Medicare Prescription Drug Plan Benefit Details in Plain Text |
The following Medicare Prescription Drug plan (PDP) benefits apply to the Health Net Orange Option 1 (PDP) (S5678 - 062) in CMS Region 29, which includes all counties in NV. This plan is administered by HEALTH NET LIFE INS CO/HEALTH NET INS OF NY, a national plan provider. This means that the insurance carrier offers Medicare Part D plan in most every state. To switch to a different Medicare Prescription Drug plan or to change your location, click here. |
Click here to see the Health Net Orange Option 1 (PDP) prescription drug benefit details in chart format
or
email and view benefits chart
|
Plan Premium |
The Health Net Orange Option 1 (PDP) has a monthly premium of $27.10. That is $325.20 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for full extra help, your monthly premium will be $0. If you have a premium penalty, your premium will be higher. Or if you have a higher income you would be subject to the Income Related Adjustment Amount (IRMAA). |
Prescription Drug Coverage: Deductible, Cost-sharing, Formulary |
This plan has a $310 deductible. So, you are 100% responsible for the first $310 in medication costs. After you have met the deductible, the Health Net Orange Option 1 (PDP) will share the costs of your medications with you -- see cost-sharing below. $310 is the maximum deductible for 2011. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs. Click here to review plans with a $0 deductible. |
The following information is about the Health Net Orange Option 1 (PDP) formulary (or drug list). There are 3546 drugs on the Health Net Orange Option 1 (PDP) formulary. Click here to browse the Health Net Orange Option 1 (PDP) Formulary. |
The Initial Coverage Phase (ICP) can be thought of as the cost-sharing phase of the plan. During this phase, you and the insurance company share your prescription costs. Once you have spent $310, your initial coverage phase will start. All medication are divided into tiers within the plans formulary. This helps the plan to organize and manage the prescription cost-sharing. The Health Net Orange Option 1 (PDP)’s formulary is divided into 5 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows:
The Health Net Orange Option 1 (PDP)’s Initial Coverage Limit is $2,840. When this limit is reached, you exit the Initial Coverage Phase and enter the Coverage Gap (or Donut Hole). |
The Coverage Gap, which is also known as the Donut (Doughnut) Hole is the phase of your Medicare Part D plan where
you are responsible for 100% of your medication costs. Healthcare Reform mandates that the insurance carrier pay 7% of your generic drug prescription costs in the donut hole on your behalf. The brand-name drug manufacturer will pay 50% and your plan will pay an additional 0% of the cost of your brand-name drugs purchased in the Donut Hole, for a total of 50% discount. The 50% paid by the brand-name drug manufacturer is paid on your behalf and therefore counts toward your TrOOP (or True Out-of-Pocket) costs. The portion paid by your plan, does not count toward TrOOP. Some Medicare Part D plans offer coverage during the Coverage Gap that is beyond the mandated discounts. Any drug not covered by the plan’s Gap Coverage will still receive the discounts noted above -- even if the plan has "No Gap Coverage". This plan (Health Net Orange Option 1 (PDP)) offers No Coverage during the Coverage Gap phase. |