WellCare Extra Prescription Drug Plan for North Carolina Seniors
|Overall Plan Rating:|
|Coverage Limit (ICL):||$2,850.00|
|Pharmacy Mail Order:||Yes|
|Gap Coverage:||No Gap Coverage|
|Low Income Subsidy:||No|
|PDP ID No:||S5967-180|
|Approved by CMS for:||NC Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
WellCare Extra is an approved 2014 Medicare Part D Plan for North Carolina seniors.
The plan's premium is $639.60 ($53.30/month). It has a $0.00 deductible (annual). With a zero dollar deductible you have first dollar coverage. Many plans have a policy deductible that must be paid in full prior to receiving prescription coverage assistance.
The formulary ID for this WellCare plan is 00014172. The formulary contains 2844 medications.
For all North Carolina seniors with Medicare benefits, there are two situations will change the amount you pay for you drug plan. First, if you qualify for the Extra Help program your premium may be lower. Second, if a premium penalty has been imposed on you for late entry, your premium will be a bit higher.
Be sure to compare this Part D Plan with these plans from other insurers:
- Express Scripts Medicare - Choice
- Transamerica MedicareRx Choice
- First Health Part D Value Plus
- Humana Enhanced
- AARP MedicareRx Preferred
WellCare Extra Initial Coverage
ICP - the Initial Coverage Phase - is where you share the cost of your prescriptions with your insurance company. You and the carrier each pay your share until you hit the Initial Coverage Limit (ICL). In 2014, the ICL is $2,850. This number is adjusted each year. That means you receive prescription coverage assistance on day one (first dollar coverage).
All medications are organized into one of several tiers within the insurance carrier's drug formulary. Carriers use the formulary tiers to manage cost-sharing. Formulary tiers are not the same from plan to pan. Insurance carriers assign drugs to the tier tha's best for them.
The pharmacy co-pay with the WellCare Extra plan in North Carolina is tiered as follows:
|Tier||Co-Pay Amount||Medications in Tier|
|1||$0.00||281 Preferred Generics|
|2||$0.00||1576 Non-Preferred Generics|
|3||$38.00||264 Preferred Brand Drugs|
|4||$68.00||403 Non-Preferred Brand Drugs|
|5||33%||320 Specialty Drugs|
2014 Medicare Coverage Gap
The Initial Coverage Limit (ICL) is $2,850.00. The prescription drug Coverage Gap (aka, "Donut Hole") is the coverage phase where you must pay all of your medication costs. When you reach the donut hole with the WellCare Extra plan all depends on your prescriptions. The Gap Coverage with this policy: No Gap Coverage
Low Income Subsidy
This plan is not available to seniors with a low income subsidy (does not qualify for the $0 LIS premium).
Nation wide, the number of seniors using the WellCare Extra policy is 0. In region 8 (your region) there are approximately 0 people with this policy (based on 2012 CMS statistics).
More North Carolina Senior Healthcare Resources
More Information About WellCare
WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Florida, WellCare offers a variety of health plans for families; children; and the aged, blind and disabled; as well as prescription drug plans. The company served approximately 2.4 million members nationwide as of June 30, 2011.
The summary (overall) rating for this WellCare plan is 3.0 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.
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