COUNCIL ON AGING - ORANGE COUNTY 2015 Medicare Part D Stand-Alone Prescription Drug Plans plan name aetna medicare 855-338-7030 aetnamedicare.com annual deductible $275 copayments* coinsurance* medicare Rx Saver monthly premium $23.20 $0 - $35 26% - 38% coverage in gap** N/A medicare Rx premier $145.70 $0 $0 - $45 33% - 50% N/A 3.5 Standard plus Gold basic plan $36.80 $74.70 $119.20 $47.60 $320 $0 $0 $320 $1-$33 $1 - $40 $1 - $40 $0 - $90 25%-33% 33% - 38% 33% - 38% 25% N/A N/A N/A N/A 3.5 3.5 3.5 4.0 enhanced plan $93.10 $0 $3 - $90 25% - 33% N/A 4.0 Secure Secure-Xtra Secure-max $52.40 $39.00 $127.10 $320 $0 $0 $1 - $4 $1 - $4 $1 - $85 20% - 35% 20% - 35% 33% N/A N/A N/A 3.5 3.5 3.5 Silver $26.90 $320 $2 15% - 40% N/A value $62.40 $320 $0 - $5 23% - 48% N/A 4.0 Choice $103.00 $50 $1 - $40 31% - 48% N/A 4.0 value plus $38.10 $250 $0 - $35 25% - 50% N/A 3.5 premier plus walmart Rx plan preferred Rx plan enhanced Choice plus Transamerica medicareRx Classic Transamerica medicareRx Choice Rite Aid value Rx $104.40 $15.70 $26.10 $58.50 $22.20 $89.30 $0 $320 $320 $0 $0 $0 $0 - $45 $1 - $4 $1- $2 $3 - $42 $8 - $41 $0 - $24 33% - 50% 20%-35% 20%-35% 33%-44% 33%-43% 33%-40% N/A N/A N/A N/A N/A N/A 3.5 4.0 4.0 4.0 3.5 3.5 $32.80 $320 $0- $45 25%-50% N/A 4.0 $40.30 $0 $0 - $95 33% N/A 4.0 $27.30 $320 $1 - $60 25% N/A Rite Aid premier Rx $89.70 $0 $2 - $70 33% N/A N/A Select enhanced $36.40 $77.50 $320 $60 $0 - $3 $0 - $37 16%-26% 30%-40% N/A N/A 3.5 3.5 essential $23.70 $230 $0 - $30 27%-40% N/A 3.5 $28.00 $320 $1 - $40 25% N/A $57.90 $0 $2 - $85 33% N/A 4.0 $35.90 $71.30 $320 $0 $0 - $90 $0 - $90 25% 33% N/A N/A 3.5 3.5 anthem blue cross 800-261-8667 anthem.com/ca/medicare blue shield of california 800-488-8000 / blueshieldca.com cigna-healthspring rx 855-391-2556 cignamedicarerx.com envisionrx plus 866-250-2005 / envisionrxplus.com express scripts medicare 866-477-5703 express-scriptsmedicare.com first health part d 866-865-0662 coventryhealthcare.com humana insurance co. 866-205-0000 humana.com/medicare silverscript 866-362-6212 / silverscript.com stonebridge life ins. co. 877-527-1958 transamericamedicarerx.com symphonix health 855-355-2280 symphonixhealth.com united american ins. co. 877-577-3874 uamedicarepartd.com united healthcare (aarp) 877-699-5710 aarpmedicareplans.com Wellcare 866-765-4390 / wellcarepdp.com medicareRx Saver plus medicareRx preferred Classic extra loW income subsidy plan Yes Yes Yes Yes Yes Yes quality rating (out of 5) 3.5 3.5 N/A 2.5 *Copayments after deductible has been met and prior to reaching $2,960 in full drug costs. when drug costs exceed $2,960, you enter the coverage gap. **Information not available at time of publication. Overall Quality Rating is based on a combination of member satisfaction, problems with plan and complaints. COnfused by MedICARe? HICAP CAn HELP! CALL us At 800-434-0222 HICAP is a no cost service to help maximize your benefits. Council on Aging-Orange County 1971 E. 4th Street, Suite 200, Santa Ana, CA 92705 | www.coaoc.org 112 Answers Guide 2015 COUNCIl ON on these charts is subJect to NONpROFIT CORpORATION. TO DISTRIbUTe ANSweRS FRee OF COST, we for medicare and medicaid Services on the date of publication. lISTINGS IN ANSweRS, THeIR the informationAGING - ORANGe COUNTY IS A 501 (C)3change. This information is the most current available from the CentermUST Sell ADveRTISING SpACe. wHIle we AppReCIATe THe pAIDConsumers need to verify this Aging and Disability Resource Connection | 800-510-2020 | www.adrcoc.org INClUSION does notwww.medicare.gov as updatesor endorsement ofCOAOC is not or services by coaoc. AlwAYScanA vIGIlANT CONSUmeR. veRIFY INFORmATION ANDvia our HICAp program 1-800-434-0222. information at imply a recommendation are frequently made. products responsible for these changes but be help with accessing the most current information SeeK ReFeReNCeS wHeRe AppROpRIATe.http://www.aetnamedicare.com http://www.anthem.com/ca/medicare http://www.blueshieldca.com http://www.cignamedicarerx.com http://www.envisionrxplus.com http://www.express-scriptsmedicare.com http://www.coventryhealthcare.com http://www.humana.com/medicare http://www.silverscript.com http://www.transamericamedicarerx.com http://www.symphonixhealth.com http://www.uamedicarepartd.com http://www.aarpmedicareplans.com http://www.wellcarepdp.com http://www.coaoc.org http://www.coaoc.org http://www.medicare.gov