Easy Choice Wellcare Plus Plan Benefit Highlights 2018

Medicare Prescription Drug Plan Benefit Details in Plain Text The following Medicare Prescription Drug plan (PDP) benefits apply to the WellCare Classic (PDP) (S4802 - 083) in CMS Region 11, which includes all counties in FL.

This plan is administered by WELLCARE PRESCRIPTION INSURANCE, INC., a national plan provider. This means that the insurance carrier offers Medicare Part D plan in most every state. To switch to a different Medicare Prescription Drug plan or to change your location, click here.

Click here to see the WellCare Classic (PDP) prescription drug benefit details in chart format or email and view benefits chart Plan Premium The WellCare Classic (PDP) has a monthly premium of $29.50. That is $354.00 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for full extra help, your monthly premium will be $0. If you have a premium penalty, your premium will be higher. Or if you have a higher income you would be subject to the Income Related Adjustment Amount (IRMAA). Plan Membership and Plan Ratings The WellCare Classic (PDP) (S4802 - 083) in CMS Region 11 currently has 23,909 members, and 998,657 members in the WellCare Classic (PDP) nationwide. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 2.5 stars. The detail CMS plan carrier ratings are as follows:

• Customer Service Rating of 3 out of 5 stars
• Member Experience Rating of 4 out of 5 stars
• Drug Cost Information Accuracy Rating of 2 out of 5 stars

Prescription Drug Coverage: Deductible, Cost-sharing, Formulary This plan has a $405 deductible. So, you are 100% responsible for the first $405 in medication costs. After you have met the deductible, the WellCare Classic (PDP) will share the costs of your medications with you -- see cost-sharing below. $405 is the maximum deductible for 2018. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs. Click here to review plans with a $0 deductible. The following information is about the WellCare Classic (PDP) formulary (or drug list). There are 2989 drugs on the WellCare Classic (PDP) formulary.

The WellCare Classic (PDP) does offer a mail order service.

Click here to browse the WellCare Classic (PDP) Formulary.

The Initial Coverage Phase (ICP) can be thought of as the cost-sharing phase of the plan. During this phase, you and the insurance company share your prescription costs. Once you have spent $405, your initial coverage phase will start. All medication are divided into tiers within the plans formulary. This helps the plan to organize and manage the prescription cost-sharing. The WellCare Classic (PDP)'s formulary is divided into 5 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows:

• Tier 1 (Preferred Generic) contains 171 drugs and has a co-payment of $0.00.
• Tier 2 (Generic) contains 489 drugs and has a co-payment of $1.00.
• Tier 3 (Preferred Brand) contains 913 drugs and has a co-payment of $29.00.
• Tier 4 (Non-Preferred Drug) contains 1,011 drugs and has a co-insurance of 38% of the drug cost.
• Tier 5 (Specialty Tier) contains 560 drugs and has a co-insurance of 25% of the drug cost.

Click here to browse the WellCare Classic (PDP) Formulary.

The WellCare Classic (PDP)'s Initial Coverage Limit is $3,820. When this limit is reached, you exit the Initial Coverage Phase and enter the Coverage Gap (or Donut Hole).

The Coverage Gap, which is also known as the Donut (Doughnut) Hole is the phase of your Medicare Part D plan where you are responsible for 100% of your medication costs. Healthcare Reform mandates that the insurance carrier pay 56% of your generic drug prescription costs in the donut hole on your behalf.

The brand-name drug manufacturer will pay 50% and your plan will pay an additional 15% of the cost of your brand-name drugs purchased in the Donut Hole, for a total of 65% discount. The 50% paid by the brand-name drug manufacturer is paid on your behalf and therefore counts toward your TrOOP (or True Out-of-Pocket) costs. The portion paid by your plan, does not count toward TrOOP. Some Medicare Part D plans offer coverage during the Coverage Gap that is beyond the mandated discounts. Any drug not covered by the plan's Gap Coverage will still receive the discounts noted above -- even if the plan has "No Gap Coverage". This plan (WellCare Classic (PDP)) offers No Coverage during the Coverage Gap phase.

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Source: https://q1medicare.com/PartD-2018DrugOnlyPDPBenefitsPlainText.php?state=FL&contractId=S4802&planId=083&plan=WellCare%20Classic%20(PDP)

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