2017 Symphonix Value Rx (PDP) S0522-079 By UnitedHealthcare

Symphonix Value Rx (PDP) By UnitedHealthcare

Symphonix Value Rx (PDP) is a Actuarially Equivalent Standard Medicare Prescription Drug Plan (PART D) by UnitedHealthcare. 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. The Symphonix Value Rx (PDP) plan has a monthly drug premium of $30.60 and a $400.00 drug deductible.

2017 Medicare Prescription Supplement Plan Details

Plan Name:
Symphonix Value Rx (PDP)
Provider: UnitedHealthcare
Plan ID:
Plan Year:2017
State: Connecticut
Rhode Island
Benefit Type: Basic
Monthly Drug Premium: $30.60
Drug Deductible: $400.00
Tiers with No Deductible: 0
Initial Coverage Limit:$3700
Gap Coverage: No
National Plan: Yes


Deductible and Premium

The Symphonix Value Rx (PDP) plan has a monthly drug premium of $30.60 and a $400.00 drug deductible. This UnitedHealthcare plan offers a $30.60 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 UnitedHealthcare 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 $30.60. 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 $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $7.60 for 75% low income subsidy $15.30 for 50% and $22.90 for 25%.

Part D Basic Premium: $30.60
Benchmark: below the regional benchmark
Part D Supplemental Premium $0.00
Benefit Type: Actuarially Equivalent Standard
Total Part D Premium: $30.60
$0 Premium with Full LIS: Yes
Full LIS Premium: $0.00
75% LIS Premium: $7.60
50% LIS Premium: $15.30
25% LIS Premium: $22.90

Gap Coverage

In 2017 once you and your plan provider have spent $3700 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 60% discount on brand-name drugs and a 49% discount on generic drugs. Once you reach the coverage gap you will pay 40% of the plans cost for covered brand-name prescription drugs and 51% on generic drugs unless your plan offers additional coverage. This UnitedHealthcare plan does not offer additional coverage through the gap.

Ratings for Symphonix Value Rx (PDP) S0522

2017 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

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
Drug Adherence for Diabetes Medications
Drug Adherence for Hypertension (RAS antagonists)
Drug Adherence for Cholesterol (Statins)
MTM Program Completion Rate for CMR

Ratings For Member Complaints and Changes in the Drug Plans Performance

Total Rating
Complaints about the Drug Plan
Members Choosing to Leave the Plan
Beneficiary Access
Drug Plan Quality Improvement

Symphonix Value Rx (PDP) Drug Plan Customer Service ratings

Total Rating
Appeals Auto Forward
Appeals Upheld
Call Center, TTY, Foreign Language

Source: CMS.

Plans as of September 6, 2016.

Star Rating as of September 26, 2016.

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

Notes: Data are subject to change. All contracts for 2017 have been not finalized. For 2017, 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 2017 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

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