PARTD

Plan Summary

Insurance Type
Medicare Advantage Prescription Drug Plan (Part D)
Insurance Provider
Envision Insurance Company
CMS Rating
Plan Type
PDP
Annual Deductible
$360.00

What To Know About This Plan

  • This is a drug coverage only plan

All cost-sharing assumes in-network healthcare providers.

Please note that the 2016 plan details for this plan is not yet available. We are actively updating this data on a daily basis so please check back shortly.

The following are the plan details of this plan for the plan year 2015.

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$10 copay$2 copay
Tier 2: Non-Preferred Generic12% coinsurance25% coinsurance12% coinsurance
Tier 3: Preferred Brand Name40% coinsurance45% coinsurance40% coinsurance
Tier 4: Non-Preferred Brand Name25% coinsurance25% coinsurance25% coinsurance
Tier 5: Specialty Tier
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$6 copay$30 copay$6 copay
Tier 2: Non-Preferred Generic12% coinsurance25% coinsurance12% coinsurance
Tier 3: Preferred Brand Name40% coinsurance45% coinsurance40% coinsurance
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier

CMS Ratings

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

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

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Pharmacy Finder

Pharmacies that accept EnvisionRxPlus Silver (PDP) Prescription Drug Plan for Wisconsin

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