Symphonix Value Rx (PDP) By Symphonix Health
Symphonix Value Rx (PDP) is a Actuarially Equivalent Standard Medicare Prescription Drug Plan (PART D) by Symphonix Health. 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.
2015 Medicare Prescription Supplement Plan Details
| Plan Name: | Symphonix Value Rx (PDP) |
|---|---|
| Provider: | Symphonix Health |
| Plan ID: | S0522-042 |
| Plan Year: | 2015 |
| State: |
Iowa Minnesota Montana Nebraska North Dakota South Dakota Wyoming |
| Benefit Type: | Basic |
| Monthly Drug Premium: | $30.20 |
| Drug Deductible: | $320.00 |
| Tiers with No Deductible: | 0 |
| Initial Coverage Limit: | $2960 |
| Gap Coverage: | No |
| National Plan: | No |
Deductible and Premium
The Symphonix Value Rx (PDP) plan has a monthly drug premium of $30.20 and a $320.00 drug deductible. This Symphonix Health plan offers a $30.20 Part D Basic Premium that is 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 $0.00 this Premium covers any enhanced plan benefits offered by Symphonix Health 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 $30.20. 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 Symphonix Value Rx (PDP) medicare insurance plan offers a $0.20 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $7.70 for 75% low income subsidy $15.20 for 50% and $22.70 for 25%.
| Part D Basic Premium: | $30.20 |
|---|---|
| Benchmark: | below the regional benchmark |
| Part D Supplemental Premium | $0.00 |
| Benefit Type: | Actuarially Equivalent Standard |
| Total Part D Premium: | $30.20 |
| $0 Premium with Full LIS: | Yes |
| Full LIS Premium: | $0.20 |
| 75% LIS Premium: | $7.70 |
| 50% LIS Premium: | $15.20 |
| 25% LIS Premium: | $22.70 |
Gap Coverage
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") You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs. 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. This Symphonix Health plan does not offer additional coverage through the gap.
Ratings for Symphonix Value Rx (PDP) S0522
| 2015 Overall Rating | ||
|---|---|---|
| Drug Plan Customer Service | ||
| Complaints and Changes in the Drug Plan | ||
| Member Experience with the Drug Plan | ||
| Drug Safety and Accuracy of Drug Pricing |
Ratings For Member Experience with the Drug Plan
| Total Rating | ||
|---|---|---|
| Rating of Drug Plan | ||
| Getting Needed Prescription Drugs |
Drug Safety and Accuracy of Drug Pricing
| Total Rating | ||
|---|---|---|
| MPF Price Accuracy | ||
| High Risk Medication | ||
| Diabetes Treatment | ||
| Drug Adherence for Diabetes Medications | ||
| Drug Adherence for Hypertension (RAS antagonists) | ||
| Drug Adherence for Cholesterol (Statins) |
Ratings For Member Complaints and Changes in the Drug Plan’s Performance
| Total Rating | ||
|---|---|---|
| Complaints about the Drug Plan | ||
| Members Choosing to Leave the Plan | ||
| Drug Plan Quality Improvement |
Symphonix Value Rx (PDP) Drug Plan Customer Service ratings
| Total Rating | ||
|---|---|---|
| Appeals Auto–Forward | ||
| Appeals Upheld |
Source: CMS.
Plans as of September 2, 2014.
Star Rating as of Oct 3, 2014.
For More Information on Ratings Please See the CMS Tech Notes Here.
Notes: Data are subject to change. All contracts for 2015 have been finalized. 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
Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.
