AmeriHealth Rx Option II Prescription Plan for West Virginia Medicare Beneficiaries

AmeriHealth Rx Option II (PDP) Prescription Medication Plan by AmeriHealth Rx for West Virginia Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 3.0
Monthly Premium:
$120.70
Pharmacy Co-Pay:$0.00
Coverage Limit (ICL):$2,970.00
Pharmacy Mail Order:Yes
Gap Coverage:Many Generics
Low Income Subsidy:No
Medicare Formulary:4945
PDP ID No:S2321-002
Plan Year:2013
Approved by CMS for: WV Residents
Rx Plan Type:Regional
Est. Regional Members:3912
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy West Virginia Medicare Part D Plan: AmeriHealth Rx Option II (PDP) S2321-002AmeriHealth Rx Option II (PDP) is an approved Medicare Prescription Drug Plan (Part D) for West Virginia seniors.

The annual premium is $1,448.40 ($120.70 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 AmeriHealth Rx formulary ID for this plan is 00012407, and it features 4945 FDA approved medications.

For all West Virginia 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 AmeriHealth Rx Option II:

AmeriHealth Rx Option II 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 AmeriHealth Rx Option II (PDP) plan in West Virginia is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$5.00509 Preferred Generics
2$10.001468 Non-Preferred Generics
3$30.00390 Preferred Brands
4$65.002292 Non-Preferred Brands
525%286 Specialty Medications

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

AmeriHealth Rx Option II (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 AmeriHealth Rx Option II (PDP) plan depends on your specific prescriptions.

The Gap Coverage with this policy: 65% to 100% 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 AmeriHealth Rx Option II policy is 3,912. In region 6 (your region) there are approximately 3,912 people with this policy (based on 2011 CMS statistics).

More Information About AmeriHealth Rx

For more than a decade, AmeriHealth has led the way in bringing quality, affordable health care to more than 265,000 people in New Jersey, Delaware, and Pennsylvania. In its product portfolio, AmeriHealth offers an HMO, a Preferred Provider Organization (PPO), traditional coverage, a Medicare risk program for the senior market, AmeriHealth Mercy Health Plan for Medicaid recipients, and a third-party administration plan, AmeriHealth Administrators®.

AmeriHealth has been recognized for its commitment to providing high quality products. AmeriHealth HMO of New Jersey and Delaware’s AmeriHealth HMO have received the highest possible accreditation by the national leader in HMO quality evaluation. The National Committee for Quality Assurance has awarded both HMOs “Excellent” status for meeting its rigorous evaluation standards.

The summary (overall) rating for this plan is 3.0 out of 5 based on reviews from 3912 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

West Virginia 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.