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This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2015 North Carolina Medicare Part D Prescription Drug Plan Highlights

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2015 North Carolina Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 8
Print Version |  North Carolina Medicare Advantage Plans

 2023  2022  2021  2020  2019  2018  2017  2016  2015  2014  2013  2012  2011  2010  2009  2008  2007  2006

The information below is for research purposes. Enrollment in the 2015 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in North Carolina
Click here to see all NC PDPs
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 (Donut Hole)
Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance
30-Day Supply		Total Formulary Drugs
Humana Walmart Rx Plan (PDP)
(S5884-154)
Benefit Details

        		 $15.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,433

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



Lowest Premium $0 Deductible NC Prescription Drug Plan (PDP)
Click here to see all North Carolina $0 deductible PDP plans by premium lowest to highest
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
SilverScript Choice (PDP)
(S5601-016)
Benefit Details

        		 $23.10 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $7.00
Preferred Brand: $37.00
Non-Preferred Brand: 47%
Specialty Tier: 33%
3,043

Browse Formulary
 



Five (5) Most Popular Medicare Part D Plans (PDP) in North Carolina
Click here to see all North Carolina PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
SilverScript Choice (PDP)
(S5601-016)
Benefit Details

        		 $23.10 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $7.00
Preferred Brand: $37.00
Non-Preferred Brand: 47%
Specialty Tier: 33%
128,891

Browse Formulary
 
AARP MedicareRx Preferred (PDP)
(S5820-007)
Benefit Details

        		 $49.60 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $35.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
124,272

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-133)
Benefit Details

        		 $25.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
62,335

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5884-154)
Benefit Details

        		 $15.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
51,949

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP)
(S5921-353)
Benefit Details

        		 $27.50 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $35.00
Specialty Tier: 25%
50,382

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



North Carolina Medicare Prescription Drug Plans (PDP) Under $30
Click here for all NC Medicare Prescription Drug plans
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		Total Drugs
Humana Walmart Rx Plan (PDP)
(S5884-154)
Benefit Details

        		 $15.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,433

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Aetna Medicare Rx Saver (PDP)
(S5810-042)
Benefit Details

        		 $22.40 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $3.00
Preferred Brand: $45.00
Non-Preferred Brand: 38%
Specialty Tier: 25%
3,062

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-016)
Benefit Details

        		 $23.10 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $7.00
Preferred Brand: $37.00
Non-Preferred Brand: 47%
Specialty Tier: 33%
3,043

Browse Formulary
 
Humana Preferred Rx Plan (PDP)
(S5884-133)
Benefit Details

        		 $25.70 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,307

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
AARP MedicareRx Saver Plus (PDP)
(S5921-353)
Benefit Details

        		 $27.50 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $2.00
Preferred Brand: $20.00
Non-Preferred Brand: $35.00
Specialty Tier: 25%
3,510

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Rite Aid Value Rx (PDP)
(S0522-010)
Benefit Details

        		 $28.90 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $4.00
Preferred Brand: $25.00
Non-Preferred Brand: $50.00
Specialty Tier: 25%
3,529

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SmartD Rx Saver (PDP)
(S0064-008)
Benefit Details

        		 $29.30 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $5.00
Preferred Brand: 23%
Non-Preferred Brand: 45%
Specialty Tier: 25%
3,395

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Cigna-HealthSpring Rx Secure (PDP)
(S5617-217)
Benefit Details

        		 $30.00 $320 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Non-Preferred Generic: $3.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,335

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:



A few notes to help with the understanding of the 2015 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS)

  • Plan ID: This is the unique id for this particular plan.

  • Deductible: This is the $320 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher.

  • Coverage Gap the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3720 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2015, ALL formulary generics will have at least a 35% discount and ALL brand drugs will have at least a 55% 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 $3720;
    • Yes: This plan offers some level of gap coverage.


  • Number of Formulary Drugs: This is the total number of drugs on the plan's formulary (drug list).

  • Members in this Plan: The number of members currently enrolled in the plan.



(Chart Source: Centers for Medicare and Medicaid file 2015 PDP Landscape Source file)

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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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
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  • 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.
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  • 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.
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  • 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.
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  • 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.
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