2010 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | Advantage Freedom Plan by RxAmerica (PDP) by RxAmerica | ||||
State: | Montana | ||||
Plan ID: | S5644 - 059 - 0 Click to see other plans | ||||
Member Services: | 1-800-429-6686 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
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 |
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Email a copy of the Advantage Freedom Plan by RxAmerica (PDP) benefit details
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— Medicare Plan Features — | |||||
Monthly Premium: | $48.50 | ||||
Annual Deductible: | $0 | ||||
$0 Premium if Full LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. | ||||
Annual Initial Coverage Limit (ICL): | $2,830 | ||||
Gap Coverage? | No Gap Coverage | ||||
Total Number of Formulary Drugs: | 2,626 drugs | Browse the Advantage Freedom Plan by RxAmerica (PDP) Formulary | |||
This plan has 5 drug tiers. See cost-sharing highlights below. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $2.50 | $5.00 | 33% | 33% | 45% |
• Number of Drugs per Tier: | 155 | 1407 | 858 | 104 | 102 |
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | National Plan | ||||
Number of Members enrolled in this plan in your CMS Region: | 2,044 members (CMS Region 25) | ||||
Number of Members enrolled in this plan nationally: | 31,905 members |