PARTD

Plan Summary

Insurance Type
Medicare Advantage Perscription Drug Plan (Part D)
Insurance Provider
Aetna
CMS Rating
Plan Type
PDP
Annual Deductible
$310.00

What To Know About This Plan

  • This is a drug coverage only plan

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$2 copay$5 copay$2 copay
Tier 2: Non-Preferred Generic$36 copay$45 copay$36 copay
Tier 3: Preferred Brand Name$90 copay$95 copay$90 copay
Tier 4: Non-Preferred Brand Name25% coinsurance25% coinsurance25% coinsurance
Tier 5: Specialty Tier$1 copay$4 copay$1 copay
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$6 copay$15 copay$4 copay
Tier 2: Non-Preferred Generic$108 copay$135 copay$108 copay
Tier 3: Preferred Brand Name$270 copay$285 copay$270 copay
Tier 4: Non-Preferred Brand Name25% coinsurance25% coinsurance25% coinsurance
Tier 5: Specialty Tier$3 copay$12 copay$3 copay

CMS Ratings

Drug Plan Customer Service

Call center – pharmacy hold time
Call center – foreign language interpreter and TTY/TDD availability
Appeals auto-forward
Appeals upheld
Enrollment timeliness

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the drug plan
Beneficiary access and performance problems
Members choosing to leave the plan

Member Experience with Drug Plan

Getting information from drug plan
Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

High risk medication
Diabetes treatment
Part D medication adherence for oral diabetes medications
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Not Rated

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