Plan Designs
A Plan to Fit Your Needs
Medicare prescription drug coverage is available to all people with Medicare.
Whether you are comfortable with a standard Medicare Part D plan or prefer
expanded coverage, DeanCare Rx plans offer options and flexibility to meet
your needs.| 2008 Plan Basics | DeanCare Rx Classic | DeanCare Rx Value Plan | DeanCare Rx Enhanced |
|
Your monthly premium is Your annual deductible is |
$31.40 $275 |
$35.10 $0 |
$74.80 $0 |
| After your annual deductible is paid | |||
|
Your network copay for Tier 1 Drugs is Your network copay for Tier 2 Drugs is Your network copay for Tier 3 Drugs is Your network co-insurance for Tier 4 Drugs is |
$4 for a 30-day supply $8 for a 90-day supply $26 for a 30-day supply $52 for a 90-day supply $66 for a 30-day supply $132 for a 90-day supply 25% for a 30-day supply |
$4 for a 30-day supply $8 for a 90-day supply $28 for a 30-day supply $56 for a 90-day supply $78 for a 30-day supply $156 for a 90-day supply 30% for a 30-day supply |
$3 / 30-day supply $6 for a 90-day supply $35 for a 30-day supply $70 for a 90-day supply $62 for a 30-day supply $124 for a 90-day supply 33% for a 30-day supply |
|
After the total drug costs (paid by both you and your plan) reaches |
$2,510 | $2,400 | $2,510 |
|
For Tier 1 drugs You Pay : All other drugs
|
You pay 100% You pay 100% |
You pay 100% You pay 100% |
Retail Pharmacy Tier 1 $3 for a 30-day supply
$6 for a 90-day supply Longterm Care Pharmacy Tier 1 - $3 for a 31-day supply Mail-Order Tier 1 - $6 for a 90-day supply You pay 100% |
| After your out-of-pocket drug costs reaches | $4,050 | $4,050 | $4,050 |
| For generic (including brand drugs treated as generic) Your cost for all other drugs is |
$2.25 $5.60 or 5% coinsurance |
$2.25 $5.60 or 5% coinsurance |
$2.25 $5.60 or 5% coinsurance |
S5954_3232_1107
Last Modified Date: 11/28/2007
