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2013 Medicare Prescription Drug Plan Benefit Details for the SmartD Rx Saver (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2013 Medicare Prescription Drug Plan Details
Medicare Plan Name:SmartD Rx Saver (PDP)
   by SmartD Rx
State:Kansas
Plan ID:S0064 - 024 - 0     Click to see other plans
Member Services:1-855-976-2781 TTY users 1-888-328-0419
— This plan information is for research purposes only. —
Click here to see plans for the current plan year
— This plan was sanctioned in 2013 —
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 SmartD Rx Saver (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$36.00
Annual Deductible:$325
$0 Premium if LIS Benefits?Yes, this plan does qualify for the $0 Premium.
Annual Initial Coverage Limit (ICL):$2,970
Drug Benefit Type ❔Actuarially Equivalent Standard (AE)
Additional Gap Coverage?No additional gap coverage, only the Donut Hole Discount
Total Number of Formulary Drugs:3,178 drugsBrowse the SmartD Rx Saver (PDP) Formulary
This plan has 5 drug tiers. See cost-sharing highlights below.
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$0.00$16.00$30.00$80.0025%
• Number of Drugs per
  Tier:		6741277816183228
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in Kansas:1,961 members     (CMS Region 24)
Number of Members enrolled in this plan nationally:84,816 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.




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