2014 United American - Enhanced (PDP) S5755-026 By United American Insurance Company

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

United American - Enhanced (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.

2014 Medicare Prescription Supplement Plan Details

Plan Name:
United American - Enhanced (PDP)
Provider: United American Insurance Company
Plan ID:
Plan Year:2014
State: Oklahoma
Benefit Type: Enhanced
Monthly Drug Premium: $73.50
Drug Deductible: $60.00
Tiers with No Deductible: 1
Initial Coverage Limit:$2850
Gap Coverage: No Gap Coverage
National Plan: Yes


Deductible and Premium

The United American - Enhanced (PDP) plan has a monthly drug premium of $73.50 and a $60.00 drug deductible. This United American Insurance Company plan offers a $62.50 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 $11.00 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 $73.50. 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 - Enhanced (PDP) medicare insurance plan offers a $43.30 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $50.90 for 75% low income subsidy $58.40 for 50% and $66.00 for 25%.

Part D Basic Premium: $62.50
Benchmark: not below the regional benchmark
Part D Supplemental Premium $11.00
Benefit Type: Enhanced Alternative
Total Part D Premium: $73.50
$0 Premium with Full LIS: No
Full LIS Premium: $43.30
75% LIS Premium: $50.90
50% LIS Premium: $58.40
25% LIS Premium: $66.00

Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plans cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This United American Insurance Company plan covers No Gap Coverage through the gap. No Gap Coverage means 0% of formulary drugs are covered through the gap or 15 or less brand name products are covered through the gap.

Star Ratings for United American - Enhanced (PDP) S5755

2014 Overall Rating
Members Choosing to Leave Plan
Rating of Drug Plan
Quality Improvement
Getting Needed Meds
Price Accuracy
Access And Performance
High Risk Medication
Diabetes Treatment
Adherence for Diabetes
Adherence for Hypertension
Adherence for Cholesterol
Call Center
Auto Appeals
Appeals Upheld

  • Higher is Better

  • Source: CMS.

    Plans as of September 3, 2013.

    Plans are subject to change as contracts are finalized.

    Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

    Star Rating as of September 27, 2013.

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

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