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The 2017 Medicare Part D Plans in Worcester County Massachusetts.
2014 Medicare Part-D Plans in Worcester county Massachusetts
(Click the Plan Name for More Details)
| Plan Name | Type | Monthly Premium | Deductible | Gap | Full LIS | Plan Rating |
| Return to Counties In Massachusetts | ||||||
| AARP MedicareRx Enhanced (PDP) (S5921-183) |
Enhanced | $100.70 | $0 | Some Generics, Some Brands | No | |
| AARP MedicareRx Preferred (PDP) (S5820-002) |
Enhanced | $40.60 | $0 | No Gap Coverage | No | |
| AARP MedicareRx Saver Plus (PDP) (S5921-348) |
Basic | $21.50 | $310.00 | No Gap Coverage | Yes | |
| Aetna CVS/pharmacy Prescription Drug Plan (PDP) (S5810-036) |
Basic | $26.30 | $310.00 | No Gap Coverage | Yes | |
| Aetna Medicare Rx Premier (PDP) (S5810-172) |
Enhanced | $120.50 | $0 | Few Generics | No | |
| Blue MedicareRx Premier (PDP) (S2893-003) |
Enhanced | $99.70 | $0 | Many Generics, Few Brands | No | |
| Blue MedicareRx Value Plus (PDP) (S2893-001) |
Basic | $33.30 | $225.00 | No Gap Coverage | No | |
| Cigna Medicare Rx Secure (PDP) (S5617-008) |
Basic | $27.60 | $310.00 | No Gap Coverage | Yes | |
| Cigna Medicare Rx Secure-Max (PDP) (S5617-172) |
Enhanced | $113.80 | $0 | Many Generics, Some Brands | No | |
| Cigna Medicare Rx Secure-Xtra (PDP) (S5617-247) |
Enhanced | $58.20 | $0 | No Gap Coverage | No | |
| Cigna-HealthSpring Rx -Reg 2 (PDP) (S5932-003) |
Basic | $33.40 | $310.00 | No Gap Coverage | No | |
| EnvisionRxPlus Silver (PDP) (S7694-002) |
Basic | $48.80 | $310.00 | No Gap Coverage | No | |
| Express Scripts Medicare - Choice (PDP) (S5660-206) |
Enhanced | $49.50 | $0 | No Gap Coverage | No | |
| Express Scripts Medicare - Value (PDP) (S5660-105) |
Basic | $44.20 | $310.00 | No Gap Coverage | No | |
| First Health Part D Essentials (PDP) (S5768-038) |
Basic | $48.40 | $310.00 | No Gap Coverage | No | |
| First Health Part D Premier Plus (PDP) (S5674-011) |
Enhanced | $99.30 | $0 | Some Generics, Some Brands | No | |
| First Health Part D Value Plus (PDP) (S5768-126) |
Enhanced | $45.90 | $0 | No Gap Coverage | No | |
| HealthMarkets Value Rx (PDP) (S0128-004) |
Basic | $25.30 | $310.00 | No Gap Coverage | Yes | Too New |
| Humana Enhanced (PDP) (S5884-002) |
Enhanced | $46.90 | $0 | Few Brands | No | |
| Humana Preferred Rx Plan (PDP) (S5884-102) |
Basic | $22.80 | $310.00 | No Gap Coverage | Yes | |
| Humana Walmart Rx Plan (PDP) (S5884-149) |
Enhanced | $12.60 | $310.00 | No Gap Coverage | No | |
| MedicareRx Rewards Standard (PDP) (S5960-108) |
Basic | $51.10 | $310.00 | No Gap Coverage | No | |
| Transamerica MedicareRx Choice (PDP) (S9579-035) |
Enhanced | $51.70 | $0 | No Gap Coverage | No | |
| Transamerica MedicareRx Classic (PDP) (S9579-002) |
Basic | $40.90 | $310.00 | No Gap Coverage | No | |
| United American - Enhanced (PDP) (S5755-006) |
Enhanced | $61.20 | $120.00 | No Gap Coverage | No | |
| United American - Select (PDP) (S5755-074) |
Basic | $38.80 | $310.00 | No Gap Coverage | No | |
| WellCare Classic (PDP) (S5967-139) |
Basic | $22.30 | $0 | No Gap Coverage | Yes | |
| WellCare Extra (PDP) (S5967-174) |
Enhanced | $50.90 | $0 | No Gap Coverage | No |
Medicare Advantage Plans in Worcester county Massachusetts
| Plan Name | Type | Premium C+D | Part D Deductible |
