Mutual of Omaha Rx Premier Part D Plan S7126-094 Details for Minnesota
Mutual of Omaha Rx Premier is a 2024 Enhanced Medicare Part D plan from Mutual of Omaha that's available to people with Medicare Part A and/or Part B or a Medicare Advantage plan that does not include prescription drug plan benefits.
Mutual of Omaha Rx Premier is a cost-sharing plan that has a $70.30 monthly premium, an initial coverage limit of $5,030, a $349.00 annual deductible, and an out-of-pocket threshold of $8,000. CMS rated this plan 1.5 (Poor) out of 5 stars.
See more Medicare Part D Plans in Minnesota.
2025 Mutual of Omaha Rx Premier Cost and Coverage
The 2025 cost and coverage information for Mutual of Omaha Rx Premier will not be available until early October. We'll notify you when it is available from CMS.
Sign-Up for 2025 Medicare Part D Plan Notification. The 2025 Annual Enrollment Period starts October 15.
| Part D Plan Basics | |
|---|---|
| Plan ID: | S7126-094 |
| Plan Type: | PDP |
| Plan Year: | 2024 |
| Premium: | $70.30/mo |
| Deductible: | $349.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Availability: | Minnesota |
| Insured By: | Mutual of Omaha |
Prescription Drug Plan Premium
Although Mutual of Omaha Rx Premier'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: | $61.00 |
| Supplemental Part D Premium: | $9.30 |
| Total Part D Premium: | $70.30 |
| Part D Premium with Full LIS Assistance: | $28.10 |
The Social Security Extra Help page has more information about the Low-Income Subsidy (“Extra Help”) program.
Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $349.00. You must pay this amount 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 Premier 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) | $1.00 copay (deductible does not apply) | $8.00 copay (deductible does not apply) |
| 2 (Generic) | $10.00 copay | $17.00 copay |
| 3 (Preferred Brand) | $47.00 copay | $47.00 copay |
| 4 (Non-Preferred Drug) | 46% | 47% |
| 5 (Specialty Tier) | 28% | 28% |
2024 CMS Rating Marks
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.
Overall, this Medicare Part D plan gets 1.5 out of 5 stars from CMS. Here's a quick summary of how well Mutual of Omaha Rx Premier 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 |
The true value of any Medicare Part D plan can only be judged by how well it covers your medications. You can find enhanced benefit plans that have a lower monthly cost than this one. If the plan covers your prescriptions at a lower price overall, that's fine. This plan has a deductible, but one tier is excluded (see table above).
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 at www.medicare.gov.
Citations & References
- Mutual of Omaha, "http://www.mutualofomaharx.com", Last Accessed March 11, 2024
- Medicare.gov, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "How Part D works with other insurance", Last Accessed March 14, 2024
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed March 3, 2024
- SSA.gov, "Understanding the Extra Help With Your Medicare", 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
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.