Elixir RxSecure (Basic PDP) A 2022 Iowa Medicare Part D Plan Review
Elixir RxSecure is a 2022 Basic Medicare Part DMedicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... plan (PDP) from EnvisionRx Plus that's available to people with Original MedicareOriginal Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage. in Iowa. It is a cost-sharing plan with an initial coverage limitOnce you have met your yearly deductible, you will pay a copayment or coinsurance for each covered drug until you reach the initial coverage limit. You will then enter your plan’s coverage gap (aka, “donut... of $4,430.
Key Takeaways
- This is a basic benefit Medicare Prescription Drug Plan (PDP) from EnvisionRx Plus that is available to beneficiaries in Iowa
- A basic benefit plan, like Elixir RxSecure, covers the minimum amount required by the Centers for Medicare & Medicaid ServicesThe Centers for Medicare & Medicaid Services (CMS) is the U.S. Federal agency that runs the Medicare, Medicaid, and Children’s Health Insurance Programs..
- The plan's premium is $57.80 per month.
- The plan's deductibleA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share. is $480.00 per year.
- Elixir RxSecure does not offer additional coverage in the coverage gap (aka, "donut hole").
- This plan does not qualify for the Extra Help full low-income subsidySocial Security's Low-Income Subsidy (LIS) program helps Medicare beneficiaries pay for their Medicare Part D prescription drugs by paying some of the costs. Also known as "Extra Help", beneficiaries who qualify for LIS receive premium....
- This plan is not a Senior Savings Model Plan.
- Basic plans typically offer less cost-sharing than plans with an enhanced benefit.
- Due to lower premiumsA premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. , a basic benefit plan is generally the best option for most healthy people, even if the plan has a deductible.
| Plan Basics | |
|---|---|
| Plan ID: | S7694-025 |
| Plan Type: | PDP |
| Plan Year: | 2022 |
| Premium: | $57.80/mo |
| Deductible: | $480.00/yr |
| Benefit Type: | Basic |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Senior Savings Plan: | No |
| Availability: | Iowa |
| Insured By: | EnvisionRx Plus |
WARNING: Drug costs vary widely between pharmacies and plans. It is important to carefully consider your personal prescription costs before you enroll in a prescription drug plan.
Prescription Drug Plan Premium
Although Elixir RxSecure'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 EnvisionRx Plus plan.
| Basic Part D Premium: | $57.80 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $57.80 |
| Part D Premium with Full LIS Assistance: | $18.90 |
| Part D Premium with 75% LIS Assistance: | $28.60 |
| Part D Premium with 50% LIS Assistance: | $38.40 |
| Part D Premium with 25% LIS Assistance: | $48.10 |
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 $480.00. This is the amount you must pay at the pharmacy before EnvisionRx Plus begins paying its share.
Prescription Drug Plan Out-of-Pocket Costs
In addition to the plan's monthly premium and deductible, Elixir RxSecure has copaymentsA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. (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) | $1.00 copay | $18.00 copay |
| 2 (Generic) | $7.00 copay | $19.00 copay |
| 3 (Preferred Brand) | 15% | 20% |
| 4 (Non-Preferred Drug) | 33% | 38% |
| 5 (Specialty Tier) | 25% | 25% |
CMS Rating Marks and Our Review
This Medicare Part D plan gets 3.0 out of 5 stars overall. Here's our quick summary of how well Elixir RxSecure performs.
In terms of quality, safety, and customer service, this Iowa Part D plan is just average. Iowa seniors looking for a plan that prioritizes customer service may be disapointed with Elixir RxSecure because the plan's customer service score is below average. Compared to other plans, Medicare gets relatively few member complaints about this plan. The member experience with this EnvisionRx Plus plan is about average. Drug safety and the accuracy of drug pricing with this plan are about average.
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. You can find basic benefits plans that have a lower monthly fee than this one. That's OK if the plan covers your prescriptions at the lowest possible price. Pay attention to the deductible. This plan is not like other plans. It does not exclude any tiers from the deductible. Other plans do.
Each year Medicare rates drug plans (Part D) in several major categories. These ratings are designed to help you understand the quality of care and service you can expect if you join this plan:
| 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 |
Contact EnvisionRx Plus
| Plan Website: | EnvisionRx Plus Plan Information |
|---|---|
| Formulay Information: | EnvisionRx Plus Formulary Information |
| Pharmacy Information: | EnvisionRx Plus Pharmacy Information |
| Prospective Members: | (866)250-2005 |
| TTY Users: | (711)- |
If you qualify for 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.
Additional Basic Medicare Part D Plan Options in Iowa
Here are some additional plans in your area that might be worth reviewing:
- Clear Spring Health Value Rx for Iowa
- Cigna Secure Rx for Iowa
- Mutual of Omaha Rx Plus for Iowa
- AARP MedicareRx Saver Plus for Iowa
- SilverScript Choice for Iowa
Citations & References
- EnvisionRx Plus, "https://elixirinsurance.com", Last Accessed October 15, 2021
- Medicare.gov, "How to get prescription drug coverage", Last Accessed April 28, 2022
- Benefits.gov, "Medicare Prescription Drug Plans", Last Accessed June 1, 2022
- Medicare.gov, "Medicare costs at a glance", Last Accessed June 11, 2022
- SSA.gov, "Extra Help with Medicare Prescription Drug Plan Costs", Last Accessed June 9, 2022
- CMS.gov, "Landscape Source Files", Last Accessed October 26, 2021
- CMS.gov, "Medicare Part C & D Performance", Last Accessed October 6, 2021
The 2023 Medicare Part D Plans for Iowa information on this page was last updated on .