2014 First Health Part D Premier Plus (PDP) S5674-035 By First Health Part D

First Health Part D Premier Plus (PDP) By First Health Part D



First Health Part D Premier Plus (PDP) is a Enhanced Alternative Medicare Prescription Drug Plan (PART D) by First Health Part D. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage.



2014 Medicare Prescription Supplement Plan Details

Plan Name:
First Health Part D Premier Plus (PDP)
Provider: First Health Part D
Plan ID:
S5674-035
Plan Year:2014
State: Iowa
Minnesota
Montana
Nebraska
North Dakota
South Dakota
Wyoming
Benefit Type: Enhanced
Monthly Drug Premium: $105.20
Drug Deductible: $0.00
Tiers with No Deductible: 0
Initial Coverage Limit:$2850
Gap Coverage: Some Generics, Some Brands
National Plan: Yes


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Deductible and Premium

The First Health Part D Premier Plus (PDP) plan has a monthly drug premium of $105.20 and a $0.00 drug deductible. This First Health Part D plan offers a $74.50 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $30.70 this Premium covers any enhanced plan benefits offered by First Health Part D above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $105.20. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.



Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The First Health Part D Premier Plus (PDP) medicare insurance plan offers a $73.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $81.00 for 75% low income subsidy $89.10 for 50% and $97.10 for 25%.



Part D Basic Premium: $74.50
Benchmark: not below the regional benchmark
Part D Supplemental Premium $30.70
Benefit Type: Enhanced Alternative
Total Part D Premium: $105.20
$0 Premium with Full LIS: No
Full LIS Premium: $73.00
75% LIS Premium: $81.00
50% LIS Premium: $89.10
25% LIS Premium: $97.10


Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plans cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This First Health Part D plan covers Some Generics, Some Brands through the gap. Some means 10% to 65% of the formulary drugs are covered if you are in the gap.



Star Ratings for First Health Part D Premier Plus (PDP) S5674

2014 Overall Rating
Members Choosing to Leave Plan
Rating of Drug Plan
Quality Improvement
Getting Needed Meds
Price Accuracy
Complaints
Access And Performance
High Risk Medication
Diabetes Treatment
Adherence for Diabetes
Adherence for Hypertension
Adherence for Cholesterol
Call Center
Auto Appeals
Appeals Upheld

  • Higher is Better




  • 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.

    Star Rating as of September 27, 2013.

    For More Information on Ratings Please See the CMS Tech Notes Here.

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