CommunityCare Prescription Drug Plan (PDP) By CommunityCare Prescription Drug Plan (PDP)

CommunityCare Prescription Drug Plan (PDP) is a Basic Alternative Medicare Prescription Drug Plan (PART D) by CommunityCare Prescription Drug Plan (PDP). 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 CommunityCare Prescription Drug Plan (PDP) plan has a monthly drug premium of $20.80 and a $425.00 drug deductible.

2020 Medicare Part-D Plan Details

Plan Name:
CommunityCare Prescription Drug Plan (PDP)
Provider: CommunityCare Prescription Drug Plan (PDP)
Plan ID:
Plan Year:2020
State: Oklahoma
Benefit Type: Basic
Monthly Drug Premium: $20.80
Drug Deductible: $425.00
Tiers with No Deductible: 1
Gap Coverage: No
National Plan: No

Deductible and Premium

The CommunityCare Prescription Drug Plan (PDP) plan has a monthly drug premium of $20.80 and a $425.00 drug deductible. This CommunityCare Prescription Drug Plan (PDP) plan offers a $20.80 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 CommunityCare Prescription Drug Plan (PDP) 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 $20.80. 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 CommunityCare Prescription Drug Plan (PDP) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $5.20 for 75% low income subsidy $10.40 for 50% and $15.60 for 25%.

Part D Basic Premium: $20.80
Benchmark: below the regional benchmark
Part D Supplemental Premium $0.00
Benefit Type: Basic Alternative
Total Part D Premium: $20.80
$0 Premium with Full LIS: Yes
Full LIS Premium: $0.00
75% LIS Premium: $5.20
50% LIS Premium: $10.40
25% LIS Premium: $15.60

Gap Coverage

In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will still receive a 75% discount on covered brand-name drugs and a discount on generic drugs. Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage. This CommunityCare Prescription Drug Plan (PDP) plan does not offer additional coverage through the gap.

CommunityCare Prescription Drug Plan (PDP) Drug Coverage and Formulary

A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. Each tier will have a defined out-of-pocket cost that you must pay before receiving the drug. You can see complete 2020 CommunityCare Prescription Drug Plan (PDP) S1894-001 Formulary here.

Drug Tier Copay
1 $0 $8
2 $6 $16
3 10% 25%
4 25% 25%
5 25% 25%
*Initial Coverage Phase and 30 day supply

See the 2020 CommunityCare Prescription Drug Plan (PDP) Formulary

Source: CMS.
Plans as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Notes: Data are subject to change. All contracts for 2020 have been not finalized. For 2020, 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 2020 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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