Mutual of Omaha Rx Essential Part D Plan S7126-104 Details
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 $26.80 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.
2025 Mutual of Omaha Rx Essential Cost and Coverage
The 2025 cost and coverage information for Mutual of Omaha Rx Essential 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: | S7126-104 |
| Plan Type: | PDP |
| Plan Year: | 2024 |
| Premium: | $26.80/mo |
| Deductible: | $545.00/yr |
| Benefit Type: | Enhanced |
| Rx Gap Coverage: | No |
| Low Income Subsidy: | No |
| Availability: | See List |
| 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: | $0.20 |
| Supplemental Part D Premium: | $26.60 |
| Total Part D Premium: | $26.80 |
| Part D Premium with Full LIS Assistance: | $26.60 |
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 $545.00. 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 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 for Plan Year 2024
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.
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 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 |
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. The premiums for many enhanced benefit plans in are higher than this one. However, that does not necessarily mean they offer greater value. This plan does have an annual deductible, but one of the formulary tiers is excluded (see table above).
Plan Availability
Mutual of Omaha Rx Essential is available in the following states:
Additional Enhanced Medicare Part D Plan Options in
Here are some additional plans in your area that might be worth reviewing:
- Humana Walmart Value Rx Plan (S5884-181)
- Cigna Saver Rx (S5617-351)
- Wellcare Value Script (S4802-136)
- Mutual of Omaha Rx Premier (S7126-071)
- Cigna Extra Rx (S5617-246)
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, "How to get prescription drug coverage", Last Accessed March 2, 2024
- Benefits.gov, "Medicare Prescription Drug Plans", 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
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.