Council on Aging Answers 2017 - 94

COUNCIL ON AGING - SOUTHERN CALIFORNIA

2017 Medicare Part D Stand-Alone Prescription Drug Plans
PLAN NAME

MONTHLY
PREMIUM

ANNUAL
COPAYMENTS AFTER DEDUCTIBLE HAS BEEN
DEDUCTIBLE MET AND PRIOR TO REACHING $3,310 IN FULL
DRUG COST

COVERAGE LOW INCOME QUALITY
IN GAP*
SUBSIDY RATING (OUT
PLAN
OF 5)

Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 Tier 6
AETNA MEDICARE
855-338-7030
aetnamedicare.com

Medicare Rx Saver

$32.10

$400

$1

$2

$30

38%

25%

N/A

No

MedicareRx Standard

$68.20

$400

$11

$17

$41

48%

25%

$5

No

4.0

MedicareRx Plus

$106.00

$0

$9

$17

$45

47%

33%

$5

Tiers 1, 6

4.0

MedicareRx Gold

$159.80

$0

$9

$17

$45

40%

33%

$9

Tiers 1-3, 6

4.0

Basic Plan

$82.40

$400

$8

$14

$47

30%

25%

25%

No

3.5

Enhanced Plan

$129.30

$0

$13

$17

$47

29%

25%

33%

No

3.5

EnvisionRxPlus

$53.90

$400

15%

17%

25%

50%

25%

N/A

No

3.0

EXPRESS SCRIPTS MEDICARE
866-477-5704
express-scripts.com

Value

$59.10

$400

$7

$12

$47

50%

25%

N/A

No

4.0

Choice

$91.40

$350**

$10

$20

25%

50%

26%

N/A

No

4.0

FIRST HEALTH PART D
855-389-9688
coventryhealthcare.com

Part D Value Plus

$42.30

$0

$10

$20

$47

50%

33%

N/A

Tiers 1, 2

3.5

Part D Premier Plus

$120.70

$0

$10

$20

$34

50%

33%

N/A

Tiers 1, 2, 4

3.5

Walmart Rx Plan

$17.00

$400**

$10

$20

25%

50%

25%

N/A

No

Preferred Rx Plan

$28.20

$400

$2

$3

24%

37%

25%

N/A

No

ANTHEM BLUE CROSS
800-261-8667
anthem.com/ca/medicare
BLUE SHIELD OF CALIFORNIA
800-488-8000
blueshieldca.com
ENVISIONRX PLUS
866-250-2005
envisionrxplus.com

HUMANA INSURANCE CO.
800-706-0872
humana.com/medicare
SILVERSCRIPT
866-552-6106
silverscript.com
UNITED HEALTHCARE ( AARP)
800-753-8004
uhcmedicaresolutions.com
WELLCARE
888-900-4307
wellcare.com/pdp

Yes

3.5

3.0
Yes

3.0

Yes

4.0

Enhanced

$71.10

$0

$7

$12

$47

50%

33%

N/A

Tiers 3, 4

Choice

$29.90

$0

$3

$17

$47

48%

33%

N/A

No

3.0

Plus

$83.70

$0

$10

$20

$47

50%

33%

N/A

Tiers 1, 2

4.0

MedicareRx Walgreens

$22.40

$400**

$15

$18

$47

33%

25%

N/A

No

2.5

Symphonix Value Rx

$30.60

$400

$3

$4

$26

33%

25%

N/A

No

Yes

2.5

MedicareRx Saver Plus

$33.40

$400

$3

$6

$31

36%

25%

N/A

No

Yes

3.0

MedicareRx Preferred

$86.00

$0

$8

$15

$38

43%

33%

N/A

No

Classic

$34.90

$400**

$0

$14

$46

48%

25%

N/A

No

Yes

2.5

Extra

$67.50

$0

$0

$8

$31

45%

33%

N/A

No

3.5

2.5

*During the coverage gap, plans may cover all or only some drugs within the tiers listed.
**Deductible may not apply to all tiers.
Copayments are based on a one-month supply of a covered Part D prescription drug from a non-preferred pharmacy. Preferred pharmacy prices may be lower.
Quality Rating is based on a combination of member satisfaction, problems with plan and complaints.
Tier 1 = Preferred Generics; Tier 2 = Non-Preferred Generics; Tier 3 = Preferred Brands; Tier 4 = Non-Preferred Brands; Tier 5 = Specialty; Tier 6 = Select Care

CONFUSED BY MEDICARE?
HICAP CAN HELP! CALL US AT 800-434-0222
HICAP is a free service to help maximize your health and drug benefits.
Council on Aging-Orange County
1971 E. 4th Street, Suite 200, Santa Ana, CA 92705 | www.coaoc.org

94

Answers Guide 2017	

THE INFORMATION ON THESE CHARTS IS SUBJECT TO CHANGE. Contact the plan to verify information.

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help
with
accessing
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via our
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INCLUSION
NOTliable
IMPLYfor
A RECOMMENDATION
OR ENDORSEMENT
OF but
PRODUCTS
OR SERVICES
BY COASC.the
ALWAYS
A VIGILANT
CONSUMER. VERIFY
INFORMATION
AND SEEKat
REFERENCES
WHERE APPROPRIATE.

http://www.aetnamedicare.com http://www.anthem.com/ca/medicare http://www.blueshieldca.com http://www.envisionrxplus.com http://www.express-scripts.com http://www.coventryhealthcare.com http://www.humana.com/medicare http://www.silverscript.com http://www.uhcmedicaresolutions.com http://www.wellcare.com/pdp http://www.coaoc.org

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