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

2016 Alabama Medicare Part D Prescription Drug Plan Highlights

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2016 Alabama Stand-Alone Prescription Drug Plan Highlights
CMS PDP Region 12
Print Version |  Alabama 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 2016 plans is no longer available.

Lowest Premium Medicare Part D Plan (PDP) in Alabama
Click here to see all AL 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)
(S5884-158)
Benefit Details

        		 $18.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,533

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



Lowest Premium $0 Deductible AL Prescription Drug Plan (PDP)
Click here to see all Alabama $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)
(S5601-024)
Benefit Details

        		 $21.40 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $11.00
Preferred Brand: $45.00
Non-Preferred Brand: 47%
Specialty Tier: 33%
3,128

Browse Formulary
 



Five (5) Most Popular Medicare Part D Plans (PDP) in Alabama
Click here to see all Alabama PDP plans by popularity
Plan Name
Plan ID		 Monthly
Prem.		 Dedu-
ctible		 Additional
Gap
Coverage		 Preferred Pharmacy
Copay/Coinsurance		 State Members
SilverScript Choice (PDP)
(S5601-024)
Benefit Details

        		 $21.40 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $11.00
Preferred Brand: $45.00
Non-Preferred Brand: 47%
Specialty Tier: 33%
151,162

Browse Formulary
 
AARP MedicareRx Preferred (PDP)
(S5820-011)
Benefit Details

        		 $60.90 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $7.00
Preferred Brand: $33.00
Non-Preferred Brand: 40%
Specialty Tier: 33%
104,845

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Walmart Rx Plan (PDP)
(S5884-158)
Benefit Details

        		 $18.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
63,404

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Humana Preferred Rx Plan (PDP)
(S5884-106)
Benefit Details

        		 $29.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
62,712

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Express Scripts Medicare - Value (PDP)
(S5660-114)
Benefit Details

        		 $30.70 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $10.00
Preferred Brand: 19%
Non-Preferred Brand: 48%
Specialty Tier: 25%
58,460

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



Alabama Medicare Prescription Drug Plans (PDP) Under $30
Click here for all AL 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)
(S5884-158)
Benefit Details

        		 $18.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,533

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
SilverScript Choice (PDP)
(S5601-024)
Benefit Details

        		 $21.40 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $11.00
Preferred Brand: $45.00
Non-Preferred Brand: 47%
Specialty Tier: 33%
3,128

Browse Formulary
 
Aetna Medicare Rx Saver (PDP)
(S5810-046)
Benefit Details

        		 $25.00 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: $35.00
Non-Preferred Brand: 38%
Specialty Tier: 25%
3,336

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
WellCare Simple (PDP)
(S2505-001)
Benefit Details

        		 $27.10 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Brand: 50%
Specialty Tier: 25%
2,964

Browse Formulary
 
WellCare Classic (PDP)
(S5967-149)
Benefit Details

        		 $27.80 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $7.00
Preferred Brand: $47.00
Non-Preferred Brand: 50%
Specialty Tier: 25%
2,964

Browse Formulary
 
Humana Preferred Rx Plan (PDP)
(S5884-106)
Benefit Details

        		 $29.40 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,449

Browse Formulary
Higher cost-sharing at non-preferred pharmacies. Click for details:
Symphonix Value Rx (PDP)
(S0522-016)
Benefit Details

        		 $29.60 $360 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $2.00
Preferred Brand: 20%
Non-Preferred Brand: 35%
Specialty Tier: 25%
3,696

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


A few notes to help with the understanding of the 2016 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 $360 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 $3752.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2016, ALL formulary generics will have at least a 42% 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 $3752.5;
    • 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 2016 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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  • 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.
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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.
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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
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  • 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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