WellCare Extra PDP for Minnesota Seniors
|Initial Coverage Limit:||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5967-196|
|Approved by CMS for:||MN Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
WellCare Extra (PDP) is an approved Medicare Prescription Drug Plan for Minnesota seniors.
The annual premium is $674.40 ($56.20 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 WellCare formulary ID for this plan is 00014172, and it features 2844 FDA approved medications.
For all Minnesota 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 WellCare Extra:
- Express Scripts Medicare - Choice at $70.60 per month for Minnesota Seniors
- First Health Part D Premier Plus at $105.20 per month for Minnesota Seniors
- MedicareBlue Rx Premier at $106.30 per month for Minnesota 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. 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 WellCare Extra (PDP) plan in Minnesota is tiered 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||$60.00||403 Non-Preferred Brand Drugs|
|5||33%||320 Specialty Drugs|
The Initial Coverage Limit (ICL) is $2,850.00. This presdription drug plan does not qualify for the $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 Gap Coverage with this policy: No Gap Coverage
Nation wide, the number of seniors using the WellCare Extra policy is 0. In region 25 (your region) there are approximately 0 people with this policy (based on 2011 CMS statistics).
Additional Facilities and Services in MN
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.