Mutual of Omaha Rx Essential South Carolina Part D Plan S7126-111 by Mutual of Omaha
Mutual of Omaha Rx Essential is a 2024 Enhanced Medicare Part D plan from Mutual of Omaha that's available to individuals enrolled in a Medicare Advantage plan without prescription drug plan benefits or Medicare Part A and/or Part B.
This plan has a monthly premium of $25.10, an initial coverage limit of $5,030, an out-of-pocket threshold of $8,000, and a $545.00 deductible that must be paid before cost-sharing begins. This plan has an overall rating of 1.5 (Poor) out of 5 stars.
See more 2024 Medicare Part D Plans in South Carolina.
Part D Plan Basics | |
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Plan ID: | S7126-111 |
Plan Type: | PDP |
Plan Year: | 2024 |
Premium: | $25.10/mo |
Deductible: | $545.00/yr |
Benefit Type: | Enhanced |
Rx Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | South Carolina |
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: | -$3.10 |
Supplemental Part D Premium: | $28.20 |
Total Part D Premium: | $25.10 |
Part D Premium with Full LIS Assistance: | $25.10 |
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 $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% |
Our Review & 2024 CMS Rating Marks
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.
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 |
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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 |
Way below South Carolina standards, we can't recommend this plan. Here's why. South Carolina 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. Most enhanced benefit plans have a higher premium than this one, but does it offer enhanced value on the medications you need? This plan does have an annual deductible, but one of the formulary tiers is excluded (see table above).
Additional Enhanced Medicare Part D Plan Options in South Carolina
Here are some additional plans in your area that might be worth reviewing:
- Wellcare Value Script (S4802-144)
- BlueCross Rx Essential (S5953-004)
- Mutual of Omaha Rx Premier (S7126-078)
- Cigna Saver Rx (S5617-359)
- Humana Walmart Value Rx Plan (S5884-188)
Contact Mutual of Omaha
Plan Website: | Mutual of Omaha Plan Information |
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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, "Drug coverage (part D)", Last Accessed March 2, 2024
- Medicare.gov, "What Medicare Part D drug plans cover", Last Accessed March 1, 2024
- Medicare.gov, "Costs for Medicare drug coverage", Last Accessed March 3, 2024
- Medicare.gov, "Help with drug costs", Last Accessed February 19, 2024
- CMS.gov, "Landscape Source Files", Last Accessed January 3, 2024
- CMS.gov, "Medicare Part C & D Performance", Last Accessed January 3, 2024