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2011 Medicare Prescription Drug Plan Benefit Details for the MedicareRx Rewards Plus (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2011 Medicare Prescription Drug Plan Details
Medicare Plan Name:MedicareRx Rewards Plus (PDP)
   by UniCare
State:Illinois
Plan ID:S5960 - 150 - 0     Click to see other plans
Member Services:1-800-928-6201 TTY users 1-877-247-1657
— 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
Email a copy of the MedicareRx Rewards Plus (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$53.40
Annual Deductible:$0
$0 Premium if LIS Benefits?No, this plan does NOT qualify for the $0 Premium.
Annual Initial Coverage Limit (ICL):$2,840
Drug Benefit Type ❔Enhanced Alternative (EA)
Additional Gap Coverage?Some Generics
Total Number of Formulary Drugs:3,197 drugsBrowse the MedicareRx Rewards Plus (PDP) Formulary
This plan has 6 drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$4.00$7.00$43.00$85.0033%
• Number of Drugs per
  Tier:		3681249563124554
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in Illinois:845 members     (CMS Region 17)
Number of Members enrolled in this plan nationally:34,259 members




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