Drug Benefit Type | Gap | Max Out of Pocket | Overall Rating |
| AARP MedicareComplete Choice (Regional PPO) (R7444-001) |
Regional PPO | $30.00 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Fallon Senior Plan Plus Enhanced RX (HMO) (H9001-031) |
Local HMO | $226.00 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Fallon Senior Plan Saver (HMO) (H9001-029) |
Local HMO * | $44.00 | $6,700 | ||||
| Fallon Senior Plan Saver Enhanced Rx (HMO-POS) (H9001-013) |
Local HMO | $69.00 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Fallon Senior Plan Standard (HMO) (H9001-001) |
Local HMO * | $116.00 | $6,700 | ||||
| Fallon Senior Plan Standard Enhanced Rx (HMO) (H9001-015) |
Local HMO | $167.00 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Fallon Senior Plan Super Saver Rx (HMO) (H9001-032) |
Local HMO | $0 | $310.00 | Enhanced | No Gap Coverage | $6,700 | |
| Medicare HMO Blue PlusRx (HMO) (H2261-005) |
Local HMO | $167.00 | $120.00 | Enhanced | No Gap Coverage | $3,400 | |
| Medicare HMO Blue ValueRx (HMO) (H2261-019) |
Local HMO | $26.00 | $310.00 | Enhanced | No Gap Coverage | $3,400 | |
| Medicare PPO Blue PlusRx (PPO) (H2230-002) |
Local PPO | $124.00 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Medicare PPO Blue SaverRx (PPO) (H2230-017) |
Local PPO | $0 | $310.00 | Enhanced | No Gap Coverage | $6,700 | |
| Medicare PPO Blue ValueRx (PPO) (H2230-016) |
Local PPO | $51.00 | $310.00 | Enhanced | No Gap Coverage | $3,400 | |
| Stride (HMO) (H1660-004) |
Local HMO | $163.00 | $0 | Enhanced | Many Generics | $3,400 | Too New |
| Tufts Medicare Preferred HMO Basic No Rx (HMO) (H2256-041) |
Local HMO * | $30.00 | $3,400 | ||||
| Tufts Medicare Preferred HMO Basic Rx (HMO) (H2256-036) |
Local HMO | $66.10 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Tufts Medicare Preferred HMO Prime No Rx (HMO) (H2256-039) |
Local HMO * | $145.00 | $3,400 | ||||
| Tufts Medicare Preferred HMO Prime Rx (HMO) (H2256-033) |
Local HMO | $181.10 | $0 | Enhanced | No Gap Coverage | $3,400 | |
| Tufts Medicare Preferred HMO Saver Rx (HMO) (H2256-028) |
Local HMO | $0 | $0 | Enhanced | No Gap Coverage | $6,700 | |
| Tufts Medicare Preferred HMO Value No Rx (HMO) (H2256-040) |
Local HMO * | $106.00 | $3,400 | ||||
| Tufts Medicare Preferred HMO Value Rx (HMO) (H2256-034) |
Local HMO | $142.10 | $0 | Enhanced | No Gap Coverage | $3,400 |
Medicare Special Needs Plans in Worcester county Massachusetts
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| NaviCare (HMO SNP) (H9001- 019) |
Local HMO | $28.00 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Senior Whole Health (HMO SNP) (H2224- 001) |
Local HMO | $28.00 | $310.00 | Call plan for details | Dual-Eligible | |
| Senior Whole Health NHC (HMO SNP) (H2224- 003) |
Local HMO | $28.00 | $310.00 | Call plan for details | Dual-Eligible | |
| Tufts Health Plan Senior Care Options (HMO SNP) (H2256- 029) |
Local HMO | $22.50 | $310.00 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (PPO SNP) (H2228- 001) |
Local PPO | $26.00 | $310.00 | No Gap Coverage | Institutional | |
| UnitedHealthcare Senior Care Options (HMO SNP) (H2226- 001) |
Local HMO | $13.50 | $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 TypeEnhanced 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.
GAPCoverage 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
