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Plan Name:Express Scripts Medicare - Saver (PDP)
Carrier:Medco Medicare
Plan Year:2018
Estimated Annual Cost:$271.20

Quote for medicare eligible individual

Oct. 19, 2018


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Plan Summary

Insurance TypeMedicare Advantage Prescription Drug Plan (Part D)
Insurance ProviderMedco Medicare
Plan IDS5660-219-0
CMS Rating1
Plan TypePDP
Annual Deductible$405.00

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$405
Monthly Drug Plan Premium$22.6
Monthly Health Plan Premium$0

Coverage Area for Express Scripts Medicare - Saver (PDP)


Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$1 copay$5 copayNot offered
Tier 2: Non-Preferred Generic$4 copay$10 copayNot offered
Tier 3: Preferred Brand Name18% coinsurance20% coinsuranceNot offered
Tier 4: Non-Preferred Brand Name42% coinsurance44% coinsurance44% coinsurance
Tier 5: Specialty Tier25% coinsurance25% coinsurance25% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$3 copay$15 copay$2 copay
Tier 2: Non-Preferred Generic$12 copay$30 copay$8 copay
Tier 3: Preferred Brand Name18% coinsurance20% coinsurance18% 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
Not Rated
Appeals auto-forward
Not Rated
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