| 2012 Medicare Part D Plan Details |
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| Plan Name: | WellCare Classic (PDP)
by WellCare |
| State: | New Hampshire |
| Plan ID: | S5967 - 138 Click to see other plans |
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Click here for the WellCare Classic (PDP) enrollment options and to have a copy of this chart sent to your email.
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| Plan Materials for New Hampshire: | Click here to jump to plan materials (Formulary, Summary of Benefits, etc.) |
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| — Plan Features — |
| Monthly Premium: | $31.00 |
| Annual Deductible: | $320 |
| $0 Premium if Full LIS Benefits: | Yes, this plan does qualify for the $0 Premium. |
| Initial Coverage Limit (ICL): | $2,930 |
| Gap Coverage: | No Gap Coverage |
| Total Number of Formulary Drugs: | 2724 Browse Plan Formulary |
| Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
— Cost-Sharing during
initial coverage phase: | $0.00 | $42.00 | $94.00 | 25% | |
| — Number of Drugs per Tier: | 799 | 1023 | 642 | 260 | 0 |
| Plan Offers Mail Order: | Yes |
| Plan Type (Reach): | Regional Plan |
| Number of Members enrolled in this plan in your CMS Region: | 32,979 |
| Number of Members enrolled in this plan nationally: | 666,124 |
| Plan’s Summary Star Rating: | 3.50 out of 5 Stars. |
| - Customer Service Rating: | 5 out of 5 Stars. |
| - Member Experience Rating: | 4 out of 5 Stars. |
| - Drug Cost Accuracy Rating: | 3 out of 5 Stars. |
