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Nebraska 2006 Medicare Part D Plan Archive

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2006 Medicare Part D - Nebraska Plan Information
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Plan Name Monthly
Premium
Deductible Co-Pay
Tiered
Coverage
Coverage Gap
(Donut Hole)
Coverage
Mail Order
Available
Number of
Top 100
Drugs Covered
Aetna Life Insurance Company

» Summary of Benefits for all Aetna Plans
» Drug Guide (Formulary)
Aetna Medicare Rx Essentials Plan $35.94 $250 Yes None Yes 82
Aetna Medicare Rx Plus Plan $48.40 None Yes Generics Only Yes 82
Aetna Medicare Rx Premier Plan $64.78 None Yes Generics Only Yes 95
Coventry AdvantraRx

» Summary of Benefits all plans
» Drug Guide (Formulary) Value Plan
» Drug Guide (Formulary) Premier Plan
» Drug Guide (Formulary) Premier Plus
AdvantraRx Value $21.05 None Yes None Yes 73
AdvantraRx Premier $33.43 None Yes None Yes 97
AdvantraRx Premier Plus $43.64 None Yes None Yes 97
Humana, Inc.
  » Drug Guide (Formulary)
Humana PDP Standard S5884-083
» Summary of Benefits
$1.87 $250 No None Yes 100
Humana PDP Enhanced S5884-023
» Summary of Benefits
$4.91 None Yes None Yes 100
Humana PDP Complete S5884-053
» Summary of Benefits
$38.70 None Yes Generic &
Brand Drugs
Yes 100
PacifiCare Life and Health Insurance Company
PacifiCare Saver Plan $30.11 None Yes None Yes 77
PacifiCare Select Plan $45.76 None Yes None Yes 86
PacifiCare Complete Plan $49.40 None Yes Generics only Yes 77
Prescription Pathway
Pennsylvania Life Standard Defined
Reg 25
$25.29 $250 No None Yes 88
Pennsylvania Life Act Equ Std Reg 25 $34.76 $250 Yes None Yes 88
Pennsylvania Life Enhanced #1 Reg 25 $46.87 None Yes None Yes 88
United HealthCare Insurance Company

» Summary of Benefits
» Drug Guide (Formulary)
United Medicare MedAdvance $28.37 None Yes None Yes 96
WellCare Health Plans

» Summary of Benefits for all WellCare Plans
» WellCare Plan Brochure
» WellCare Pharmacy Directory
WellCare Signature
» Drug Guide (Formulary)
» Evidence of Coverage
$24.45 None Yes None Yes 86
WellCare Complete
» Drug Guide (Formulary)
» Evidence of Coverage
$43.41 None Yes None Yes 83
WellCare Premier
» Drug Guide (Formulary)
» Evidence of Coverage
$45.97 None Yes None Yes 82


A few notes to help with the understanding of the chart above.
  • Plan Name: This is the official plan name from CMS
  • Deductible: This is the $250 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher.
  • Co-Pay Tiered Coverage: This is the portion of the plan where the provider and the beneficiary share the costs. Generally speaking, the beneficiary pays $500 out-of-pocket before moving to the Coverage Gap (Donut Hole) portion of the plan. Most of the plans provide a Tiered Drug List for this portion of the plan. In our chart, Yes: means that the plan uses a tiered drug list, therefore, drugs are organized into tiers and you pay a co-payment or co-insurance based on the tier. For Example: Tier 1 drugs: you pay a $5 co-payment, Tier 2: you pay $10, Tier 3: you pay $30. Each plan is different as to which drugs fall into which tiers and how much you pay per Tier. This information can only be found in the plans Formulary. (see link below to CMS) If None is shown in our chart, this means that a 25% co-insurance is applied (as in the CMS Standard Plan).
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $2850 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following None: you must pay the $2850; Generics Only: Generics are covered, but you must pay for Brand Drugs up to $2850; Generic & Brand Drugs: Both are covered by the plan.
  • Mail Order: Does the plan permit mail order drugs (remember: only drugs purchased in the U.S. can be covered in the plan).
  • Number of the Top 100 Drugs Covered: This column is to give you a feeling for the completeness of the plan. However, it is important to take a look at the formulary for your plan to be sure that your specific drugs are covered.


Please note: The above plan information came from CMS in October 2005.





Last updated on: 10/01/2006