Aetna CVS/pharmacy Prescription Drug Plan for Texas Seniors

Aetna Medicare Aetna CVS/pharmacy Prescription Drug Plan (PDP) Medicare Drug Plan for qualified Texas residents.
Medicare Quality Rating:This Medicare drug plan has an average rating of 3.0
Your Monthly Cost:
$29.60
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
Formulary Drugs:3017
Plan ID:S5810-056
Plan Year:2014
Medicare Approved for: TX Residents
Plan Type:National

Medicare Prescription Drug Plan Summary

Aetna CVS/pharmacy Prescription Drug Plan Texas Medicare Part D Plan S5810-056-TXAetna 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:

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 AmountMedications in Tier
1$2.001536 Preferred Generics
2$45.00495 Non-Preferred Generics
3$95.00615 Preferred Brand Drugs
425%323 Non-Preferred Brand Drugs
5$1.0048 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.

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