AARP MedicareRx Preferred Prescription Plan for West Virginia Medicare Beneficiaries
Overall Plan Rating: | |
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Monthly Premium: | $37.20 |
Pharmacy Co-Pay: | $0.00 |
Coverage Limit (ICL): | $2,970.00 |
Pharmacy Mail Order: | Yes |
Gap Coverage: | No Gap Coverage |
Low Income Subsidy: | No |
Medicare Formulary: | 3614 |
PDP ID No: | S5820-005 |
Plan Year: | 2013 |
Approved by CMS for: | WV Residents |
Rx Plan Type: | National |
Est. Regional Members: | 183615 |
2018 Medicare Prescription Medication Plan Overview
AARP MedicareRx Preferred (PDP) is an approved Medicare Prescription Drug Plan (Part D) for West Virginia seniors.
The annual premium is $446.40 ($37.20 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 UnitedHealthcare formulary ID for this plan is 00012261, and it features 3614 FDA approved medications.
For all West Virginia 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 AARP MedicareRx Preferred:
- SecureRx - Option 3 at $63.80 per month for West Virginia Seniors
- BlueRx Complete at $113.20 per month for West Virginia Seniors
- SecureRx - Option 1 at $121.80 per month for West Virginia Seniors
AARP MedicareRx Preferred 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 AARP MedicareRx Preferred (PDP) plan in West Virginia is tiered as follows:
Tier | Co-Pay Amount | Medications in Tier |
---|---|---|
1 | $4.00 | 57 Preferred Generics |
2 | $8.00 | 1226 Non-Preferred Generics |
3 | $42.00 | 1153 Preferred Brands |
4 | $93.00 | 741 Non-Preferred Brands |
5 | 33% | 437 Specialty Medications |
The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.
AARP MedicareRx Preferred (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 AARP MedicareRx Preferred (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 AARP MedicareRx Preferred policy is 4,032,058. In region 6 (your region) there are approximately 183,615 people with this policy (based on 2011 CMS statistics).
More Information About UnitedHealthcare
For over 20 years, UnitedHealthcare and its affiliates have offered Medicare plans to people age 65 or older, as well as individuals with certain disabilities. Today UnitedHealthcare offers a full range of Medicare options, including:
- Medicare Advantage Insurance and HMO Health Plans
- Medicare Supplement Insurance Plans
- Medicare Part D Prescription Drug Insurance Plans
- Medicare Advantage Special Needs Plans
The summary (overall) rating for this UnitedHealthcare plan is 3.0 out of 5 based on reviews from 183615 user ratings from the previous year. For more information about the review process, visit http://cms.gov.