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Medicare Prescription Plan Benefit Details for:
WellCare Classic (PDP)

2015 Medicare Part D Plan Details
Plan Name:WellCare Classic (PDP)
   by WellCare
State:Massachusetts
Plan ID:S5967 - 139     Click to see other plans

Click here for the WellCare Classic (PDP) enrollment options and to have a copy of this chart sent to your email.

— Plan Features —
Monthly Premium:$30.70 (See premium details below.)
Annual Deductible:$320 (Tier 1 excluded from the Deductible.)
$0 Premium if Full LIS Benefits:Yes, this plan does qualify for the $0 Premium. (See premiums for partial LIS subsidy below.)
Initial Coverage Limit (ICL):$2,960
Gap Coverage:No Gap Coverage
Total Number of Formulary Drugs:2947    Browse Plan Formulary
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
  — Cost-Sharing during
       initial coverage phase:
$0.00$8.00$40.00$90.0025%
  — Number of Drugs per Tier:293869774629382
Plan Offers Mail Order:Yes
Plan Type (Reach):Regional Plan
Number of Members enrolled in this plan in your CMS Region:70,559
Number of Members enrolled in this plan nationally:1,115,683
Plan’s Summary Star Rating: 3.50 out of 5 Stars.
   - Customer Service Rating: 3 out of 5 Stars.
   - Member Experience Rating: 4 out of 5 Stars.
   - Drug Cost Accuracy Rating: 3 out of 5 Stars.

— Plan Premium Details —
The Monthly Premium is Split as Follows:Total PremiumPart D Base
Premium
Part D Supplemental
Premium
$30.70$30.70$0.00
Monthly Premium with Low-Income Subsidy:100%
Subsidy
75%
Subsidy
50%
Subsidy
25%
Subsidy
$1.00$8.50$15.90$23.30

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