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North Carolina 2007 Medicare Part D Plans



North Carolina State Flag .
North and South Carolina were one colony until 1729. Carolina was named to honor Charles IX of France and then Charles I and Charles II of England. Carolina is rooted in Latin and comes from the word Caroliinus. This word is derived from the name Carolus, translated as "Charles." (Source: Shearer, Benjamin F. and Barbara S. State Names, Seals, Flags and Symbols Greenwood Press, Westport, Connecticut - 2001)

2007 Medicare Part D Plans for Residents of North Carolina


Quick Links to Medicare Part D Providers - North Carolina

: : Aetna Life Insurance Company PDP Plans
: : Cigna Insurance Company PDP Plans
: : Coventry AdvantraRx PDP Plans
: : Humana Insurance Company PDP Plans
: : Prescription Pathway PDP Plans
: : United HealthCare Plans
: : WellCare Health Plans

North Carolina is CMS Region 8. As authorized North Carolina Part D 2007 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 featured Medicare Prescription Drug plans (PDP) for North Carolina.

: : Click here to show 2007 plans for a different state
: : Review the 2007 Medicare Part D North Carolina Plans CMS press release


2007 Medicare Part D - North Carolina Plan Information
:: Print Version     :: Current Plans :: 2008 Plans    :: 2006 Plans
Plan Name Monthly
Premium
Deductible Co-Pay
Tiered
Coverage
Coverage Gap
(Donut Hole)
Coverage
Benefit Type
Available
Plan ID
Aetna Life Insurance Company
  :: Essential & Plus Plan Formulary
:: Summary of Benefits All Aetna Plans
:: Premier Plan Formulary (Drug Guide)
:: Pharmacy List
Aetna Medicare Rx Essentials$30.20$210YesNoneBasicS5810-042
Aetna Medicare Rx Plus$43.00$0YesNoneEnhancedS5810-144
Aetna Medicare Rx Premier$73.20$0YesGenericsEnhancedS5810-178
Cigna Insurance Company
:: Summary of Benefits All Cignature Plans
:: Cignature Value Plan Formulary
:: Cignature Plus Formulary
 
CIGNATURE Rx Value Plan$27.10$265YesNoneBasicS5617-038
CIGNATURE Rx Plus Plan$36.00$0YesNoneEnhancedS5617-040
CIGNATURE Rx Complete Plan$47.40$0YesGenericsEnhancedS5617-178
Coventry AdvantraRx
  :: AdvantraRx Formulary
:: Value Plan Summary of Benefits
:: Premier Plan Summary of Benefits
:: Premier Plus Plan Summary of Benefits
 
AdvantraRx Value$26.50$0YesNoneEnhancedS5670-045
AdvantraRx Premier$37.80$0YesNoneBasicS5670-046
AdvantraRx Premier Plus$51.00$0YesGenericsEnhancedS5670-048
EnvisionRx Plus
EnvisionRxPlus Standard$41.50$265NoNoneBasicS7694-008
EnvisionRxPlus Gold$65.50$0YesGenericsEnhancedS7694-042
First Health Part D
First Health Premier$28.00$0YesNoneBasicS5768-039
First Health Select$43.10$0YesGenericsEnhancedS5768-055
Health Net
Health Net Orange Option 1$28.20$265YesNoneBasicS5678-022
Health Net Orange Option 2$31.20$0YesNoneBasicS5678-021
Health Net Orange Option 3$42.90$0YesGenericsEnhancedS5678-080
Humana Health Insurance Company
  :: Humana Formulary
:: Humana Summary of Benefits All 3 Plans (List of Covered Drugs)
Humana PDP Standard S5884-066$17.80$265NoNoneBasicS5884-066
Humana PDP Enhanced S5884-007$26.20$0YesNoneEnhancedS5884-007
Humana PDP Complete S5884-036$85.90$0YesGenericsEnhancedS5884-036
Medco YOURx PLAN
Medco YOURx PLAN$34.30$100YesNoneBasicS5660-007
MEMBERHEALTH
Community Care Rx BASIC$33.30$265YesNoneBasicS5803-077
Community Care Rx CHOICE$41.90$0YesNoneEnhancedS5803-145
Community Care Rx GOLD$51.80$0YesGenericsEnhancedS5803-225
NMHC Group Solutions
NMHC Medicare PDP Gold$33.80$0YesNoneBasicS8841-008
Prescription Pathway
:: Summary of Benefits for all Plans
:: Overview of the 3 Pathway Plans
:: Bronze & Gold Formulary
:: Platinum Formulary
Prescription Pathway Gold Plan Reg 8$25.30$0YesNoneEnhancedS5597-040
Prescription Pathway Bronze Plan Reg 8$27.60$265NoNoneBasicS5597-073
Prescription Pathway Platinum Plan Reg 8$47.50$0YesGenericsEnhancedS5597-205
RxAmerica
Advantage Star Plan by RxAmerica$28.60$265YesNoneBasicS5644-074
Advantage Freedom Plan by RxAmerica$33.50$265YesNoneBasicS5644-053
SAMAscript
SAMAScript$49.20$265NoNoneBasicS7950-008
SilverScript
SilverScript$29.90$265YesNoneBasicS5601-016
SilverScript Plus$40.60$0YesNoneEnhancedS5601-017
SilverScript Complete$47.30$0YesGenericsEnhancedS5601-079
Sterling Prescription Drug Plan
Sterling Rx$33.60$100YesNoneBasicS4802-005
Sterling Rx Plus$62.80$100YesGenericsEnhancedS4802-041
Unicare
MedicareRx Rewards Value$33.10$265YesNoneBasicS5960-008
MedicareRx Rewards Plus$36.10$0YesNoneEnhancedS5960-044
MedicareRx Rewards Premier$51.00$0YesGenericsEnhancedS5960-078
United American Insurance Company
UA Medicare Part D Rx Covg - Silver Plan$32.20$265NoNoneBasicS5755-046
UA Medicare Part D Prescription Drug Cov$41.80$0YesNoneEnhancedS5755-011
United HealthCare Insurance Company
  :: Rx Basic Drug List (Formulary)
:: Basic Plan Summary of Benefits
:: Extended Plan Summary of Benefits
:: Rx Extended Drug List (Formulary)
UnitedHealth Rx Basic$32.30$0YesNoneBasicS5921-112
UnitedHealth Rx Extended$44.70$0YesNoneEnhancedS5820-111
UnitedHealthcare - AARP
AARP MedicareRx Plan - Saver$24.70$265YesNoneBasicS5921-111
AARP MedicareRx Plan$30.00$0YesNoneBasicS5820-007
AARP MedicareRx Plan - Enhanced$49.10$0YesGenericsEnhancedS5921-113
WellCare Health Plans
  :: WellCare Medication Guide (Formulary)
:: Summary of Benefits for all WellCare Plans :: WellCare Pharmacy Directory
WellCare Classic$22.00$265YesNoneBasicS5967-145
WellCare Signature$27.70$0YesNoneBasicS5967-042
WellCare Complete$47.90$0YesGenericsEnhancedS5967-076





A few notes to help with the understanding of the 2007 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $265 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 $798.75 ($265 + ($2135 x 25%)) 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. 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 $3051.25 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 $3051.25; Generics Only: Generics are covered, but you must pay for Brand Drugs up to $3051.25; Generic & Brand Drugs: Both are covered by the plan, you are only responsible for non-preferred brand drugs.
  • 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.



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: 08/09/2007