Aetna CVS/pharmacy Prescription Drug Plan Prescription Plan for Mississippi Medicare Beneficiaries

Aetna CVS/pharmacy Prescription Drug Plan (PDP) Prescription Medication Plan by Aetna Medicare for Mississippi Seniors with Medicare Benefits.
Overall Plan Rating:This Medicare drug plan has an average rating of 2.5
Monthly Premium:
$32.50
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:3158
PDP ID No:S5810-054
Plan Year:2013
Approved by CMS for: MS Residents
Rx Plan Type:National
Est. Regional Members:11530
THIS IS ARCHIVE DATA, NOT A CURRENT YEAR PAGE.

2013 Medicare Prescription Medication Plan Overview

Healthy Mississippi Medicare Part D Plan: Aetna CVS/pharmacy Prescription Drug Plan (PDP) S5810-054Aetna CVS/pharmacy Prescription Drug (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Mississippi seniors.

The annual premium is $390.00 ($32.50 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 Aetna Medicare formulary ID for this plan is 00012369, and it features 3158 FDA approved medications.

For all Mississippi 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 Aetna CVS/pharmacy Prescription Drug Plan:

Aetna CVS/pharmacy Prescription Drug Plan 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 Aetna CVS/pharmacy Prescription Drug (PDP) plan in Mississippi is tiered as follows:

Tier  Co-Pay AmountMedications in Tier
1$3.001392 Preferred Generics
2$7.00529 Non-Preferred Generics
3$27.00329 Preferred Brands
443%608 Non-Preferred Brands
525%300 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.

Aetna CVS/pharmacy Prescription Drug (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 Aetna CVS/pharmacy Prescription Drug (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 Aetna CVS/pharmacy Prescription Drug Plan policy is 334,045. In region 20 (your region) there are approximately 11,530 people with this policy (based on 2011 CMS statistics).

More Information About Aetna Medicare

Membership:

  • 18.459 million medical members
  • 13.670 million dental members
  • 8.820 million pharmacy members

Health care networks:
  • More than 1 million health care professionals
  • More than 575,000 primary care doctors and specialists
  • More than 5,400 hospitals
  • A network of specialist physicians, recognized with Aexcel® designation, based on clinical performance and cost efficiency1 
Products and programs: 
  • Aetna offers a broad range of insurance and employee benefits products.
  • The first national, full-service health insurer to offer a consumer-directed health plan, Aetna continues to lead the way with its Aetna HealthFund2 line of products, including HSA, HRA and RRA options.
  • Aetna offers a wide array of programs and services that help control rising employee benefits costs while striving to improve the quality of health care, such as case management; disease management and patient safety programs; integrated medical, dental, pharmaceutical, behavioral health and disability information.
  • Aetna provides members with access to convenient tools and easy-to-understand information that can help them make better-informed decisions about their health and financial wellbeing.
National presence: 
  • Aetna provides benefits through employers in all 50 states, with products and services targeted specifically to small, mid-sized and large multi-site national employers.
  • Aetna also serves individuals and Medicare and Medicaid beneficiaries in certain markets.

The summary (overall) rating for this plan is 2.5 out of 5 based on reviews from 11530 user ratings from the previous year. For more information about the review process, visit http://cms.gov.

Mississippi 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.