Mutual of Omaha Rx Premier A 2025 Medicare Part D Plan for Louisiana
Mutual of Omaha Rx Premier A 2025 Medicare Part D Plan for Louisiana
Welcome to your guide to the Mutual of Omaha Rx Premier Medicare Part D plan for 2025. This page covers key details about the plan, including its benefits, costs, and CMS star rating. We’ve also provided enrollment options to help you secure prescription drug coverage in Louisiana.
The Mutual of Omaha Rx Premier plan offers valuable coverage to help reduce your prescription drug costs, whether you're enrolled in Medicare Part A and/or Part B, or a Medicare Advantage plan without drug coverage in Louisiana.
Mutual of Omaha Rx Premier: Part D Plan Overview | |
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Part D Plan ID: | S7126-090 |
Part D Plan Type: | PDP |
Part D Plan Year: | 2024 |
Monthly Premium: | $77.10 |
Annual Deductible: | $349.00 |
Part D Benefit Type: | Enhanced |
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 Premier, 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 Premier plan's monthly premium is an important factor in your total costs. Some plans include extra fees or offer financial aid through the Low-Income Subsidy (LIS) program. The following table details the premium costs for this 2024 plan by Mutual of Omaha.
Basic Part D Premium: | $67.40 |
Supplemental Part D Premium: | $9.70 |
Total Part D Premium: | $77.10 |
Part D Premium with Full LIS Assistance: | $30.90 |
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.
Part D Prescription Drug Plan Deductible
The annual Medicare Part D deductible for this plan is $349.00. You are responsible for paying this amount before Mutual of Omaha starts sharing the cost of your prescriptions.
NOTE: The deductible does not apply to one or more drug tiers in this plan (see "Prescription Drug Plan Out-of-Pocket Costs" below).
Out-of-Pocket Costs in this Drug Plan
Beyond the monthly premium and deductible, Mutual of Omaha Rx Premier 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) | $1.00 copay (deductible does not apply) | $8.00 copay (deductible does not apply) |
2 (Generic) | $10.00 copay | $17.00 copay |
3 (Preferred Brand) | $47.00 copay | $47.00 copay |
4 (Non-Preferred Drug) | 47% | 48% |
5 (Specialty Tier) | 28% | 28% |
CMS 5-Star Rating Overview
Every year, the Centers for Medicare & Medicaid Services (CMS) rates Medicare Part D plans on a 5-star scale, with 5 stars representing excellent quality and performance. These ratings consider factors like customer service, member experience, and the safety of prescription drugs. A higher rating reflects better overall quality, helping you choose the best plan for your needs. The table below shows the CMS rating for the Mutual of Omaha Rx Premier 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
It's important to enroll in a Medicare Part D plan during specific periods to avoid penalties and ensure continuous coverage. Here are the key times to sign up:
- 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 Medicare Part D
Ready to enroll in Mutual of Omaha Rx Premier or another Medicare Part D plan? Here are your options:
- Call HealthCompare: Speak with a licensed agent by calling HealthCompare at 877-388-0596 (TTY 711) for personalized assistance.
- Online via MedicareEnrollment.com: Compare and enroll in plans online by visiting MedicareEnrollment.com.
- Call 1-800-MEDICARE: You can also call 1-800-MEDICARE (1-800-633-4227) for help with enrollment. TTY users should dial 1-877-486-2048.
- Call the Plan Directly: Contact the plan directly using the information provided below to enroll by phone.
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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