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2014 Wisconsin Medicare Part D Prescription Drug Plans

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Wisconsin PDP & MAPD Plan Highlights:
» Wisconsin’s Lowest Cost Medicare Advantage Plan (Health&Rx): $0.00
» Lowest Cost Medicare Part D Drug Plan (PDP) in Wisconsin: $12.60
» Lowest Cost Drug Plan (PDP) in Wisconsin with a $0 Deductible: $43.70

Below is a summary of the national Medicare Prescription Drug Only plans (PDP) for Residents of Wisconsin - CMS PDP Region 16.

Click on the Enroll enroll icon or plan name below to access enrollment options OR Click on one of these links for further help finding a plan:
» Click here to see all Wisconsin national and regional Medicare Part D (PDP) plan details
    (copays/ coinsurance, plan ratings, enrollment figures, etc. in a separate window)

» Browse the 2014 Wisconsin Medicare Advantage Plans (MA, MAPD & SNP)
» Click here to compare 2014 Wisconsin plan details with the 2013 plans
» Click here to show 2014 Medicare Part D plans for a different state

2014 Medicare Part D - Wisconsin Plan Information
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Plan Name Monthly
Deductible Qualifies
for $0
with Full
Coverage Gap
(Donut Hole)
Benefit Type
Plan ID
AARP Plans by United HealthCare
AARP MedicareRx Saver Plus (PDP)
Browse Formulary
$23.80$310YesNo Gap CoverageBasicS5921-361
AARP MedicareRx Preferred (PDP)
Browse Formulary
$43.70$0NoNo Gap CoverageEnhancedS5820-015
AARP MedicareRx Enhanced (PDP)
Browse Formulary
$113.60$0NoSome Generics, Some BrandsEnhancedS5921-073
Aetna Life Insurance Company
Aetna CVS/pharmacy Prescription Drug Plan (PDP)
Browse Formulary
$33.90$310YesNo Gap CoverageBasicS5810-050
Aetna Medicare Rx Premier (PDP)
Browse Formulary
$131.30$0NoFew GenericsEnhancedS5810-186
Anthem Blue Cross / Blue Shield
Blue MedicareRx Standard (PDP)
Browse Formulary
$30.50$310YesNo Gap CoverageBasicS5596-056
Blue MedicareRx Plus (PDP)
Browse Formulary
$57.20$0NoSome GenericsEnhancedS5596-057
Blue MedicareRx Premier (PDP)
Browse Formulary
$101.70$0NoSome Generics, Some BrandsEnhancedS5596-058
Cigna Insurance Company
Cigna Medicare Rx Secure (PDP)
Browse Formulary
$31.70$310YesNo Gap CoverageBasicS5617-223
Cigna Medicare Rx Secure-Xtra (PDP)
Browse Formulary
$71.60$0NoNo Gap CoverageEnhancedS5617-261
Cigna Medicare Rx Secure-Max (PDP)
Browse Formulary
$137.00$0NoMany Generics, Some BrandsEnhancedS5617-233
Cigna-HealthSpring Rx -Reg 16 (PDP)
Browse Formulary
$38.20$310YesNo Gap CoverageBasicS5932-015
EnvisionRx Plus
EnvisionRxPlus Silver (PDP)
Browse Formulary
$36.40$310YesNo Gap CoverageBasicS7694-016
Express Scripts Prescription Drug Plans
Express Scripts Medicare - Value (PDP)
Browse Formulary
$47.20$310NoNo Gap CoverageBasicS5660-118
Express Scripts Medicare - Choice (PDP)
Browse Formulary
$84.70$0NoNo Gap CoverageEnhancedS5660-186
First Health Part D
First Health Part D Essentials (PDP)
Browse Formulary
$53.00$310NoNo Gap CoverageBasicS5768-083
First Health Part D Value Plus (PDP)
Browse Formulary
$50.50$0NoNo Gap CoverageEnhancedS5768-139
First Health Part D Premier Plus (PDP)
Browse Formulary
$108.30$0NoSome Generics, Some BrandsEnhancedS5670-084
HealthMarkets Prescription Drug Plan
HealthMarkets Value Rx (PDP)
Browse Formulary
$33.70$310YesNo Gap CoverageBasicS0128-017
Humana Health Insurance Company
Humana Preferred Rx Plan (PDP)
Browse Formulary
$22.80$310YesNo Gap CoverageBasicS5884-139
Humana Walmart Rx Plan (PDP)
Browse Formulary
$12.60$310NoNo Gap CoverageEnhancedS5884-162
Humana Enhanced (PDP)
Browse Formulary
$45.90$0NoFew BrandsEnhancedS5884-074
Symphonix Prescription Drug Plans
Symphonix Value Rx (PDP)
Browse Formulary
$34.40$310YesNo Gap CoverageBasicS0522-036
Transamerica MedicareRx Plans
Transamerica MedicareRx Classic (PDP)
Browse Formulary
$51.70$310NoNo Gap CoverageBasicS9579-015
Transamerica MedicareRx Choice (PDP)
Browse Formulary
$59.90$0NoNo Gap CoverageEnhancedS9579-048
United American Insurance Company
United American - Select (PDP)
Browse Formulary
$33.60$310YesNo Gap CoverageBasicS5755-087

A few notes to help with the understanding of the 2014 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS)
  • Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.
  • Qualifies for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy. If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.
  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3605 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2014, ALL formulary generics will have at least a 28% discount and ALL brand drugs will have at least a 52.5% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3605;

    • Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;
    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;

    • All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3605;

    • Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary.

    • Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.)

  • Benefit Type: Basic means that this plan follows the standard CMS plan. Enhanced means that this plan has features above and beyond the standard CMS plan.
  • Plan ID: This is the unique id for this particular plan.

(Chart Source: Centers for Medicare and Medicaid file 2014LandscapeSource file PDP.xls)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.

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Last updated on: 09/19/2013

Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • 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.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.