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2019 Medicare Prescription Drug Plan Benefit Details for the Express Scripts Medicare - Value (PDP)
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.

2019 Medicare Prescription Drug Plan Details
Medicare Plan Name:Express Scripts Medicare - Value (PDP)
   by Express Scripts Medicare
State:Alabama
Plan ID:S5660 - 114 - 0     Click to see other plans
Member Services:1-800-758-4574 TTY users 1-800-716-3231
— 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 Express Scripts Medicare - Value (PDP) benefit details
— Medicare Plan Features —
Monthly Premium:$30.20 (see Plan Premium Details below)
Annual Deductible:$415
$0 Premium if LIS Benefits?Yes, this plan does qualify for the $0 Premium. (See premiums for partial LIS subsidy below.)
Annual Initial Coverage Limit (ICL):$3,820
Drug Benefit Type ❔Actuarially Equivalent Standard (AE)
Additional Gap Coverage?No additional gap coverage, only the Donut Hole Discount
Total Number of Formulary Drugs:3,022 drugsBrowse the Express Scripts Medicare - Value (PDP) Formulary
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. 
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
• Preferred Pharmacy
  Cost-Sharing during
  initial coverage phase:		$1.00$3.00$25.0041%25%
• Number of Drugs per
  Tier:		104808706949455
Plan Offers Mail Order?Yes
Plan Type (Reach):National Plan
Number of Members enrolled in this plan in Alabama:22,637 members
Number of Members enrolled in this plan in your CMS Region:52,028 members     (CMS Region 12)
Number of Members enrolled in this plan nationally:466,070 members
Plan’s Summary Star Rating: 3.5 out of 5 Stars.
• Customer Service Rating: 4 out of 5 Stars.
• Member Experience Rating: 4 out of 5 Stars.
• Drug Cost Accuracy Rating: 3 out of 5 Stars.
— Plan Premium Details —
The Monthly Premium is Split as Follows: ❔
Total
Premium		Part D Basic
Premium		Part D Supplemental
Premium
$30.20$30.20$0.00
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔100%
Subsidy		75%
Subsidy		50%
Subsidy		25%
Subsidy
Monthly Part D Premium with LIS:$0.00$7.50$15.10$22.60




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