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2009 Medicare Prescription Drug Plan Benefit Details for the WellCare Classic
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2009 Medicare Prescription Drug Plan Details
Medicare Plan Name:WellCare Classic
   by WellCare
State:New York
Plan ID:S5967 - 140 - 0     Click to see other plans
Member Services:1-888-550-5252 TTY users 1-888-816-5252
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
— This plan was sanctioned in 2009 —
Medicare Contact Information:Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.
TTY users 1-877-486-2048
or contact your local SHIP for assistance
Email a copy of the WellCare Classic benefit details
— Medicare Plan Features —
Monthly Premium:$28.40
Annual Deductible:$295
$0 Premium if LIS Benefits?No, this plan does NOT qualify for the $0 Premium.
Drug Benefit Type ❔No drug coverage
Gap Coverage?No Gap Coverage
Total Number of Formulary Drugs:2,761 drugsBrowse the WellCare Classic Formulary
This plan has 4 drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$0.00$42.00$91.0025% 
• Number of Drugs per
  Tier:		1666677279139
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in New York:14,799 members     (CMS Region 03)
Number of Members enrolled in this plan nationally:561,771 members




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