2014 Medicare Prescription Plans in Schuylkill county Pennsylvania



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The 2018 Medicare Part D Plans in Schuylkill County Pennsylvania.



2014 Medicare Part-D Plans in Schuylkill county Pennsylvania



(Click the Plan Name for More Details)
Plan Name Type Monthly Premium Deductible Gap Full LIS Plan Rating
Return to Counties In Pennsylvania
AARP MedicareRx Enhanced (PDP)
(S5921-093)
Enhanced $92.10 $0 Some Generics, Some Brands No
AARP MedicareRx Preferred (PDP)
(S5820-005)
Enhanced $41.70 $0 No Gap Coverage No
AARP MedicareRx Saver Plus (PDP)
(S5921-351)
Basic $25.50 $310.00 No Gap Coverage Yes
Aetna CVS/pharmacy Prescription Drug Plan (PDP)
(S5810-040)
Basic $35.70 $310.00 No Gap Coverage Yes
Aetna Medicare Rx Premier (PDP)
(S5810-176)
Enhanced $127.40 $0 Few Generics No
AmeriHealth Rx Option I (PDP)
(S2321-005)
Basic $73.50 $290.00 No Gap Coverage No
AmeriHealth Rx Option II (PDP)
(S2321-002)
Enhanced $169.00 $0 Many Generics No
Blue Rx Complete (PDP)
(S5593-003)
Enhanced $130.80 $0 Many Generics No
Blue Rx Plus (PDP)
(S5593-002)
Basic $74.30 $310.00 No Gap Coverage No
Cigna Medicare Rx Secure (PDP)
(S5617-215)
Basic $33.20 $310.00 No Gap Coverage Yes
Cigna Medicare Rx Secure-Max (PDP)
(S5617-176)
Enhanced $116.10 $0 Many Generics, Some Brands No
Cigna Medicare Rx Secure-Xtra (PDP)
(S5617-251)
Enhanced $62.90 $0 No Gap Coverage No
Cigna-HealthSpring Rx -Reg 6 (PDP)
(S5932-006)
Basic $33.60 $310.00 No Gap Coverage Yes
EnvisionRxPlus Silver (PDP)
(S7694-006)
Basic $37.30 $310.00 No Gap Coverage Yes
Express Scripts Medicare - Choice (PDP)
(S5660-176)
Enhanced $80.50 $0 No Gap Coverage No
Express Scripts Medicare - Value (PDP)
(S5660-108)
Basic $32.20 $310.00 No Gap Coverage Yes
First Health Part D Essentials (PDP)
(S5768-009)
Basic $50.30 $310.00 No Gap Coverage No
First Health Part D Premier Plus (PDP)
(S5670-036)
Enhanced $99.60 $0 Some Generics, Some Brands No
First Health Part D Value Plus (PDP)
(S5768-129)
Enhanced $40.20 $0 No Gap Coverage No
HealthMarkets Value Rx (PDP)
(S0128-007)
Basic $33.30 $310.00 No Gap Coverage YesToo New
Humana Enhanced (PDP)
(S5884-005)
Enhanced $46.10 $0 Few Brands No
Humana Preferred Rx Plan (PDP)
(S5884-104)
Basic $22.80 $310.00 No Gap Coverage Yes
Humana Walmart Rx Plan (PDP)
(S5884-152)
Enhanced $12.60 $310.00 No Gap Coverage No
MedicareRx Rewards Standard (PDP)
(S5960-112)
Basic $48.60 $310.00 No Gap Coverage No
SecureAdvantage Rx - Option 1 (PDP)
(S9014-003)
Basic $35.60 $310.00 No Gap Coverage YesToo New
SecureAdvantage Rx - Option II (PDP)
(S9014-004)
Enhanced $72.90 $0 Many Generics NoToo New
SecureRx - Option 1 (PDP)
(S8067-003)
Enhanced $121.30 $0 No Gap Coverage No
SecureRx - Option 3 (PDP)
(S8067-001)
Basic $64.30 $0 No Gap Coverage No
Transamerica MedicareRx Choice (PDP)
(S9579-038)
Enhanced $55.20 $0 No Gap Coverage No
Transamerica MedicareRx Classic (PDP)
(S9579-005)
Basic $45.20 $310.00 No Gap Coverage No
United American - Enhanced (PDP)
(S5755-009)
Enhanced $66.90 $80.00 No Gap Coverage No
United American - Select (PDP)
(S5755-077)
Basic $34.20 $310.00 No Gap Coverage Yes
WellCare Classic (PDP)
(S5967-143)
Basic $23.10 $0 No Gap Coverage Yes
WellCare Extra (PDP)
(S5967-178)
Enhanced $57.00 $0 No Gap Coverage No


