2015 United American - Essential (PDP) S5755-130 By United American Insurance Company

United American - Essential (PDP) By United American Insurance Company



United American - Essential (PDP) is a Enhanced Alternative Medicare Prescription Drug Plan (PART D) by United American Insurance Company. 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:
United American - Essential (PDP)
Provider: United American Insurance Company
Plan ID:
S5755-130
Plan Year:2015
State: New Mexico
Benefit Type: Enhanced
Monthly Drug Premium: $23.90
Drug Deductible: $230.00
Tiers with No Deductible: 1
Initial Coverage Limit:$2960
Gap Coverage: No
National Plan: Yes


COMPARE AND SAVE ON MEDICARE INSURANCE




Deductible and Premium

The United American - Essential (PDP) plan has a monthly drug premium of $23.90 and a $230.00 drug deductible. This United American Insurance Company plan offers a $17.90 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 $6.00 this Premium covers any enhanced plan benefits offered by United American Insurance Company 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 $23.90. 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 United American - Essential (PDP) medicare insurance plan offers a $6.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $10.50 for 75% low income subsidy $14.90 for 50% and $19.40 for 25%.



Part D Basic Premium: $17.90
Benchmark: not below the regional benchmark
Part D Supplemental Premium $6.00
Benefit Type: Enhanced Alternative
Total Part D Premium: $23.90
$0 Premium with Full LIS: No
Full LIS Premium: $6.00
75% LIS Premium: $10.50
50% LIS Premium: $14.90
25% LIS Premium: $19.40


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 United American Insurance Company plan does not offer additional coverage through the gap.



Ratings for United American - Essential (PDP) S5755

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


United American - Essential (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.

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