Mutual of Omaha Rx Essential Georgia Part D Plan S7126-112 by Mutual of Omaha
Mutual of Omaha Rx Essential is a Enhanced prescription drug plan from Mutual of Omaha that's available to people enrolled in Original Medicare or a Medicare Advantage plan without Part D benefits.
This 2024 Medicare Part D plan has a $23.60 monthly premium, $545.00 annual deductible, $5,030 initial coverage limit, and a $8,000 out-of-pocket threshold. This plan is rated 1.5 (Poor) stars by CMS.
See more Top Medicare Part D Plans in Georgia.
Part D Plan Basics | |
---|---|
Plan ID: | S7126-112 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $23.60/mo |
Deductible: | $545.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | Georgia |
Insured By: | Mutual of Omaha |
Prescription Drug Plan Premium
Although Mutual of Omaha Rx Essential's monthly premium is bundled with the total plan cost, some plans have supplemental costs and/or offer low-income subsidy (LIS) assistance. The following table outlines the premium details of this Mutual of Omaha plan.
Basic Part D Premium: | -$0.50 |
Supplemental Part D Premium: | $24.10 |
Total Part D Premium: | $23.60 |
Part D Premium with Full LIS Assistance: | $23.60 |
For more information about the Low-Income Subsidy (aka, "Extra Help") program, refer to the Social Security Extra Help page.
Prescription Drug Plan Deductible
The Medicare Part D annual deductible with this plan is $545.00. This is the amount you must pay at the pharmacy before Mutual of Omaha begins paying its share.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Mutual of Omaha Rx Essential has copayments (a fixed dollar amount) and/or coinsurances (a percentage amount) that you must pay when you pick up your prescriptions. The following table shows you those costs.
Tier | Preferred | Standard |
---|---|---|
1 (Preferred Generic) | $0.00 copay (deductible does not apply) | $15.00 copay (deductible does not apply) |
2 (Generic) | $15.00 copay | $20.00 copay |
3 (Preferred Brand) | 20% | 22% |
4 (Non-Preferred Drug) | 48% | 50% |
5 (Specialty Tier) | 25% | 25% |
CMS Rating Marks and Our Review
Each year the Centers for Medicare & Medicaid Services (CMS) rates drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating of less than 3.0. Here are the most recent CMS ratings for this plan.
This Medicare Part D plan gets 1.5 out of 5 stars overall. Here's our quick summary of how well Mutual of Omaha Rx Essential performs.
CMS Measure | Star Rating |
---|---|
Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
Think twice before joining this sub-par Medicare Part D plan. Georgia seniors looking for a plan that prioritizes customer service may be disapointed with Mutual of Omaha Rx Essential because the plan's customer service score is below average. This plan gets an excessive number of complaints from its members. Sadly, the overall member experience with this Mutual of Omaha plan is poor. As compared to other plans, Medicare says this plan does a poor job managing drug safety and the accuracy of drug pricing.
You can't judge a Part D plan on its monthly premium or annual deductible. You have to look at the overall cost of your prescriptions. Although the premium for most enhanced benefit plans is higher than this one, you'll need to make sure it offers greater value in terms of the medications you require. This plan has a deductible, but one tier is excluded (see table above).
Additional Enhanced Medicare Part D Plan Options in Georgia
Here are some additional plans in your area that might be worth reviewing:
- Wellcare Value Script (S4802-145)
- Mutual of Omaha Rx Premier (S7126-079)
- Cigna Extra Rx (S5617-255)
- Humana Walmart Value Rx Plan (S5884-189)
- Wellcare Medicare Rx Value Plus (S4802-213)
Contact Mutual of Omaha
Plan Website: | Mutual of Omaha Plan Information |
---|---|
Formulay Information: | Mutual of Omaha Formulary Information |
Pharmacy Information: | Mutual of Omaha Pharmacy Information |
Prospective Members: | (800)961-9006 |
TTY Users: | (800)584-6939 |
If you qualify for Original Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
Citations & References
- Mutual of Omaha, "http://www.mutualofomaharx.com", Last Accessed March 11, 2024
- Medicare.gov, "Explore your Medicare coverage options", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Medicare costs at a glance", Last Accessed March 11, 2024
- SSA.gov, "Apply for Medicare Part D Extra Help program", Last Accessed March 9, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024