Mutual of Omaha Rx Plus A 2025 Medicare Part D Plan for Iowa
Mutual of Omaha Rx Plus A 2025 Medicare Part D Plan for Iowa
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 Iowa. 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 Iowa.
Mutual of Omaha Rx Plus: Part D Plan Overview | |
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Part D Plan ID: | S7126-024 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $40.90 |
Annual Deductible: | $545.00 |
Part D Benefit Type: | Basic |
Gap Coverage: | No |
Low Income Subsidy: | Yes |
Availability: | |
Insured By: | Mutual of Omaha |
An Overview of Medicare Part D Plan Costs
Mutual of Omaha Rx Plus has a range of costs, including monthly premiums, deductibles, copayments, and coinsurance. Understanding how each of these components impacts your overall expenses is key to managing your prescription drug costs effectively. The sections below will guide you through each cost factor.
Plan Premium Details
Your monthly premium for the Mutual of Omaha Rx Plus plan is bundled into the total plan cost. Depending on the plan, you may face additional expenses or qualify for Low-Income Subsidy (LIS) support. The table below outlines the premium structure for this 2024 Mutual of Omaha plan.
Basic Part D Premium: | $40.90 |
Supplemental Part D Premium: | $0.00 |
Total Part D Premium: | $40.90 |
Part D Premium with Full LIS Assistance: | $0.00 |
To learn more about the Low-Income Subsidy (LIS) program, also known as "Extra Help," and how it can assist with your prescription drug costs, visit the Social Security Extra Help page.
Understanding the Plan’s Deductible
The annual Medicare Part D deductible for this plan is $545.00. You are responsible for paying this amount before Mutual of Omaha starts sharing the cost of your prescriptions.
Prescription Drug Plan Out-of-Pocket Costs
Beyond the monthly premium and deductible, Mutual of Omaha Rx Plus includes copayments (fixed amounts) and/or coinsurance (a percentage of the cost) that you'll need to pay when filling your prescriptions. The table below outlines these costs in detail.
Tier | Preferred | Standard |
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1 (Preferred Generic) | $2.00 copay | $9.00 copay |
2 (Generic) | $5.00 copay | $12.00 copay |
3 (Preferred Brand) | 15% | 17% |
4 (Non-Preferred Drug) | 36% | 38% |
5 (Specialty Tier) | 25% | 25% |
How the CMS 5-Star Rating Works
The CMS assigns Medicare Part D plans a star rating, ranging from 1 to 5 stars, based on several factors, including customer service, member satisfaction, and prescription drug safety. This annual rating helps you evaluate the quality of a plan before enrolling. A 5-star rating indicates top-tier performance. Below, you’ll find the CMS 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 |
Important Medicare Part D Enrollment Periods
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
There are several ways to enroll in Mutual of Omaha Rx Plus or another Medicare Part D plan, allowing you to choose the method that works best for you:
- 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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