Educators Rx Advantage Prescription Plan for Idaho Medicare Beneficiaries

Educators Rx Advantage (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Idaho seniors.

The annual premium is $1,377.60 ($114.80 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 EMI Health formulary ID for this plan is 00012219, and it features 3178 FDA approved medications.

For all Idaho 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 Educators Rx Advantage:

• WellCare Classic at $45.20 per month for Idaho Seniors
• Regence Medicare Script Enhanced at $111.00 per month for Idaho Seniors
• Humana Enhanced at $44.10 per month for Idaho Seniors

Educators Rx Advantage 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 Educators Rx Advantage (PDP) plan in Idaho is tiered as follows:

The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.

Educators Rx Advantage (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 Educators Rx Advantage (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 Educators Rx Advantage policy is 739. In region 31 (your region) there are approximately 739 people with this policy (based on 2011 CMS statistics).