Asuris Medicare Script Enhanced Prescription Plan for Washington Medicare Beneficiaries
| Overall Plan Rating: |  |
|---|---|
| Monthly Premium: | $116.50 |
| 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: | 4317 |
| PDP ID No: | S5609-002 |
| Plan Year: | 2013 |
| Approved by CMS for: | WA Residents |
| Rx Plan Type: | Regional |
| Est. Regional Members: | 2149 |
2018 Medicare Prescription Medication Plan Overview
Asuris Medicare Script Enhanced (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Washington seniors.
The annual premium is $1,398.00 ($116.50 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 Asuris Northwest Health formulary ID for this plan is 00012120, and it features 4317 FDA approved medications.
For all Washington 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 Asuris Medicare Script Enhanced:
- WellCare Classic at $38.70 per month for Washington Seniors
- Humana Enhanced at $39.30 per month for Washington Seniors
- AARP MedicareRx Preferred at $42.80 per month for Washington Seniors
Asuris Medicare Script Enhanced 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 Asuris Medicare Script Enhanced (PDP) plan in Washington is tiered as follows:
| Tier | Co-Pay Amount | Medications in Tier |
|---|---|---|
| 1 | $5.00 | 1650 Preferred Generics |
| 2 | $33.00 | 84 Non-Preferred Generics |
| 3 | $40.00 | 480 Preferred Brands |
| 4 | $85.00 | 1190 Non-Preferred Brands |
| 5 | 33% | 256 Specialty Medications |
The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.
Asuris Medicare Script Enhanced (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 Asuris Medicare Script Enhanced (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 Asuris Medicare Script Enhanced policy is 2,149. In region 30 (your region) there are approximately 2,149 people with this policy (based on 2011 CMS statistics).
More Information About Asuris Northwest Health
Asuris Northwest Health is an eastern Washington community-based, not-for-profit organization. We have been servicing more than 40,000 commercial and individual members for nearly 60 years.
The summary (overall) rating for this Asuris Northwest Health plan is 4.0 out of 5 based on reviews from 2149 user ratings from the previous year. For more information about the review process, visit http://cms.gov.