MedicareBlue Rx Premier Prescription Plan for Montana Medicare Beneficiaries
Overall Plan Rating: | |
---|---|
Monthly Premium: | $107.00 |
Pharmacy Co-Pay: | $0.00 |
Coverage Limit (ICL): | $2,970.00 |
Pharmacy Mail Order: | Yes |
Gap Coverage: | All Generics |
Low Income Subsidy: | No |
Medicare Formulary: | 2766 |
PDP ID No: | S5743-004 |
Plan Year: | 2013 |
Approved by CMS for: | MT Residents |
Rx Plan Type: | Regional |
Est. Regional Members: | 20499 |
2018 Medicare Prescription Medication Plan Overview
MedicareBlue Rx Premier (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Montana seniors.
The annual premium is $1,284.00 ($107.00 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 Wellmark Blue Cross and Blue Shield of Iowa formulary ID for this plan is 00012204, and it features 2766 FDA approved medications.
For all Montana 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 MedicareBlue Rx Premier:
- WellCare Classic at $38.80 per month for Montana Seniors
- Humana Enhanced at $39.60 per month for Montana Seniors
- AARP MedicareRx Preferred at $42.50 per month for Montana Seniors
MedicareBlue Rx Premier 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 MedicareBlue Rx Premier (PDP) plan in Montana is tiered as follows:
Tier | Co-Pay Amount | Medications in Tier |
---|---|---|
1 | $4.00 | 609 Preferred Generics |
2 | $6.00 | 1092 Non-Preferred Generics |
3 | $35.00 | 381 Preferred Brands |
4 | 48% | 684 Non-Preferred Brands |
5 | 0 Specialty Medications | |
The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.
MedicareBlue Rx Premier (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 MedicareBlue Rx Premier (PDP) plan depends on your specific prescriptions.
The Gap Coverage with this policy: All formulary Generics are covered, but you must pay for Brand Drugs up to $3727.50.
Plan Members
Nationwide, the number of seniors using the MedicareBlue Rx Premier policy is 20,499. In region 25 (your region) there are approximately 20,499 people with this policy (based on 2011 CMS statistics).
More Information About Wellmark Blue Cross and Blue Shield of Iowa
Wellmark Blue Cross and Blue Shield is a mutual insurance company owned by its policyholders. Wellmark and its subsidiaries provide health coverage to more than 2 million members in Iowa and South Dakota. And through the Blue Cross Blue Shield Association, Wellmark is part of a trusted national network that covers more than 100 million people. That's nearly 1/3 of all Americans.
Wellmark offers flexible benefit designs, competitive prices, and a large selection of providers. Nearly all physicians and hospitals in Iowa and South Dakota participate with Wellmark, and the Blue Cross and Blue Shield Association provides extensive national and international coverage.
The summary (overall) rating for this Wellmark Blue Cross and Blue Shield of Iowa plan is 3.0 out of 5 based on reviews from 20499 user ratings from the previous year. For more information about the review process, visit http://cms.gov.