Aetna CVS/pharmacy Prescription Drug Plan for Texas Seniors
|Medicare Quality Rating:|
|Your Monthly Cost:|
|Your Pharmacy Co-Pay:||$310.00|
|Starting Coverage Limit:||$2,850.00|
|By Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||Yes|
|Medicare Approved for:||TX Residents|
Medicare Prescription Drug Plan Summary
Aetna CVS/pharmacy Prescription Drug Plan is an approved 2014 Medicare Prescription Drug Plan (Part D) for Texas seniors.
The annual premium is $355.20 ($29.60 monthly), and it has a $310.00 annual deductible. For 2014, the maximum Part D deductible is $310. This amount adjusts slightly each year.
The formulary ID for this Aetna Medicare plan is 00014428. The formulary contains 3017 medications.
There are two situations will change the amount you pay for you drug plan in Texas. If are a low income beneficiary and qualify for Extra Help your premium could be less. Also, if you have a premium penalty due to late entry, your premium will be higher.
Compare plans for best prices on your prescriptions. Here are a few Part D Plans we thin you should see:
- Blue Cross MedicareRx Value
- Blue Cross MedicareRx Plus
- Blue Cross MedicareRx Basic
- Windsor Rx
- Express Scripts Medicare - Value
Aetna CVS/pharmacy Prescription Drug Plan Initial Coverage
ICP - the Initial Coverage Phase - is where you share the cost of your prescriptions with your insurance company. You and the carrier each pay your share until you hit the Initial Coverage Limit (ICL). In 2013, the ICL is $2,850. This number is adjusted each year. This plan has a deductible, so your ICP does not start until the deductible has been paid.
All prescription medications fall into one of several tiers of the plan's formulary. The formulary tiers are used to manage cost-sharing (e.g., co-payments). Formulary tiers are not standardized. Each insurer can assign drugs to the tier that best suits what they pay for drugs.
The pharmacy co-pay with the Aetna CVS/pharmacy Prescription Drug Plan plan in Texas is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$2.00||1536 Preferred Generics|
|2||$45.00||495 Non-Preferred Generics|
|3||$95.00||615 Preferred Brand Drugs|
|4||25%||323 Non-Preferred Brand Drugs|
|5||$1.00||48 Specialty Drugs|
2014 Medicare Coverage Gap
The Initial Coverage Limit (ICL) is $2,850.00. The prescription drug Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. When you reach the donut hole with the Aetna CVS/pharmacy Prescription Drug Plan plan all depends on your prescriptions. The Gap Coverage with this policy: No Gap Coverage
Low Income Subsidy
This drug plan offers the full LIS benefit ($0.00 monthly premium) for seniors with Medicare benefits.