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Benefit Highlights - 2007 Plans

2007 Benefit Highlights - Value HMO Plan

2007 Benefit Highlights - Freedom PPO Plan

2007 Benefit Highlights - Dental and Vision

2007 Prescription Drug Benefits

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   2007 Formulary

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2007 Prescription Drug Benefits

 

Senior Care Plus is pleased to offer prescription drug coverage (also known as Medicare Part D) for the Value Rx, Value Rx+, and Freedom Rx+ Plans in 2007.

 

SENIOR CARE PLUS HIGHLIGHTS

PRESCRIPTION DRUG HIGHLIGHTS

VALUE Rx PLAN

VALUE Rx+ PLAN

FREEDOM Rx+ PLAN

Premiums

$20.50 monthly premium

$133 monthly premium

$188 monthly premium

Prescription Drugs

(Medicare Part D)

There is no deductible.

There is no deductible.

There is no deductible.

 

You pay a copayment for each prescription drug until your yearly total drug costs reaches $2,400.  Your generic drug coverage will continue throughout the coverage gap. However, you pay 100% for your brand name drugs until your total out of pocket cost reaches $3,850 (including co-payments).  After your out-of-pocket drug costs reach $3,850, you will pay a small copayment or coinsurance.

 

You pay a copayment for each prescription drug.  There is no coverage gap. After your out-of-pocket drug cost reaches $3,850, you will pay a small copayment or coinsurance.

 

You pay a copayment for each prescription drug.  There is no coverage gap. After your out-of-pocket drug cost reaches $3,850, you will pay a small copayment or coinsurance.

 

 

Formulary generic drugs have a $6 copayment (30-day supply). 

 

Formulary generic drugs have a $6 copayment (30-day supply). 

 

Formulary generic drugs have a $6 copayment (30-day supply). 

 

 

Formulary preferred brand name drugs have a $40 copayment (30-day supply).

Formulary preferred brand name drugs have a $40 copayment (30-day supply).

Formulary preferred brand name drugs have a $40 copayment (30-day supply).

 

Formulary non-preferred brand name drugs have a $65 copayment (30-day supply).

Formulary non-preferred brand name drugs have a $65 copayment (30-day supply).

Formulary non-preferred brand name drugs have a $65 copayment (30-day supply).

 

Special Pharmaceuticals have a $100 copayment (30-day supply)

 

Special Pharmaceuticals have a $100 copayment (30-day supply)

 

Special Pharmaceuticals have a $100 copayment (30-day supply)

 

 

Mail order is available

Mail order is available

Mail order is available

 

For more information, please call Senior Care Plus. During Open Enrollment, November 15, 2006 through March 1, 2007, Customer Services hours will be Monday through Sunday, 8 a.m. to 8 p.m. Pacific Time, at 775-982-3112 or 1-800-336-0123. Beginning March 2, 2007, Customer Services will continue their regular hours: Monday through Friday, 7:30 a.m. to 5:30 p.m. Pacific Time. If you have impaired hearing, dial our TTY/TDD number, 775-982-3240. You can also send a fax to 775-982-3741.

 

 

Revised October 2007



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