Pennsylvania 2006 Medicare Part D Plan Archive

: : Aetna Life Insurance Company PDP Plans : : Coventry AdvantraRx PDP Plans : : Humana, Inc. : : PacifiCare Life and Health Insurance Company PDP Plans : : Prescription Pathway PDP Plans : : United HealthCare Insurance Company MedAdvance : : WellCare Health Plans Pennsylvania is CMS Region 6. As authorized Part D representatives, we have helped thousands of people choose the Medicare Part D plans that best fits their needs. We can also assist you with any plan choices and completion of your enrollment application. Below is a summary of our featured plans for Pennsylvania. 2006 Medicare Part D - Pennsylvania Plan Information :: Print Version     :: Current Plans :: 2008 Plans    :: 2007 Plans Plan Name Monthly Premium Deductible Co-Pay Tiered Coverage Coverage Gap (Donut Hole) Coverage Mail Order Available Number of Top 100 Drugs Covered Aetna Life Insurance Company :: Summary of Benefits for all Aetna Plans :: Drug Guide (Formulary) Aetna Medicare Rx Essentials Plan $32.26 $250 Yes None Yes 82 Aetna Medicare Rx Plus Plan $42.88 None Yes Generics Only Yes 82 Aetna Medicare Rx Premier Plan $58.41 None Yes Generics Only Yes 95 Coventry AdvantraRx :: Summary of Benefits all plans :: Drug Guide (Formulary) Value Plan :: Drug Guide (Formulary) Premier Plan :: Drug Guide (Formulary) Premier Plus AdvantraRx Value $20.07 None Yes None Yes 73 AdvantraRx Premier $30.46 None Yes None Yes 97 AdvantraRx Premier Plus $44.47 None Yes None Yes 97 Humana, Inc.   :: Drug Guide (Formulary) Humana PDP Standard S5884-064 :: Summary of Benefits $10.14 $250 No None Yes 100 Humana PDP Enhanced S5884-005 :: Summary of Benefits $16.94 None Yes None Yes 100 Humana PDP Complete S5884-034 :: Summary of Benefits $58.46 None Yes Generic & Brand Drugs Yes 100 PacifiCare Life and Health Insurance Company PacifiCare Saver Plan $25.20 None Yes None Yes 77 PacifiCare Select Plan $36.46 None Yes None Yes 86 PacifiCare Complete Plan $41.37 None Yes Generics only Yes 77 Prescription Pathway Pennsylvania Life Standard Defined Reg 6 $31.17 $250 No None Yes 88 American Progressive Act Equ Std Reg 6 $40.47 $250 Yes None Yes 88 Pennsylvania Life Act Equ Std Reg 6 $40.50 $250 Yes None Yes 88 Marquette National Act Equ Std Reg 6 $40.58 $250 Yes None Yes 88 American Progressive Enhanced #1 Reg 6 $51.68 None Yes None Yes 88 Pennsylvania Life Enhanced #1 Reg 6 $51.70 None Yes None Yes 88 Marquette National Enhanced #1 Reg 6 $51.76 None Yes None Yes 88 Marquette National Enhanced #2 Reg 6 $68.34 None Yes None Yes 96 American Progressive Enhanced #2 Reg 6 $68.61 None Yes None Yes 96 United HealthCare Insurance Company :: Download the Enrollment Form :: Summary of Benefits :: Drug Guide (Formulary) United Medicare MedAdvance $29.20 None Yes None Yes 96 WellCare Health Plans :: Summary of Benefits for all WellCare Plans :: WellCare Plan Brochure :: WellCare Pharmacy Directory WellCare Signature :: Drug Guide (Formulary) :: Evidence of Coverage $21.20 None Yes None Yes 86 WellCare Complete :: Drug Guide (Formulary) :: Evidence of Coverage $38.29 None Yes None Yes 83 WellCare Premier :: Drug Guide (Formulary) :: Evidence of Coverage $41.07 None Yes None Yes 82 A few notes to help with the understanding of the chart above. Plan Name: This is the official plan name from CMS Deductible: This is the $250 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher. Co-Pay Tiered Coverage: This is the portion of the plan where the provider and the beneficiary share the costs. Generally speaking, the beneficiary pays $500 out-of-pocket before moving to the Coverage Gap (Donut Hole) portion of the plan. Most of the plans provide a Tiered Drug List for this portion of the plan. In our chart, Yes: means that the plan uses a tiered drug list, therefore, drugs are organized into tiers and you pay a co-payment or co-insurance based on the tier. For Example: Tier 1 drugs: you pay a $5 co-payment, Tier 2: you pay $10, Tier 3: you pay $30. Each plan is different as to which drugs fall into which tiers and how much you pay per Tier. This information can only be found in the plans Formulary. (see link below to CMS) If None is shown in our chart, this means that a 25% co-insurance is applied (as in the CMS Standard Plan). Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $2850 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following None: you must pay the $2850; Generics Only: Generics are covered, but you must pay for Brand Drugs up to $2850; Generic & Brand Drugs: Both are covered by the plan. Mail Order: Does the plan permit mail order drugs (remember: only drugs purchased in the U.S. can be covered in the plan). Number of the Top 100 Drugs Covered: This column is to give you a feeling for the completeness of the plan. However, it is important to take a look at the formulary for your plan to be sure that your specific drugs are covered. Please note: The above plan information came from CMS in October 2005.