| Medicare Prescription Drug Programme Benefit Details in Plain Text |
| The following Medicare Prescription Drug program (PDP) benefits apply to the Get-go Health Part D Value Plus (PDP) (S5768 - 143) in CMS Region 20, which includes all counties in MS. This programme is administered past FIRST Wellness LIFE & Health INSURANCE COMPANY, a national plan provider. This ways that the insurance carrier offers Medicare Part D plan in most every state. To switch to a different Medicare Prescription Drug plan or to change your location, click here. |
Click hither to see the Commencement Wellness Office D Value Plus (PDP) prescription drug benefit details in chart format  or email and view benefits chart  |
| Plan Premium |
| The Get-go Health Function D Value Plus (PDP) has a monthly premium of $56.20. That is $674.40 for 12 months. There are a few factors that can increment or subtract this premium. If you authorize for full or partial extra aid, your premium will exist lower. If you have a premium penalty, your premium volition be higher. Or if y'all accept a higher income you would be subject to the Income Related Adjustment Amount (IRMAA). |
| Plan Membership and Program Ratings |
| The First Health Part D Value Plus (PDP) (S5768 - 143) in CMS Region 20 currently has 7,592 members, and 558,633 members in the First Health Part D Value Plus (PDP) nationwide. |
The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3 stars. The detail CMS programme carrier ratings are as follows: - Client Service Rating of 5 out of 5 stars
- Fellow member Feel Rating of ii out of 5 stars
- Drug Cost Information Accurateness Rating of 3 out of 5 stars
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| Prescription Drug Coverage: Deductible, Cost-sharing, Formulary |
| This plan does Non have a deductible for the prescription drug coverage. That ways that yous take first dollar coverage. Some plans accept a deductible that must be paid (in full) prior to the prescription coverage profitable in your prescription costs (meet cost-sharing below). The maximum deductible for 2018 is $405. This plan (Beginning Health Part D Value Plus (PDP)) has no deductible. |
| The following information is about the Starting time Wellness Office D Value Plus (PDP) formulary (or drug list). There are 3737 drugs on the Beginning Health Part D Value Plus (PDP) formulary. The First Health Office D Value Plus (PDP) does offer a mail order service. Click hither to browse the Beginning Health Role D Value Plus (PDP) Formulary. |
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The Initial Coverage Phase (ICP) can be thought of as the toll-sharing phase of the plan. During this phase, you and the insurance company share your prescription costs. Since this programme has no deductible, your coverage (initial coverage phase) will start right away. All medication are divided into tiers within the plans formulary. This helps the plan to organize and manage the prescription cost-sharing. The First Wellness Function D Value Plus (PDP)'s formulary is divided into 5 tiers. Every programme can name their tiers differently, and tin can place medications on any tier. The price-sharing for this programme is divided as follows: - Tier ane (Preferred Generic) contains 256 drugs and has a co-payment of $2.00.
- Tier ii (Generic) contains 514 drugs and has a co-payment of $5.00.
- Tier 3 (Preferred Brand) contains 1,062 drugs and has a co-payment of $47.00.
- Tier 4 (Non-Preferred Drug) contains 1,616 drugs and has a co-insurance of 49% of the drug price.
- Tier v (Specialty Tier) contains 642 drugs and has a co-insurance of 33% of the drug cost.
Click hither to browse the First Wellness Role D Value Plus (PDP) Formulary.The Offset Health Part D Value Plus (PDP)'s Initial Coverage Limit is $3,820. When this limit is reached, you exit the Initial Coverage Stage and enter the Coverage Gap (or Donut Pigsty). |
| The Coverage Gap, which is likewise known equally the Donut (Doughnut) Hole is the phase of your Medicare Part D plan where you are responsible for 100% of your medication costs. Healthcare Reform mandates that the insurance carrier pay 56% of your generic drug prescription costs in the donut hole on your behalf. The brand-name drug manufacturer volition pay 50% and your plan volition pay an additional 15% of the cost of your brand-name drugs purchased in the Donut Hole, for a total of 65% discount. The 50% paid by the brand-proper name drug manufacturer is paid on your behalf and therefore counts toward your TrOOP (or Truthful Out-of-Pocket) costs. The portion paid by your plan, does non count toward TrOOP. Some Medicare Role D plans offer coverage during the Coverage Gap that is beyond the mandated discounts. Any drug not covered by the plan'south Gap Coverage will still receive the discounts noted above -- even if the plan has "No Gap Coverage". This programme (First Health Part D Value Plus (PDP)) offers Coverage in the gap, however Medicare has non specified the details of the gap coverage. |
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Source: https://q1medicare.com/PartD-2018DrugOnlyPDPBenefitsPlainText.php?state=MS&source=2018PDPFinder&contractId=S5768&planId=143&plan=First%20Health%20Part%20D%20Value%20Plus%20(PDP)%20-%20S5768-143&utm_source=partd&utm_medium=pdpfinder&utm_campaign=plaintexticon
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