Health First Prime Prescription Drug Plan Prescription Plan for Florida Medicare Beneficiaries

Health First Prime Prescription Drug Plan (PDP) Prescription Medication Plan by Health First Medicare Plans for Florida Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of -2.0
Monthly Premium:
$47.90
Pharmacy Co-Pay:$0.00
Coverage Limit (ICL):$2,970.00
Pharmacy Mail Order:Yes
Gap Coverage:Some Generics
Low Income Subsidy:No
Medicare Formulary:2471
PDP ID No:S0223-002
Plan Year:2013
Approved by CMS for: FL Residents
Rx Plan Type:Regional
Est. Regional Members:84
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy Florida Medicare Part D Plan: Health First Prime Prescription Drug Plan (PDP) S0223-002Health First Prime Prescription Drug (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Florida seniors.

The annual premium is $574.80 ($47.90 monthly), and it carries a $0.00 deductible on all prescribed medications. Since it has a zero dollar deductive, you have coverage from the first dollars spent. Note that many plans have a policy deductible that must be paid in full prior to receiving prescription coverage assistance.

The Health First Medicare Plans formulary ID for this plan is 00012187, and it features 2471 FDA approved medications.

For all Florida seniors with Medicare benefits, there are two conditions that can change the amount you pay for your plan. The first is quailfying for the Extra Help program, which lowers your premium. The second is the opposite: if a premium penalty has been imposed on you for not enrolling right away at age 65 open enrollment, then your premium will be marginally higher.

Below are a few plans that are comparable to Health First Prime Prescription Drug Plan:

Health First Prime Prescription Drug Plan Initial Coverage

In the ICP (Initial Coverage Phase) the cost of your prescriptions is shared with your insurance company. You and the carrier each pay your share (as determined by the plan) until you reach the Initial Coverage Limit (ICL). In 2013, the ICL is $2,970 and this number changes each year. No deductible means your initial coverage phase begins immediately.

Each prescription medication is put into a tier within each Medicare Part D plan's drug formulary. Different tiers have different levels of cost-sharing. It's important to note that these tiers are not completely standardiszed and your prescriptions may be found in different tiers on differnt plans. This is why we provide access to all Part D plans' drug formularies, so you can compare what the cost is for your prescription drugs for different Part D plasn in your area.

The pharmacy co-pay with the Health First Prime Prescription Drug (PDP) plan in Florida is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$2.00197 Preferred Generics
2$10.001187 Non-Preferred Generics
3$45.00804 Preferred Brands
4$95.00156 Non-Preferred Brands
525%127 Specialty Medications

The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.

Health First Prime Prescription Drug (PDP) 2013 Coverage Gap

The Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. Some plans provide donut hole coverage, and if you think that your drug costs will be high enough to get to this level, you should consider a plan with donut hole coverage. You can learn more about costs in the donut hole by reading What is the Medicare Part D Donut Hole? How long it will take you to reach the donut hole with the Health First Prime Prescription Drug (PDP) plan depends on your specific prescriptions.

The Gap Coverage with this policy: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.50.

Plan Members

Nationwide, the number of seniors using the Health First Prime Prescription Drug Plan policy is 84. In region 11 (your region) there are approximately 84 people with this policy (based on 2011 CMS statistics).

More Information About Health First Medicare Plans

The Health First family first began in 1995, when three not-for-profit hospitals—Cape Canaveral Hospital in Cocoa Beach, Holmes Regional Medical Center in Melbourne, and Palm Bay Hospital in Palm Bay—united to form a seamless system devoted to integrating quality healthcare services with state-of-the-art technology for the betterment of our community.

Two new divisions, Health First Health Plans and Health First Physicians, were created in 1996 to complete the spectrum of healthcare services for Florida’s Space Coast.

Since then, the Health First family has grown to include outpatient centers; the county’s only trauma center; home care; specialized programs for cancer, heart, stroke, and aging; and also rehabilitative services. The newest campus, Viera Health Park is home to our fourth Pro-Health & Fitness Center, and Viera Hospital which opened in April 2011.

The summary (overall) rating for this plan is -2.0 out of 5 based on reviews from 84 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

Florida Medicare Part D Plans

 
MedicareBenefits.us is not associated with the federal government. All plan information provided on this site is collected from public sources (e.g., cms.gov, carrier's website, plan brochures, etc.). Rates shown are for comparison purpose only. Contact your Medicare agent or Medicare.gov for a binding quote.