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2013 Washington Medicare Part D Prescription Drug Plans

Washington State Flag .
Washington State PDP & MAPD Plan Highlights:
:: WA’s Lowest Cost Medicare Advantage Plan (Health & Drugs): $0.00
:: Lowest Cost Medicare Part D Drug Plan (PDP) in Washington: $15.00
:: Lowest Cost Drug Plan (PDP) in Washington with a $0 Deductible: $28.80


Were you really looking for 2015 Plans in Washington State?   Choose a link below:
: : PDP-Finder: 2015 Medicare Part D Plan Finder. Search All Plans by Features & Premiums
: : Overview by State: State by State Plan Highlights
: : PDP-Facts: 2015 National and State Medicare Part D Program Overview and Statistics
    with access to underlying plan data

: : PDP-Compare: Compare the Features & Premiums of a 2014 Part D Plan with it’s 2015
    plan


Below is a summary of national Medicare Prescription Drug Only plans (PDP) for Residents of Washington State - CMS PDP Region 30.

Other 2013 Q1Medicare.com Plan Tools:
: : Click here to see all Washington State national and regional Medicare Part D (PDP) plan details
    (copays/ coinsurance, plan ratings, enrollment figures, etc. in a separate window)

: : Browse the 2013 Washington State Medicare Advantage Plans (MA, MAPD & SNP)
: : Click here to compare 2013 Washington State plan details with the 2012 plans
: : Click here to show 2013 Medicare Part D plans for a different state


2013 Medicare Part D - Washington State Plan Information
Print  |  Medicare Advantage Plans 2014   Archive: 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006
Plan Name Monthly
Premium
Deductible Qualifies
for $0
Premium
with Full
Low-Income
Subsidy?
Coverage Gap
(Donut Hole)
Coverage
Benefit Type
Available
Plan ID
AARP Plans by United HealthCare
 
