AARP MedicareRx Saver Plus, SC 2013 PDP
|Initial Coverage Limit:||$2,970.00|
|Gap Coverage:||No Gap Coverage|
|$0 Premium LIS Benefit:||Yes|
|Drugs in Formulary:||0|
|Drug Plan ID:||S5921-354|
|CMS Approved for:||SC Residents|
|Members in Region:||0|
PDP Plan Highlights
SC AARP MedicareRx Saver Plus (PDP) is an approved South Carolina Medicare Part D Plan. The UnitedHealthcare plan is based on formulary UNKNOWN with 0 drugs approved by the FDA. The annual premium is $180.00 ($15.00 monthly), and it carries a $325.00 deductible on all prescribed medications. The maximum deductible for 2013 is $325. This is regulated by CMS.
South Carolina seniors, several factors may increase or decrease this premium. For example, if you qualify for full or partial Extra Help, your premium could be lower. If you have a premium penalty (for late entry), your premium will be higher.
AARP MedicareRx Saver Plus Initial Coverage Phase
The Initial Coverage Phase (ICP) is your plan’s cost-sharing phase. During the ICP both you and your insurance provider share the cost of your prescription medications. This plan has a deductible, so your ICP does not start until the deductible has been paid.
Each medication is put into a tier within the plan’s formulary. This is simply a way for the insurer to manage cost-sharing. It’s important to note that every plan can put medications on any tier they deem suitable. This is not standardized, because it is based on cost and the various risk models used by the insurers.
If you choose AARP MedicareRx Saver Plus (PDP) your pharmacy co-pay in South Carolina will be tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||0 Preferred Generics|
|2||0 Non-Preferred Generics|
|3||0 Preferred Brand Drugs|
|4||0 Non-Preferred Brand Drugs|
|5||0 Specialty Drugs|
The Initial Coverage Limit (ICL) is $2,970.00. This policy does qualify for the full LIS benefit ($0.00 monthly premium).
Coverage Gap Phase
The Coverage Gap, also known as the Donut Hole is the phase of your Part D plan where you must pay all of your medication costs. Healthcare Reform offers some additional assistance. For 2012 your insurance carrier will pay 7% of your generic drug prescription costs for you while you are in the donut hole. Likewise, the brand-name drug pharmaceutical companies cover half (50%) of your brand-name drug prescription costs. These subsidies count toward your True Out of Pocket (TrOOP) costs.
Some Medicare Part D plans provide additional Coverage Gap assistance that covers you above and beyond the discounts mandated by the Healthcare Reform Act. It’s important to note that if you have prescriptions that are not covered under your plan’s Gap Coverage, you will still get the generic and brand name drug discounts listed above, even if the plan itself does not offer gap coverage.
The Gap Coverage with this policy: You must pay the $3727.50.
Nation wide, the number of seniors using the AARP MedicareRx Saver Plus policy is 0. In region 9 (your region) there are approximately 0 people with this policy (based on 2011 CMS statistics).
Facts About UnitedHealthcare
United Healthcare is an operating division of UnitedHealth Group, the largest single health carrier in the United States. UnitedHealth Group is a diversified managed health care company headquartered in Minnetonka, Minnesota, USA. They offer a spectrum of products and services through two operating businesses: United Healthcare and Optum.
Through its family of subsidiaries and divisions, UnitedHealth Group serves approximately 70 million individuals nationwide. In 2010, the company posted a net income of $4.6 billion.
Essential Information About Medicare Part D
Pharmacist arrangements are unique with each drug plan. Certain programs have stringent geographic limits, including state borders, while some provide nationwide pharmacy coverage. For those who have an active personal life that consists of regular traveling, it will help you to possess a policy that enables you to use drug stores in all states.
Medicare Part D plans use a specified service area. This is basically the area where the provider operates. To sign up, you have to reside in the plan’s services area. Be aware that nearly all carriers offer mail-order services. In this way it's possible to have your medications shipped directly to your home. Your advisor will assist you to look for a plan that suits your requirements, so don’t be reluctant to phone and inquire.
Each and every medical insurance provider sets its own rates. Payments pertaining to doctor prescribed drug plans can vary quite a bit, even to get equivalent coverage, therefore it will pay you to shop prior to choosing.
Insurance companies publicize new rates as well as other premium details each October. Make sure to take a look at and assess premiums every year prior to open enrollment.
Bear in mind that unless you register for a Medicare Part D insurance plan when you are eligible, your future monthly premiums will likely be higher. This late entry penalty is established by Medicare, not the insurance suppliers. Each month you wait following eligibility you will pay an additional 1% each month forever.