2015 Medicare Prescription Plans in Spokane county Washington



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The 2019 Medicare Part D Plans in Spokane County Washington.



2015 Medicare Part-D Plans in Spokane county Washington

There are 29 Medicare Part-D Plans available in Spokane County from 13 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 $155. The highest rated PDP available in Spokane 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 Washington
AARP MedicareRx Preferred (PDP)
(S5820-029)
Enhanced $53.90 $0 No NoBrowse
Formulary
AARP MedicareRx Saver Plus (PDP)
(S5921-374)
Basic $30.00 $320.00 No YesBrowse
Formulary
Aetna Medicare Rx Premier (PDP)
(S5810-200)
Enhanced $132.20 $0 Yes NoBrowse
Formulary
Aetna Medicare Rx Saver (PDP)
(S5810-064)
Basic $28.80 $320.00 No YesBrowse
Formulary
Asuris Medicare Script Basic (PDP)
(S5609-001)
Basic $97.50 $195.00 No NoBrowse
Formulary
Asuris Medicare Script Enhanced (PDP)
(S5609-002)
Enhanced $155.50 $0 Yes NoBrowse
Formulary
Cigna-HealthSpring Rx Secure (PDP)
(S5617-148)
Basic $29.10 $320.00 No YesBrowse
Formulary
Cigna-HealthSpring Rx Secure-Max (PDP)
(S5617-241)
Enhanced $127.10 $0 Yes NoBrowse
Formulary
Cigna-HealthSpring Rx Secure-Xtra (PDP)
(S5617-275)
Enhanced $28.10 $0 No NoBrowse
Formulary
EnvisionRx Plus Clear Choice (PDP)
(S7694-115)
Enhanced $42.00 $0 No NoBrowse
Formulary
EnvisionRxPlus Silver (PDP)
(S7694-030)
Basic $34.80 $320.00 No YesBrowse
Formulary
Express Scripts Medicare - Choice (PDP)
(S5660-215)
Enhanced $55.90 $50.00 No NoBrowse
Formulary
Express Scripts Medicare - Value (PDP)
(S5660-132)
Basic $59.40 $320.00 No NoBrowse
Formulary
First Health Part D Premier Plus (PDP)
(S5768-192)
Enhanced $105.70 $0 Yes NoBrowse
Formulary
First Health Part D Value Plus (PDP)
(S5768-153)
Enhanced $43.80 $250.00 No NoBrowse
Formulary
Humana Enhanced (PDP)
(S5884-028)
Enhanced $49.40 $0 Yes NoBrowse
Formulary
Humana Preferred Rx Plan (PDP)
(S5884-113)
Basic $29.00 $320.00 No YesBrowse
Formulary
Humana Walmart Rx Plan (PDP)
(S5884-176)
Enhanced $15.70 $320.00 No NoBrowse
Formulary
SilverScript Choice (PDP)
(S5601-060)
Basic $25.80 $0 No YesBrowse
Formulary
SilverScript Plus (PDP)
(S5601-061)
Enhanced $77.80 $0 Yes NoBrowse
Formulary
Symphonix Rite Aid Premier Rx (PDP)
(S0522-063)
Enhanced $93.80 $0 Yes NoNABrowse
Formulary
Symphonix Rite Aid Value Rx (PDP)
(S0522-030)
Basic $34.50 $320.00 No YesNABrowse
Formulary
Transamerica MedicareRx Choice (PDP)
(S9579-062)
Enhanced $43.90 $0 No NoBrowse
Formulary
Transamerica MedicareRx Classic (PDP)
(S9579-029)
Basic $33.90 $320.00 No NoBrowse
Formulary
United American - Enhanced (PDP)
(S5755-033)
Enhanced $73.80 $50.00 No NoBrowse
Formulary
United American - Select (PDP)
(S5755-101)
Basic $37.20 $320.00 No NoBrowse
Formulary
WellCare Classic (PDP)
(S5967-167)
Basic $34.30 $320.00 No YesBrowse
Formulary
WellCare Extra (PDP)
(S5967-201)
Enhanced $73.20 $0 No NoBrowse
Formulary
WellCare Simple (PDP)
(S4802-020)
Basic $31.70 $320.00 No YesBrowse
Formulary


