Council on Aging Senior Guide 2013 - 112

COUNCIL ON AGING ORANGE COUNTY

2013 MEDICARE DRUG PLAN (PDP) COMPARISON CHART
HOW TO READ THE CHART
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  —O HI1-800-434-0
2 3 4 5 6 7 8 9

Company Name Phone number Website

Plan Name

Monthly Drug Premium

$0 Premium with Full LowIncome Subsidy?

Annual Drug Deductible

Amounts You Pay for Each, One Month Supply of Prescriptions

Type of Additional Drug Coverage Offered in the Gap
No Gap Coverage Some Generics

Contract ID

Plan ID

Example Ins. Co. 888-555-0000 examplerxplans.com

Example MedicareRx Basic (PDP) Example MedicareRx Plus (PDP)

$20.00

Yes

$320

Copay / Coinsurance $4 - $90 / 33% Copay / Coinsurance $4 - $50 / 33%

S5555

001

$50.00
5

$0

S5555

002

1

Shows the name of the organization that contracts with Medicare. Use this contact information to reach the plan for more details about their benefits. Shows the different plans offered by companies that contract with Medicare. Companies may offer one to three plan options, each with different benefits and costs. Monthly Premium: Amount you pay each month for coverage, in addition to the Medicare Part B premium. You must have Parts A &/or B to enroll in Medicare Part D. Individuals with limited income and resources may be eligible for a program known as the Low Income Subsidy. If qualified you may have the Part D premium reduced or waived.

The Annual Drug Deductible is the amount a plan member would have to spend on medications prior to entering the initial coverage level. This is the amount you have to pay for each prescription after meeting the deductible. Most plans offer different drug levels or “tiers” with different costs. Some plans offer coverage in the donut hole. Once your medication costs total $2,970 you will enter the donut hole & may get a 52.5% discount on brand meds and 21% on generics.

THE 2013 STANDARD PART D DRUG BENEFIT Deductible Initial Coverage Limit (Entering the donut hole) Out-of-Pocket Threshold (Entering the Catastrophic Period) Min. cost-sharing per one month supply of prescriptions during Catastrophic Period $325 $2,970 $4,750 $2.65 for Gen. $6.60 for Brand

2

6

3

7

4

8

Items 8 & 9 are the ID numbers that differentiate all the plans. Some companies offer more 9 than one plans and it is important to identify the correct one by the ID, when enrolling.

Note: This chart displays the 2013 standard Part D drug benefit. All Medicare drug plans must offer at least the standard level of coverage. Plans can be flexible in their benefit design therefore, it is important you call the plan to verify coverage details before enrolling.

2013 MEDICARE DRUG PLAN (PDP) COMPARISON CHART
Company Name Phone number Website Plan Name Monthly Drug Premium $0 Premium with Full LowIncome Subsidy? Annual Drug Deductible Amounts You Pay for Each, One Month Supply of Prescriptions Type of Additional Drug Coverage Offered in the Gap
No Gap Coverage

Contract ID

Plan ID

Aetna Medicare 800-832-2640 aetnamedicare.com

Aetna CVS/pharmacy Prescription Drug Plan (PDP) Aetna Medicare Rx Premier (PDP) Blue Cross MedicareRx Standard (PDP) Blue Cross MedicareRx Plus (PDP) Blue Cross MedicareRx Gold (PDP)

$28.60

Yes

$325

Copay / Coinsurance $2 - $45 / 25% - 47%

S5810

066

$118.40

No

$0

Copay / Many Generics/ Coinsurance $5- $45 / 33%-49% Some Brands Copay / Coinsurance $2 - $85 / 25% Copay / Coinsurance $2 - $95 / 33% Copay / Coinsurance $2 - $95 / 33% Copay / Coinsurance $4 - $76 / 25% Copay / Coinsurance $5- $90 / 25%-33% Copay / Coinsurance $0 - $70 / 25% No Gap Coverage Few Generics Many Generics/ Some Brands No Gap Coverage No Gap Coverage No Gap Coverage

S5810

202

Anthem Blue Cross Blue MedicareRx 800-261-8667 anthem.com/ca/medicare

$41.30

No

$325

S5596

033

$76.80

No

$0

S5596

034

$113.00

No

$0

S5596

035

Blue Shield of California Blue Shield Medicare Basic Plan (PDP) 800-488-8000 blueshieldca.com CIGNA Medicare Rx 800-735-1459 cignamedicarerx.com Blue Shield Medicare Enhanced Plan (PDP) CIGNA Medicare Rx Plan One (PDP)

$53.40

No

$325

S2468

003

$72.50

No

$0

S2468

004

$55.80

No

$325

S5617

158

112

Senior Guide OC 2013

COUNCIL ON AGING-ORANGE COUNTY (COAOC)SUBJECT TO CHANGE. ThisAging and Disability FREE OF COST, WE MUST SELL ADVERTISING|SPACE. WHILE WE APPRECIATE THE PAIDConsumers needGUIDE, THEIR THE INFORMATION ON THESE CHARTS IS IS A 501 (C) 3 NONPROFIT CORPORATION. TOthe most current available from the CenterConnection 800-510-2020 | www.adrcoc.org this information is DISTRIBUTE THE GUIDE Resource for Medicare and Medicaid Services on the date of publication. LISTINGS IN THE to verify INCLUSION DOES NOT IMPLY A RECOMMENDATIONare frequently made.OF PRODUCTS OR SERVICE BY COAOC. ALWAYScanA VIGILANT CONSUMER. VERIFY INFORMATION ANDvia our HICAP program 1-800-434-0222. information at www.medicare.gov as updates OR ENDORSEMENT COAOC is not responsible for these changes but BE help with accessing the most current information SEEK REFERENCES WHERE APPROPRIATE.
http://www.aetnamedicare.com http://www.anthem.com/ca/medicare http://www.blueshieldca.com http://www.cignamedicarerx.com http://www.medicare.gov
Council on Aging Senior Guide 2013

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