using the plan (previous year's statistics).
Related Senior Services in North Carolina
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 3.0 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.