WellCare Extra Prescription Drug Plan for Michigan 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:||S5967-185|
|Approved by CMS for:||MI Residents|
|Rx Plan Type:||Regional|
2014 Medicare Prescription Drug Plan Overview
WellCare Extra is an approved Medicare Prescription Drug Plan (PDP) for seniors in Michigan.
The plan's premium is $535.20 ($44.60/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.
This WellCare plan includes 2844 FDA approved medications. The formulary ID 00014172.
There are two situations will change the amount you pay for you drug plan in Michigan. If are a low income beneficiary and qualify for Extra Help your premium may be lower. Also, if you have a premium penalty due to late entry, your premium will be higher.
Here are a few Part D Plans that compare with WellCare Extra:
- Express Scripts Medicare - Choice
- Prescription Blue Option B
- Transamerica MedicareRx Choice
- First Health Part D Value Plus
- 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. This plan has no deductible so your initial coverage phase begins immediately.
All prescription medications fall into one of several tiers of the plan's formulary. The formulary tiers are used to manage cost-sharing (e.g., co-payments). Formulary tiers are not standardized. Each insurer can assign drugs to the tier that best suits what they pay for drugs.
The pharmacy co-pay with the WellCare Extra plan in Michigan 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||$73.00||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
If you have LIS benefits, this Part D plan is not available to you.
Nation wide, the number of seniors using the WellCare Extra policy is 0. In region 13 (your region) there are approximately 0 people with this policy (based on 2012 CMS statistics).
More Michigan 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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