2015 Medicare Prescription Plans in Delaware county Pennsylvania



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The 2018 Medicare Part D Plans in Delaware County Pennsylvania.



2015 Medicare Part-D Plans in Delaware county Pennsylvania

There are 26 Medicare Part-D Plans available in Delaware County from 12 different health insurance providers. You can choose from 7 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $15 and the highest monthly premium is $151. The highest rated PDP available in Delaware County received a 4 overall star rating from CMS and the lowest rated plan is 2.5 stars.

(Click the Plan Name for More Details)

Plan Name Type Monthly
Premium
Deductible Gap  Full LIS Plan Rating Formulary
Return to Counties In Pennsylvania
AARP MedicareRx Preferred (PDP)
(S5820-005)
Enhanced $49.70 $0 No NoBrowse
Formulary
AARP MedicareRx Saver Plus (PDP)
(S5921-351)
Basic $33.00 $320.00 No YesBrowse
Formulary
Aetna Medicare Rx Premier (PDP)
(S5810-176)
Enhanced $126.00 $0 Yes NoBrowse
Formulary
Aetna Medicare Rx Saver (PDP)
(S5810-040)
Basic $29.60 $320.00 No YesBrowse
Formulary
Blue Rx Complete (PDP)
(S5593-003)
Enhanced $151.80 $0 Yes NoBrowse
Formulary
Blue Rx Plus (PDP)
(S5593-002)
Basic $80.40 $320.00 No NoBrowse
Formulary
Cigna-HealthSpring Rx Secure (PDP)
(S5617-215)
Basic $32.90 $320.00 No YesBrowse
Formulary
Cigna-HealthSpring Rx Secure-Max (PDP)
(S5617-176)
Enhanced $124.50 $0 Yes NoBrowse
Formulary
Cigna-HealthSpring Rx Secure-Xtra (PDP)
(S5617-251)
Enhanced $35.80 $0 No NoBrowse
Formulary
EnvisionRxPlus Silver (PDP)
(S7694-006)
Basic $35.00 $320.00 No YesBrowse
Formulary
Express Scripts Medicare - Choice (PDP)
(S5660-176)
Enhanced $93.40 $50.00 No NoBrowse
Formulary
Express Scripts Medicare - Value (PDP)
(S5660-108)
Basic $34.70 $320.00 No YesBrowse
Formulary
First Health Part D Premier Plus (PDP)
(S5768-165)
Enhanced $98.20 $0 Yes NoBrowse
Formulary
First Health Part D Value Plus (PDP)
(S5768-129)
Enhanced $38.90 $250.00 No NoBrowse
Formulary
Humana Enhanced (PDP)
(S5884-005)
Enhanced $49.80 $0 Yes NoBrowse
Formulary
Humana Preferred Rx Plan (PDP)
(S5884-104)
Basic $29.00 $320.00 No YesBrowse
Formulary
Humana Walmart Rx Plan (PDP)
(S5884-152)
Enhanced $15.70 $320.00 No NoBrowse
Formulary
SilverScript Choice (PDP)
(S5601-012)
Basic $22.00 $0 No YesBrowse
Formulary
SilverScript Plus (PDP)
(S5601-013)
Enhanced $84.70 $0 Yes NoBrowse
Formulary
Transamerica MedicareRx Choice (PDP)
(S9579-038)
Enhanced $44.20 $0 No NoBrowse
Formulary
Transamerica MedicareRx Classic (PDP)
(S9579-005)
Basic $35.10 $320.00 No NoBrowse
Formulary
United American - Enhanced (PDP)
(S5755-009)
Enhanced $71.20 $40.00 Yes NoBrowse
Formulary
United American - Essential (PDP)
(S5755-111)
Enhanced $29.90 $230.00 No NoBrowse
Formulary
United American - Select (PDP)
(S5755-077)
Basic $37.60 $320.00 No NoBrowse
Formulary
WellCare Classic (PDP)
(S5967-143)
Basic $32.50 $320.00 No YesBrowse
Formulary
WellCare Extra (PDP)
(S5967-178)
Enhanced $58.40 $0 No NoBrowse
Formulary


