Mutual of Omaha Rx Plus A 2025 Medicare Part D Plan for California
Mutual of Omaha Rx Plus A 2025 Medicare Part D Plan for California
This guide provides an overview of the Mutual of Omaha Rx Plus Medicare Part D plan for 2025. You’ll find important information about the plan's benefits, costs, and star rating, along with details on how to enroll in California. Use the sections below to explore your prescription drug coverage options.
Mutual of Omaha Rx Plus helps lower your prescription drug expenses, whether you’re enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in California.
Mutual of Omaha Rx Plus: Part D Plan Overview | |
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Part D Plan ID: | S7126-031 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $112.30 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | No |
Availability: | |
Insured By: | Mutual of Omaha |
Understanding Medicare Part D Plan Costs
When considering Mutual of Omaha Rx Plus, it's important to look beyond the monthly premium. There are additional costs, such as deductibles, copayments, and coinsurance, that can affect your out-of-pocket expenses. The following sections explain each cost element to help you make informed decisions about your prescription drug coverage.
Monthly Premium Overview
The Mutual of Omaha Rx Plus plan's monthly premium plays a significant role in determining your overall costs. Some plans may also include supplemental charges or offer Low-Income Subsidy (LIS) options. Below is a breakdown of the premium details for this 2024 plan from Mutual of Omaha.
Basic Part D Premium: | $112.30 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $112.30 |
Part D Premium with Full LIS Assistance: | $71.30 |
Want to know more about the Low-Income Subsidy (LIS) or "Extra Help" program? This benefit can lower your prescription drug costs. Visit the Social Security Extra Help page to learn more.
Part D Prescription Drug Plan Deductible
This plan's Medicare Part D annual deductible is $545.00. You will need to meet this deductible before Mutual of Omaha begins covering your prescription drug costs at the pharmacy.
Out-of-Pocket Expenses with this Part D Plan
Along with the plan's monthly premium and deductible, Mutual of Omaha Rx Plus requires you to pay copayments (a set dollar amount) or coinsurance (a percentage of the drug cost) when picking up your medications. The table below provides a breakdown of these out-of-pocket expenses.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $1.00 copay | $8.00 copay |
2 (Generic) | $5.00 copay | $12.00 copay |
3 (Preferred Brand) | 17% | 19% |
4 (Non-Preferred Drug) | 39% | 41% |
5 (Specialty Tier) | 25% | 25% |
CMS 5-Star Rating Overview
The CMS evaluates Medicare Part D plans each year and assigns a star rating from 1 to 5 based on their overall quality and performance. These ratings are determined by factors like member experiences, customer service, and how well the plan ensures prescription drug safety. Higher ratings indicate better quality, making it easier for you to choose the right plan. Below is the star rating for the Mutual of Omaha Rx Plus plan.
CMS Measure | Star Rating |
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Overall Plan Rating | |
Drug Plan Customer Service | |
Complaints and Changes in the Drug Plan | |
Member Experience with the Drug Plan | |
Drug Safety and Accuracy of Drug Pricing |
When to Enroll in Medicare Part D
Timing your enrollment in Medicare Part D is critical. Here are the key periods when you can sign up for or make changes to your plan:
- Initial Enrollment Period (IEP): This seven-month period begins three months before your 65th birthday month. Discover more about your Medicare Initial Enrollment Period.
- Annual Enrollment Period (AEP): Every year between October 15 and December 7, you can make changes to your Medicare Part D plan. Learn about the Annual Enrollment Period.
- Medicare Advantage Open Enrollment Period (MA-OEP): From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare. Learn more about the MA Open Enrollment Period.
- Special Enrollment Period (SEP): Life events such as relocating or losing coverage can trigger a Special Enrollment Period, allowing changes outside the usual enrollment windows.
How to Enroll in Mutual of Omaha Rx Plus
Here are a few ways to enroll in Mutual of Omaha Rx Plus or a different Medicare Part D plan:
- Call HealthCompare: Get expert help from HealthCompare by calling 877-388-0596 (TTY 711). They can assist you in finding the right plan for your needs.
- Online via MedicareEnrollment.com: Easily compare and enroll in plans by visiting MedicareEnrollment.com.
- Call 1-800-MEDICARE: For additional guidance, contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.
- Call the Plan Directly: Alternatively, reach out to the plan directly using the contact information provided below.
Contact Mutual of Omaha
Plan Website: | Mutual of Omaha Plan Information |
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Formulay Information: | Mutual of Omaha Formulary Information |
Pharmacy Information: | Mutual of Omaha Pharmacy Information |
Prospective Members: | (800)961-9006 |
TTY Users: | (800)584-6939 |
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna Healthcare, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, UnitedHealthcare(R), and Wellcare.
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