AARP MedicareRx Saver Plus, SC 2013 PDP

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Summary Rating:This Medicare drug plan has an average rating of 0.0
Premium:
$15.00
Deductible:$325.00
Initial Coverage Limit:$2,970.00
Mail Order:No
Gap Coverage:No Gap Coverage
$0 Premium LIS Benefit:Yes
Drugs in Formulary:0
Drug Plan ID:S5921-354
Plan Year:2013
CMS Approved for:SC Residents
Plan Type:National
Members in Region:0

PDP Plan Highlights

Healthy South Carolina Senior, Medicare Part D Plan: AARP MedicareRx Saver Plus (PDP) S5921-354SC 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 AmountMedications in Tier
10 Preferred Generics
20 Non-Preferred Generics
30 Preferred Brand Drugs
40 Non-Preferred Brand Drugs
50 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.

Plan Members

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 contracts will vary with every prescription drug program. Many plans have stringent geographic limits, that include state borders, while some give national coverage. If you have an active lifestyle which often includes regular traveling, it will benefit you to possess a policy that enables you to use drug stores in all states.

Medicare Part D plans have got a designated service area. It's the area in which the provider does business. To sign up, you must reside in the plan’s service area. Be aware that nearly all carriers provide mail-order support. Therefore you can have your medications shipped straight to your house. Your representative can help you find a program that suits what you need, so don’t be reluctant to simply call and inquire.

Each and every medical insurance provider establishes their own prices. Payments pertaining to approved drug plans vary widely, even to get equivalent coverage, so it will pay you to shop before you choose.

Insurance providers announce new fees as well as other premium information each October. Make sure to check and compare premiums annually prior to open enrollment.

Be aware that unless you sign up for a Medicare Part D policy as soon as you are eligible, your future payments will likely be higher. This late entry penalty is set by Medicare, not the insurance companies. Every month you wait after eligibility you will pay an extra 1% every month permanently.