Medicare Advantage Plans in Delaware county Pennsylvania

Plan Name Type Premium C+D Part D
Deductible
 Gap   Max Out of Pocket Overall Rating Formulary
Advantra Gold (PPO)
(H5522-014)
Local PPO $98.00 $0.00 No $6,700 Browse
Formulary
Advantra Silver (HMO)
(H3959-031)
Local HMO $0.00 $0.00 No $6,700 Browse
Formulary
Aetna Medicare Basic Plan (HMO)
(H3931-055)
Local HMO * $25.00 $6,700
Aetna Medicare Premier Plan (HMO)
(H3931-004)
Local HMO $185.00 $0.00 No $6,700 Browse
Formulary
Aetna Medicare Standard Plan (HMO)
(H3931-064)
Local HMO $70.00 $115.00 No $6,700 Browse
Formulary
Cigna-HealthSpring Preferred (HMO)
(H3949-029)
Local HMO $29.50 $280.00 No $6,700 Browse
Formulary
Cigna-HealthSpring Preferred Plus (HMO)
(H3949-013)
Local HMO $140.50 $200.00 No $6,700 Browse
Formulary
Erickson Advantage Freedom (HMO-POS)
(H5652-006)
Local HMO $48.00 $0.00 No $3,400 Browse
Formulary
Erickson Advantage Signature with Drugs (HMO-POS)
(H5652-001)
Local HMO $189.00 $0.00 No $5,000 Browse
Formulary
Erickson Advantage Signature without Drugs (HMO-POS)
(H5652-002)
Local HMO * $149.00 $5,000
Geisinger Gold Reserve (MSA)
(H8468-001)
MSA * N/A
Humana Gold Choice H8145-053 (PFFS)
(H8145-053)
PFFS $195.00 $0.00 Yes N/A Browse
Formulary
Humana Gold Plus H6859-004 (HMO)
(H6859-004)
Local HMO $0.00 $200.00 Yes $6,700 Too NewBrowse
Formulary
HumanaChoice H5525-005 (PPO)
(H5525-005)
Local PPO $65.00 $320.00 Yes $6,700 Browse
Formulary
HumanaChoice R5826-002 (Regional PPO)
(R5826-002)
Regional PPO $97.00 $320.00 No $6,700 Browse
Formulary
HumanaChoice R5826-062 (Regional PPO)
(R5826-062)
Regional PPO * $0.00 $3,400
Keystone 65 Preferred Medical Only (HMO)
(H3952-044)
Local HMO * $194.00 $5,000
Keystone 65 Preferred Rx (HMO)
(H3952-045)
Local HMO $263.00 $0.00 No $5,000 Browse
Formulary
Keystone 65 Select Medical Only (HMO)
(H3952-050)
Local HMO * $25.00 $6,700
Keystone 65 Select Rx (HMO)
(H3952-051)
Local HMO $64.00 $320.00 No $6,700 Browse
Formulary
Personal Choice 65 Rx (PPO)
(H3909-009)
Local PPO $113.00 $320.00 No $6,700 Browse
Formulary


Medicare Special Needs Plans in Delaware county Pennsylvania

Plan Name Type Consolidated
Premium C+D
Part D
Deductible
 Gap   Special Needs
Type
Overall Rating Formulary
Advantra Cares (HMO SNP)
(H3959-035)
Local HMO $33.90 $320.00   No  Dual-EligibleBrowse
Formulary
Cigna-HealthSpring Achieve (HMO SNP)
(H3949-024)
Local HMO $28.50 $280.00   No  Chronic or Disabling ConditionBrowse
Formulary
Cigna-HealthSpring TotalCare (HMO SNP)
(H3949-009)
Local HMO $25.40 $320.00   No  Dual-EligibleBrowse
Formulary
Cigna-HealthSpring Traditions (HMO SNP)
(H3949-016)
Local HMO $33.90 $320.00   No  InstitutionalBrowse
Formulary
Erickson Advantage Champion (HMO-POS SNP)
(H5652-004)
Local HMO $189.00 $0.00   No  Chronic or Disabling ConditionBrowse
Formulary
Erickson Advantage Guardian (HMO-POS SNP)
(H5322-019)
Local HMO $0.00 $0.00   No  InstitutionalToo NewBrowse
Formulary
Gateway Health Medicare Assured Diamond (HMO SNP)
(H5932-001)
Local HMO $33.90 $320.00   No  Dual-EligibleBrowse
Formulary
Gateway Health Medicare Assured Gold (HMO SNP)
(H5932-007)
Local HMO $46.30 $0.00   No  Chronic or Disabling ConditionBrowse
Formulary
Gateway Health Medicare Assured Platinum (HMO SNP)
(H5932-008)
Local HMO $77.80 $0.00   No  Chronic or Disabling ConditionBrowse
Formulary
Gateway Health Medicare Assured Ruby (HMO SNP)
(H5932-009)
Local HMO $33.90 $320.00   No  Dual-EligibleBrowse
Formulary
Keystone VIP Choice (HMO SNP)
(H4227-001)
Local HMO $33.90 $320.00   No  Dual-EligibleNABrowse
Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H3912-001)
Local PPO $27.80 $320.00   No  InstitutionalBrowse
Formulary


Source: CMS. Plans as of September 2, 2014. Plans are subject to change as contracts are finalized. Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescrition Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

* Plan Type Indicates plan does not offer Part D drug coverage.

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type

Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.

GAP

In 2015 once you and your plan provider have spent $2,960 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

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