Alliance Medicare RX Prescription Plan for Michigan Medicare Beneficiaries
Overall Plan Rating: | |
---|---|
Monthly Premium: | $49.00 |
Pharmacy Co-Pay: | $175.00 |
Coverage Limit (ICL): | $2,970.00 |
Pharmacy Mail Order: | Yes |
Gap Coverage: | No Gap Coverage |
Low Income Subsidy: | No |
Medicare Formulary: | 3139 |
PDP ID No: | S3440-001 |
Plan Year: | 2013 |
Approved by CMS for: | MI Residents |
Rx Plan Type: | Regional |
Est. Regional Members: | 1228 |
2018 Medicare Prescription Medication Plan Overview
Alliance Medicare RX (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Michigan seniors.
The annual premium is $588.00 ($49.00 monthly), and it carries a $175.00 deductible on all prescribed medications. For 2013, the maximum Part D deductible is $325. It goes up a little each year. It went up $5 from last year.
The Alliance Medicare Rx formulary ID for this plan is 00012098, and it features 3139 FDA approved medications.
For all Michigan 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 Alliance Medicare RX:
- WellCare Classic at $25.70 per month for Michigan Seniors
- First Health Part D Premier Plus at $91.20 per month for Michigan Seniors
- AARP MedicareRx Preferred at $38.20 per month for Michigan Seniors
Alliance Medicare RX 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. This plan has a deductible that you must pay before ICP cost-sharing ICP begins.
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 Alliance Medicare RX (PDP) plan in Michigan is tiered as follows:
Tier | Co-Pay Amount | Medications in Tier |
---|---|---|
1 | $5.00 | 391 Preferred Generics |
2 | $15.00 | 1575 Non-Preferred Generics |
3 | $45.00 | 727 Preferred Brands |
4 | 28% | 334 Non-Preferred Brands |
5 | 28% | 112 Specialty Medications |
The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.
Alliance Medicare RX (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 Alliance Medicare RX (PDP) plan depends on your specific prescriptions.
The Gap Coverage with this policy: You must pay the $3727.50.
Plan Members
Nationwide, the number of seniors using the Alliance Medicare RX policy is 1,228. In region 13 (your region) there are approximately 1,228 people with this policy (based on 2011 CMS statistics).
More Information About Alliance Medicare Rx
Alliance Medicare Rx is a product of Health Alliance Plan of Michigan.
The summary (overall) rating for this Alliance Medicare Rx plan is 2.5 out of 5 based on reviews from 1228 user ratings from the previous year. For more information about the review process, visit http://cms.gov.