Rite Aid EnvisionRxPlus Prescription Plan for Ohio Medicare Beneficiaries
|Overall Plan Rating:|
|Coverage Limit (ICL):||$2,970.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||Some Generics|
|Low Income Subsidy:||No|
|PDP ID No:||S7694-084|
|Approved by CMS for:||OH Residents|
|Rx Plan Type:||National|
|Est. Regional Members:||86|
2013 Medicare Prescription Medication Plan Overview
Rite Aid EnvisionRxPlus (PDP) is an approved Medicare Prescription Drug Plan (Part D) for Ohio seniors.
The annual premium is $648.00 ($54.00 monthly), and it carries a $150.00 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 EnvisionRx Plus formulary ID for this plan is 00012377, and it features 2445 FDA approved medications.
For all Ohio 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 Rite Aid EnvisionRxPlus:
- WellCare Classic at $32.40 per month for Ohio Seniors
- First Health Part D Premier Plus at $91.60 per month for Ohio Seniors
- AARP MedicareRx Preferred at $35.40 per month for Ohio Seniors
Rite Aid EnvisionRxPlus 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 Rite Aid EnvisionRxPlus (PDP) plan in Ohio is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$0.00||554 Preferred Generics|
|2||20%||1047 Non-Preferred Generics|
|3||15%||220 Preferred Brands|
|4||30%||418 Non-Preferred Brands|
|5||33%||206 Specialty Medications|
The Initial Coverage Limit (ICL) is $2,970.00. This prescription plan does not qualify for the $0 LIS premium.
Rite Aid EnvisionRxPlus (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 Rite Aid EnvisionRxPlus (PDP) plan depends on your specific prescriptions.
The Gap Coverage with this policy: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3727.50.
Nationwide, the number of seniors using the Rite Aid EnvisionRxPlus policy is 2,038. In region 14 (your region) there are approximately 86 people with this policy (based on 2011 CMS statistics).
More Information About EnvisionRx Plus
EnvisionRx Plus is a Medicare-approved Prescription Drug Plan that is available in 50 states and the District of Columbia. EnvisionRx Plus is designed to give Medicare beneficiaries access to affordable generic or brand medications you need. This web site will provide you with important information regarding benefits and services, how much you will have to pay out of your own pocket, and other necessary plan requirements which will help you in making an informed decision about your Medicare Part D prescription drug coverage.
The summary (overall) rating for this EnvisionRx Plus plan is 2.5 out of 5 based on reviews from 86 user ratings from the previous year. For more information about the review process, visit http://cms.gov.