Medicare Advantage Plans in Spokane county Washington

Plan Name Type Premium C+D Part D
Deductible
 Gap   Max Out of Pocket Overall Rating Formulary
AARP MedicareComplete Essential (HMO)
(H1286-003)
Local HMO * $0.00 $5,500
AARP MedicareComplete Plan 1 (HMO)
(H1286-002)
Local HMO $29.00 $180.00 No $5,500 Browse
Formulary
AARP MedicareComplete Plan 2 (HMO)
(H1286-009)
Local HMO $55.00 $180.00 No $4,200 Browse
Formulary
Asuris TruAdvantage + Rx Classic (PPO)
(H5010-002)
Local PPO $97.00 $225.00 No $3,400 Browse
Formulary
Asuris TruAdvantage + Rx Enhanced (PPO)
(H5010-004)
Local PPO $257.00 $0.00 No $2,500 Browse
Formulary
Asuris TruAdvantage Basic (PPO)
(H5010-001)
Local PPO * $79.00 $3,400
Community HealthFirst MA Extra Plan (HMO)
(H5826-010)
Local HMO $12.10 $0.00 No $3,400 Browse
Formulary
Community HealthFirst MA Pharmacy Plan (HMO)
(H5826-008)
Local HMO $50.00 $0.00 No $3,400 Browse
Formulary
Community HealthFirst MA Plan (HMO)
(H5826-006)
Local HMO * $15.00 $3,400
Group Health Cooperative Basic (HMO)
(H5050-001)
Local HMO * $50.00 $3,000
Group Health Cooperative Columbia (HMO)
(H5050-019)
Local HMO $163.00 $300.00 No $4,500 Browse
Formulary
Humana Community HMO (HMO)
(H2012-039)
Local HMO $0.00 $320.00 Yes $5,400 Browse
Formulary
Humana Gold Plus H2012-093 (HMO)
(H2012-093)
Local HMO $63.00 $320.00 Yes $6,700 Browse
Formulary
HumanaChoice H6609-012 (PPO)
(H6609-012)
Local PPO * $0.00 $3,600
HumanaChoice H6609-013 (PPO)
(H6609-013)
Local PPO $95.00 $320.00 Yes $6,700 Browse
Formulary
HumanaChoice H6609-073 (PPO)
(H6609-073)
Local PPO $203.00 $320.00 No $6,700 Browse
Formulary
Premera Blue Cross Medicare Advantage (HMO)
(H7245-001)
Local HMO $0.00 $0.00 No $6,700 Too NewBrowse
Formulary
Premera Blue Cross Medicare Advantage (HMO-POS)
(H7245-002)
Local HMO $59.00 $0.00 No $5,000 Too NewBrowse
Formulary
Premera Blue Cross Medicare Advantage Plus (HMO)
(H7245-003)
Local HMO $110.00 $0.00 No $3,400 Too NewBrowse
Formulary
Premera Blue Cross Medicare Advantage Plus (HMO-POS)
(H7245-004)
Local HMO $146.00 $0.00 No $2,800 Too NewBrowse
Formulary


Medicare Special Needs Plans in Spokane county Washington

Plan Name Type Consolidated
Premium C+D
Part D
Deductible
 Gap   Special Needs
Type
Overall Rating Formulary
Community HealthFirst MA Special Needs Plan (HMO SNP)
(H5826-005)
Local HMO $33.80 $320.00   No  Dual-EligibleBrowse
Formulary
Humana Gold Plus SNP-DE H2012-095 (HMO SNP)
(H2012-095)
Local HMO $31.70 $320.00   No  Dual-EligibleBrowse
Formulary
Molina Medicare Options Plus (HMO SNP)
(H5823-006)
Local HMO $33.80 $320.00   No  Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete (HMO SNP)
(H5008-002)
Local HMO $25.80 $320.00   No  Dual-EligibleBrowse
Formulary
UnitedHealthcare Nursing Home Plan (HMO SNP)
(H5008-001)
Local HMO $25.50 $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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