Windsor Rx Prescription Plan for Utah Medicare Beneficiaries

Windsor Rx (PDP) Prescription Medication Plan by Sterling Life Insurance Company for Utah Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 3.0
Monthly Premium:
$39.90
Pharmacy Co-Pay:$325.00
Coverage Limit (ICL):$2,970.00
Pharmacy Mail Order:Yes
Gap Coverage:No Gap Coverage
Low Income Subsidy:Yes
Medicare Formulary:2579
PDP ID No:S4802-021
Plan Year:2013
Approved by CMS for: UT Residents
Rx Plan Type:Regional
Est. Regional Members:2442
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2018 Medicare Prescription Medication Plan Overview

Healthy Utah Medicare Part D Plan: Windsor Rx (PDP) S4802-021Windsor Rx (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Utah seniors.

The annual premium is $478.80 ($39.90 monthly), and it carries a $325.00 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 Sterling Life Insurance Company formulary ID for this plan is 00012467, and it features 2579 FDA approved medications.

For all Utah 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 Windsor Rx:

Windsor 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 Windsor Rx (PDP) plan in Utah is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$6.001618 Preferred Generics
2$40.00638 Non-Preferred Generics
3$90.00113 Preferred Brands
425%210 Non-Preferred Brands
50 Specialty Medications

The Initial Coverage Limit (ICL) is $2,970.00. This drug plan offers the full LIS benefit ($0.00 monthly premium) for seniors with Medicare benefits.

Windsor 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 Windsor 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 Windsor Rx policy is 81,210. In region 31 (your region) there are approximately 2,442 people with this policy (based on 2011 CMS statistics).

More Information About Sterling Life Insurance Company

Sterling Insurance, established in 1958, is licensed in 50 states, plus Washington, D.C., and has sales offices across the country. Sterling offers Medicare Supplement plans, including Premier® - standard supplement plans with flexibility to choose any doctor or hospital that accepts Medicare patients, and SELECT, Medicare Supplement plans that offer lower premiums in exchange for using Network Hospitals and Facilities

The summary (overall) rating for this plan is 3.0 out of 5 based on reviews from 2442 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

Utah 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.