2013 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | MediMax Elite (PDP) by Preferred Medicare Choice, Inc. | ||||
State: | Puerto Rico | ||||
Plan ID: | S0043 - 013 - 0 Click to see other plans | ||||
Member Services: | 1-866-516-7700 TTY users 1-866-516-770 | ||||
— 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 |
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Email a copy of the MediMax Elite (PDP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $63.30 | ||||
Annual Deductible: | $0 | ||||
$0 Premium if Full LIS Benefits? | No, this plan does NOT qualify for the $0 Premium. | ||||
Annual Initial Coverage Limit (ICL): | $2,970 | ||||
Additional Gap Coverage? | Many Generics | ||||
Total Number of Formulary Drugs: | 3,097 drugs | Browse the MediMax Elite (PDP) Formulary | |||
This plan has 5 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: | $2.00 | $5.00 | $25.00 | $50.00 | 30% |
• Number of Drugs per Tier: | 629 | 1265 | 508 | 420 | 294 |
Plan Offers Mail Order? | Yes | ||||
Plan Type (Reach): | Regional Plan | ||||
Number of Members enrolled in this plan in Puerto Rico: | 134 members (CMS Region 38) | ||||
Number of Members enrolled in this plan nationally: | 134 members | ||||
Plan’s Summary Star Rating: | 2.5 out of 5 Stars. | ||||
• Customer Service Rating: | 3 out of 5 Stars. | ||||
• Member Experience Rating: | 2 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 3 out of 5 Stars. |