PARTD

Plan Summary

Insurance Type
Medicare Advantage Perscription Drug Plan (Part D)
Insurance Provider
HealthMarkets
CMS Rating
Not Rated
Plan Type
PDP
Annual Deductible
$310.00

What To Know About This Plan

  • This is a drug coverage only plan

Why We Like This Plan

  • gives you freedom to choose which doctors, specialist and hospitals you visit
  • has a copay of $0 for Tier 1 preferred generic drugs (30 day supply, preferred retail pharmacies)

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$0 copay$1 copay$1 copay
Tier 2: Non-Preferred Generic$2 copay$6 copay$6 copay
Tier 3: Preferred Brand Name25% coinsurance25% coinsurance25% coinsurance
Tier 4: Non-Preferred Brand Name40% coinsurance40% coinsurance40% coinsurance
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$0 copay$3 copay$3 copay
Tier 2: Non-Preferred Generic$6 copay$18 copay$18 copay
Tier 3: Preferred Brand Name25% coinsurance25% coinsurance25% coinsurance
Tier 4: Non-Preferred Brand Name40% coinsurance40% coinsurance40% coinsurance
Tier 5: Specialty Tier

CMS Ratings

Drug Plan Customer Service

Call center – pharmacy hold time
Call center – foreign language interpreter and TTY/TDD availability
Not Rated
Appeals auto-forward
Appeals upheld
Enrollment timeliness
Not Rated

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

Complaints about the drug plan
Not Rated
Beneficiary access and performance problems
Not Rated
Members choosing to leave the plan
Not Rated

Member Experience with Drug Plan

Getting information from drug plan
Not Rated
Rating of drug plan
Not Rated
Getting needed prescription drugs
Not Rated

Drug Pricing and Patient Safety

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

Pharmacy Finder

Pharmacies that accept HealthMarkets Value Rx (PDP) Prescription Drug Plan

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