AARP MedicareRx Saver Plus (PDP)
$15.00$325YesNo Gap CoverageBasicS5921-374
AARP MedicareRx Preferred (PDP)
$42.80$0NoNo Gap CoverageEnhancedS5820-029
AARP MedicareRx Enhanced (PDP)
$94.70$0NoSome Generics and Some BrandsEnhancedS5921-023
Aetna Life Insurance Company
:: Aetna Plans - Benefits at a Glance Brochure
:: Summary of Benefits Essentials & Premier Plans
:: Evidence of Coverage Aetna Premier Plan
:: Evidence of Coverage Aetna Essentials Plan
:: Aetna Essentials and Aetna/CVS Drug List
:: Aetna Premier Drug List
:: Browse Aetna Formularies Online
:: Compare Cost-Sharing for Aetna Plans
Aetna Medicare Rx Essentials (PDP)
$72.90$325NoNo Gap CoverageBasicS5810-064
Aetna Medicare Rx Premier (PDP)
$107.60$0NoMany Generics and Some BrandsEnhancedS5810-200
Cigna Insurance Company
:: CIGNA Summary of Benefits Plan One
:: Evidence of Coverage Plan One
:: Plan One Formulary
:: Browse CIGNA Formulary Online
:: Review Cost-Sharing for CIGNA Plan One
Cigna Medicare Rx Plan One (PDP)
$49.00$325NoNo Gap CoverageBasicS5617-148
EnvisionRx Plus
:: Summary of Benefits Both Plans
:: Silver Plan Evidence of Coverage
:: Gold Plan Evidence of Coverage
:: Silver Plan Formulary
:: Gold Plan Formulary
:: Browse EnvisionRx Formularies Online
:: Compare cost-sharing for EnvisionRx Plans
EnvisionRxPlus Silver (PDP)
$37.30$325YesNo Gap CoverageBasicS7694-030
EnvisionRxPlus Gold (PDP)
$54.00$150NoSome GenericsEnhancedS7694-100
Express Scripts Prescription Drug Plans
:: Summary of Benefits All Express Scripts Plans
:: Evidence Of Coverage Value Plan
:: Express Scripts Formulary Value Plan
:: Browse ExpressScripts Formularies Online
:: Compare Cost-Sharing for ExpressScripts Plans
Express Scripts Medicare - Value (PDP)
$57.50$325NoNo Gap CoverageBasicS5660-132
First Health Part D
:: Summary of Benefits FirstHealth All Plan
:: Evidence of Coverage FirstHealth Value Plus Plan
:: Evidence of Coverage Premier Plan
:: Evidence of Coverage Premier Plus Plan
:: First Health Value Plus Formulary
:: First Health Premier Formulary
:: First Health Premier Plus Formulary
:: Browse First Health Formularies Online
:: Compare Cost-Sharing for First Health Plans
First Health Part D Value Plus (PDP)
$28.80$0NoNo Gap CoverageEnhancedS5768-153
First Health Part D Premier Plus (PDP)
$102.40$0NoSome Generics and Some BrandsEnhancedS5674-047
Health Spring
:: Summary of Benefits HealthSpring Plan
:: Evidence of Coverage HealthSpring Plan
:: Formulary HealthSpring Plan
:: Browse the HealthSpring Formulary Online
:: Review Cost-Sharing for the HealthSpring Plan
HealthSpring Prescription Drug Plan-Reg 30 (PDP)
$37.30$325YesNo Gap CoverageBasicS5932-029
Humana Health Insurance Company
:: Humana Enhanced Summary of Benefits
:: Humana Enhanced Evidence of Coverage
:: Humana Walmart-Preferred Summary of Benefits
:: Humana Walmart-Preferred Evidence of Coverage
:: Humana Complete Summary of Benefits
:: Humana Complete Evidence of Coverage
:: Humana Walmart-Preferred Formulary
:: Humana Enhanced Plan Formulary
:: Humana Complete Plan Formulary
:: Browse Humana Formularies Online
:: Compare Cost-Sharing for Humana Plans
Humana Walmart-Preferred Rx Plan (PDP)
$18.50$325YesNo Gap CoverageBasicS5884-113
Humana Enhanced (PDP)
$39.30$0NoNo Gap CoverageEnhancedS5884-028
Humana Complete (PDP)
$122.40$0NoSome Generics and Some BrandsEnhancedS5884-058
MedicareRx Rewards by Unicare
:: Summary of Benefits All Rx Rewards Plans
:: Evidence of Coverage Rx Rewards Standard Plan
:: Standard Plan Formulary
:: Browse Standard Formulary Online
:: Review Cost-Sharing for Standard Plan
MedicareRx Rewards Standard (PDP)
$59.80$325NoNo Gap CoverageBasicS5960-136
Reader’s Digest Prescription Drug Plan
:: Value Plan Summary of Benefits
:: Value Plan Formulary
:: Browse the Reader’s Digest Formulary Online
:: Compare Cost-Sharing for the Reader’s Digest Plan
Reader's Digest Value Rx (PDP)
$39.30$325YesNo Gap CoverageBasicS0128-031
SilverScript Prescription Drug Plans
:: Summary of Benefits All Plans
:: Evidence Of Coverage Basic Plan
:: Evidence Of Coverage Choise Plan
:: Evidence Of Coverage Plus Plan
:: Basic Plan Formulary
:: Choice Plan Formulary
:: Plus Plan Formulary
:: Browse SilverScript Formularies Online
:: Compare Cost-Sharing for SilverScript Plans
SilverScript Basic (PDP)
$35.40$325YesNo Gap CoverageBasicS5601-060
SilverScript Choice (PDP)
$29.10$0NoNo Gap CoverageEnhancedS5601-139
SilverScript Plus (PDP)
$104.30$0NoMany Generics and Some BrandsEnhancedS5601-061
SmartD Rx Prescription Drug Plans
:: Summary of Benefits All Plans
:: Evidence Of Coverage Saver Plan
:: Evidence Of Coverage Plus Plan
:: SmartD Formulary Both Plans
:: Browse SmartD Formularies Online
:: Compare Cost-Sharing for SmartD Plans
SmartD Rx Saver (PDP)
$37.30$325YesNo Gap CoverageBasicS0064-030
SmartD Rx Plus (PDP)
$71.80$0NoSome GenericsEnhancedS0064-065
United American Insurance Company
:: Summary of Benefits UA Select Plan
:: Evidence of Coverage Select Plan
:: Summary of Benefits UA Enhanced Plan
:: Evidence of Coverage Enhanced Plan
:: Formulary UA Medicare Select Plan
:: Formulary UA Medicare Enhanced Plan
:: Browse UA Formularies Online
:: Compare Cost-Sharing for UA Plans
United American - Select (PDP)
$38.90$325YesNo Gap CoverageBasicS5755-101
United American - Enhanced (PDP)
$57.30$70NoNo Gap CoverageEnhancedS5755-033
WellCare Health Plans
:: Summary of Benefits Extra & Classic Plans
:: Evidence Of Coverage Extra Plan
:: Evidence Of Coverage Classic Plan
:: WellCare Extra Formulary
:: WellCare Classic Formulary
:: Browse WellCare Formularies Online
:: Compare Cost-Sharing for WellCare Plans
WellCare Classic (PDP)
$38.70$0YesNo Gap CoverageBasicS5967-167
WellCare Extra (PDP)
$49.00$0NoMany GenericsEnhancedS5967-201



A few notes to help with the understanding of the 2013 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $325 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
  • Qualifies for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy. If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3763.75 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2013, ALL formulary generics will have at least a 21% discount and ALL brand drugs will have at least a 52.5% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3763.75;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3763.75;
    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3763.75;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3763.75;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3763.75;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.



(Chart Source: Centers for Medicare and Medicaid file 2013LandscapeSource file PDP.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.


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Last updated on: 09/19/2012

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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.


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