SecureRx - Option 3 Prescription Plan for West Virginia Medicare Beneficiaries
| Overall Plan Rating: |  |
|---|---|
| Monthly Premium: | $63.80 |
| 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: | 2676 |
| PDP ID No: | S8067-001 |
| Plan Year: | 2013 |
| Approved by CMS for: | WV Residents |
| Rx Plan Type: | Regional |
| Est. Regional Members: | 4377 |
2018 Medicare Prescription Medication Plan Overview
SecureRx - Option 3 (PDP) is an approved Medicare Prescription Drug Plan (Part D) for West Virginia seniors.
The annual premium is $765.60 ($63.80 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 Avalon Insurance Company formulary ID for this plan is 00012017, and it features 2676 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 SecureRx - Option 3:
- BlueRx Complete at $113.20 per month for West Virginia Seniors
- WellCare Classic at $38.50 per month for West Virginia Seniors
- First Health Part D Premier Plus at $95.10 per month for West Virginia Seniors
SecureRx - Option 3 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 SecureRx - Option 3 (PDP) plan in West Virginia is tiered as follows:
| Tier | Co-Pay Amount | Medications in Tier |
|---|---|---|
| 1 | $10.00 | 1888 Preferred Generics |
| 2 | $51.00 | 541 Non-Preferred Generics |
| 3 | 33% | 247 Preferred Brands |
| 4 | 0 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.
SecureRx - Option 3 (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 SecureRx - Option 3 (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 SecureRx - Option 3 policy is 4,377. In region 6 (your region) there are approximately 4,377 people with this policy (based on 2011 CMS statistics).
More Information About Avalon Insurance Company
Based in Harrisburg, Pa., Avalon Insurance Company is dedicated to the delivery of quality health-care plans and products. Through an approach based on simple, common-sense solutions, Avalon is able to consistently meet the unique needs of those we serve - from employers who need protection from the unexpected costs of significant medical events (Stop-Loss Coverage) to seniors who want to be able to afford prescription drugs when they need them (SecureRx).
The summary (overall) rating for this Avalon Insurance Company plan is 4.0 out of 5 based on reviews from 4377 user ratings from the previous year. For more information about the review process, visit http://cms.gov.