2012 Medicare Prescription Drug Plan Details | |||||
---|---|---|---|---|---|
Medicare Plan Name: | PrimeTime Prescription Drug Plan Enhanced (PDP) by PrimeTime Prescription Drug Plan | ||||
State: | Ohio | ||||
Plan ID: | S1480 - 002 - 0 Click to see other plans | ||||
Member Services: | 1-330-363-7407 TTY users 1-330-363-7460 | ||||
— 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 PrimeTime Prescription Drug Plan Enhanced (PDP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $66.60 | ||||
Annual Deductible: | $0 | ||||
$0 Premium if Full LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. | ||||
Annual Initial Coverage Limit (ICL): | $2,930 | ||||
Additional Gap Coverage? | All Generics | ||||
Total Number of Formulary Drugs: | 5,202 drugs | Browse the PrimeTime Prescription Drug Plan 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: | $5.00 | $29.00 | $65.00 | 25% | |
• Number of Drugs per Tier: | 2142 | 585 | 2374 | 101 | |
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | Regional Plan | ||||
Number of Members enrolled in this plan in Ohio: | 841 members (CMS Region 14) | ||||
Number of Members enrolled in this plan nationally: | 841 members | ||||
Plan’s Summary Star Rating: | New plan - No summary rating as of yet. | ||||
• Customer Service Rating: | New plan - not yet rated. | ||||
• Member Experience Rating: | New plan - not yet rated. | ||||
• Drug Cost Accuracy Rating: | New plan - not yet rated. |