2011 Medicare Prescription Drug Plan Details | |||||
---|---|---|---|---|---|
Medicare Plan Name: | Tufts Medicare Preferred PDP Enhanced (PDP) by Tufts Health Plan Medicare Preferred | ||||
State: | Massachusetts | ||||
Plan ID: | S0655 - 002 - 0 Click to see other plans | ||||
Member Services: | 1-800-701-9000 TTY users 1-800-208-9562 | ||||
— 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 Tufts Medicare Preferred PDP Enhanced (PDP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $69.60 | ||||
Annual Deductible: | $0 | ||||
$0 Premium if Full LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. | ||||
Annual Initial Coverage Limit (ICL): | $2,840 | ||||
Additional Gap Coverage? | Many Generics | ||||
Total Number of Formulary Drugs: | 3,349 drugs | Browse the Tufts Medicare Preferred PDP Enhanced (PDP) Formulary | |||
This plan has 4 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: | $7.00 | $30.00 | $70.00 | 33% | |
• Number of Drugs per Tier: | 1659 | 724 | 703 | 263 | |
Plan Type (Reach): | Regional Plan | ||||
Number of Members enrolled in this plan in your CMS Region: | 1,501 members (CMS Region 02) | ||||
Number of Members enrolled in this plan nationally: | 1,465 members |