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Benefit Highlights - 2008 Plans

2008 Benefit Highlights - Value HMO Plan

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2008 Prescription Drug Benefits

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2008 Prescription Drug Benefits

 


Senior Care Plus is pleased to offer prescription drug coverage (also known as Medicare Part D) for the Value Plus, Value Rx, Value Rx+, and Freedom Rx+ Plans in 2008.

 

SENIOR CARE PLUS HIGHLIGHTS

 

PRESCRIPTION DRUG HIGHLIGHTS

VALUE PLUS PLAN

VALUE Rx PLAN

VALUE Rx+ PLAN

FREEDOM Rx+ PLAN

Premiums

$5.00 monthly premium

$25.00 monthly premium

$130 monthly premium

$180 monthly premium

Prescription Drugs

(Medicare Part D)

There is a $125 deductible on brand name drugs only.

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 $2,510.  You pay 100% for your generic and brand name drugs until your total out of pocket cost reaches $4,050 (including co-payments).  After your out-of-pocket drug costs reach $4,050, you will pay a small copayment or coinsurance.

 

You pay a copayment for each prescription drug until your yearly total drug costs reaches $2,510.  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 $4,050 (including co-payments).  After your out-of-pocket drug costs reach $4,050, 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 $4,050, 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 $4,050, you will pay a small copayment or coinsurance.

 

 

Formulary generic drugs have a $2 copayment (30-day supply). 

 

Formulary generic drugs have a $4 copayment (30-day supply). 

 

Formulary generic drugs have a $4 copayment (30-day supply). 

 

Formulary generic drugs have a $4 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 preferred brand name drugs have a $40 copayment (30-day supply).

 

Formulary non-preferred brand name drugs have a $70 copayment (30-day supply).

Formulary non-preferred brand name drugs have a $70 copayment (30-day supply).

Formulary non-preferred brand name drugs have a $70 copayment (30-day supply).

Formulary non-preferred brand name drugs have a $70 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)

 

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

 

 

Copayments are discounted for 90-day supplies (2.5 times 30-day supply copayment)

Copayments are discounted for 90-day supplies (2.5 times 30-day supply copayment)

Copayments are discounted for 90-day supplies (2.5 times 30-day supply copayment)

Copayments are discounted for 90-day supplies (2.5 times 30-day supply copayment)

 

Mail order is available

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, 2007 through March 1, 2008, 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, 2008, 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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