Medicare Advantage Plans in Schuylkill county Pennsylvania

Plan Name Type Premium C+D Part D
Deductible
Drug Benefit Type Gap Max Out of Pocket Overall Rating
Advantra Elite (PPO)
(H5522-008)
Local PPO $0 $0 Enhanced No Gap Coverage $6,700
Advantra Gold (HMO)
(H3959-037)
Local HMO $0 $0 Enhanced Some Generics $6,300
Advantra Gold (PPO)
(H5522-002)
Local PPO $99.00 $0 Enhanced Some Generics $6,500
Advantra Silver (HMO)
(H3959-011)
Local HMO $0 $0 Enhanced No Gap Coverage $6,700
Advantra Silver (PPO)
(H5522-004)
Local PPO $0 $0 Enhanced No Gap Coverage $6,700
Advantra Silver Plus (PPO)
(H5522-013)
Local PPO $49.00 $0 Enhanced No Gap Coverage $6,700
Aetna Medicare Basic Plan (HMO)
(H3931-054)
Local HMO * $0 $6,700
Aetna Medicare Premier Plan (PPO)
(H5521-012)
Local PPO $141.00 $0 Enhanced Few Generics $6,700
Aetna Medicare Standard Plan (HMO)
(H3931-070)
Local HMO $61.00 $0 Enhanced Few Generics $6,700
Freedom Blue PPO Deluxe (PPO)
(H3916-005)
Local PPO $219.00 $0 Enhanced Many Generics $6,700
Freedom Blue PPO HD Rx (PPO)
(H3916-025)
Local PPO $0 $0 Enhanced No Gap Coverage $6,700
Freedom Blue PPO Standard (PPO)
(H3916-015)
Local PPO $172.00 $0 Enhanced No Gap Coverage $6,700
Freedom Blue PPO Value (PPO)
(H3916-012)
Local PPO * $30.00 $6,700
Freedom Blue PPO ValueRx (PPO)
(H3916-018)
Local PPO $31.00 $0 Enhanced No Gap Coverage $6,700
Geisinger Gold Classic 1 $0 Deductible Rx (HMO)
(H3954-021)
Local HMO $156.00 $0 Enhanced Few Generics $2,800
Geisinger Gold Classic 1 (HMO)
(H3954-003)
Local HMO * $118.00 $2,800
Geisinger Gold Classic 3 $0 Deductible Rx (HMO)
(H3954-100)
Local HMO $41.00 $0 Enhanced Few Generics $2,250
Geisinger Gold Classic 3 (HMO)
(H3954-098)
Local HMO * $0 $2,250
Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS)
(H3954-141)
Local HMO $110.00 $0 Enhanced Few Generics $4,300
Geisinger Gold Classic Plus (HMO-POS)
(H3954-140)
Local HMO * $70.00 $4,300
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO)
(H3924-003)
Local PPO $157.00 $0 Enhanced Few Generics $3,400
Geisinger Gold Preferred 1 (PPO)
(H3924-001)
Local PPO * $105.00 $3,400
Geisinger Gold Preferred 2 $0 Deductible Rx (PPO)
(H3924-048)
Local PPO $65.00 $0 Enhanced Few Generics $3,900
Geisinger Gold Preferred 2 (PPO)
(H3924-047)
Local PPO * $28.00 $3,900
Geisinger Gold Reserve (MSA)
(H8468-001)
MSA * NA
Humana Gold Choice H8145-053 (PFFS)
(H8145-053)
PFFS $197.00 $0 Enhanced Few Generics, Few Brands N/A
HumanaChoice H5525-007 (PPO)
(H5525-007)
Local PPO $41.00 $0 Enhanced Few Generics, Few Brands $6,700
HumanaChoice R5826-002 (Regional PPO)
(R5826-002)
Regional PPO $88.00 $0 Enhanced Few Generics, Few Brands $5,900
HumanaChoice R5826-062 (Regional PPO)
(R5826-062)
Regional PPO * $0 $3,400
HumanaChoice R5826-081 (Regional PPO)
(R5826-081)
Regional PPO $78.00 $310.00 Basic No Gap Coverage $6,700
SeniorBlue - Option 1 (HMO)
(H3962-001)
Local HMO $182.40 $0 Enhanced Many Generics $3,400
SeniorBlue - Option 1 (PPO)
(H3923-017)
Local PPO $193.40 $0 Enhanced No Gap Coverage $3,400
SeniorBlue - Option 2 (HMO)
(H3962-004)
Local HMO $135.40 $0 Enhanced No Gap Coverage $3,400
SeniorBlue - Option 2 (PPO)
(H3923-013)
Local PPO $78.60 $0 Enhanced No Gap Coverage $3,400
SeniorBlue - Option 3 (HMO)
(H3962-007)
Local HMO $0 $0 Enhanced No Gap Coverage $3,400
Today's Options Premier 200 (PFFS)
(H2816-026)
PFFS * $110.00 N/A
Today's Options Premier 900 (PFFS)
(H2816-010)
PFFS * $59.00 N/A
Today's Options Premier Plus 350A (PFFS)
(H2816-028)
PFFS $162.00 $0 Enhanced No Gap Coverage N/A
Today's Options Premier Plus 950F (PFFS)
(H2816-022)
PFFS $105.00 $120.00 Basic No Gap Coverage N/A


Medicare Special Needs Plans in Schuylkill county Pennsylvania

Plan Name Type Consolidated Premium C+D Part D
Deductible
Gap Special Needs Type Overall Rating
Advantra Cares (HMO SNP)
(H3959- 036)
Local HMO $35.50 $310.00 No Gap Coverage Dual-Eligible
Gateway Health Medicare Assured Ruby (HMO SNP)
(H5932- 009)
Local HMO $32.70 $310.00 No Gap Coverage Dual-Eligible
Gateway Health Medicare Assured Gold (HMO SNP)
(H5932- 007)
Local HMO $34.20 $0 No Gap Coverage Chronic or Disabling Condition
Gateway Health Medicare Assured Platinum (HMO SNP)
(H5932- 008)
Local HMO $56.40 $0 No Gap Coverage Chronic or Disabling Condition
Gateway Health Medicare Assured Diamond (HMO SNP)
(H5932- 001)
Local HMO $35.50 $310.00 No Gap Coverage Dual-Eligible
Geisinger Gold Secure 1 (HMO SNP)
(H3954- 097)
Local HMO $35.50 $310.00 No Gap Coverage Dual-Eligible


Source: CMS.

Plans as of September 3, 2013.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.



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

Coverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.

Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:

  • All: 100% of formulary drugs are covered through the gap
  • Many: 65% to 100% of formulary drugs are covered through the gap
  • Some: 10% to 65 % of formulary drugs are covered through the gap
  • Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
  • No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
  • All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)

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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