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2017 Prescription Drug Plans

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Medicare Part D prescription drug plans may have a coverage gap. A coverage gap happens after you exceed the amount your plan covers for prescription drugs. You can choose to add SeniorCare (Cost) Rx to your medical plan and get up to 60% off brand-name drugs while you're in the gap.


Not everyone enters a coverage gap. But adding SeniorCare (Cost) Rx to your medical plan can help lower your prescription drug costs if you do.


Enroll in SeniorCare (Cost) to get SeniorCare (Cost) Rx.

  • Hundreds of in-network pharmacies across Texas
  • Convenient home delivery mail order service
  • 90-day supply of maintenance drugs, available for two copayments
  • Access to a complete range of generic and brand-name drugs
Plan Type Value Rx Basic Rx Enhanced Rx
Monthly Premium $71.20 $76.40 $125.60
Initial Coverage Amount $3,700 $3,700 $3,700
Deductible $250 $100 $50
Copays During Initial Coverage Period
 Tier 1 — Preferred Generic Drugs  $10  $4
 $2
 Tier 2 — Generic Drugs  $20 $20 $12
 Tier 3 — Preferred Brand Drugs  $45 $47 $47
 Tier 4 — Non-Preferred Drugs  $90 $100 $95
 Tier 5 — Specialty Drugs  28% 31% 32%
Coverage Gap
Preferred Generic Drugs  51% 51% $4
Other Generic Drugs  51% 51% 51%
Brand Drugs 40%  40% 40%
Total Out-of-Pocket you pay before Catastrophic Coverage  $4,950 $4,950 $4,950
Catastrophic Coverage Amounts You Pay the Greater of:
Generic Drugs (including brand drugs treated as generic)
All Other Drugs
5% or
$3.30
$8.25
5% or 
$3.30
$8.25
5% or 
$3.30
$8.25

 


The SeniorCare (Cost) Medicare Part D prescription plans are optional and available only to SeniorCare (Cost) plan members. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Members must use network pharmacies to access their prescription drug benefit except under non-routine circumstances, and quantity limitations and restrictions may apply. Our network of pharmacies has both preferred and other network pharmacies. You can fill prescriptions at either.