Maryland Medicare Part D Plans
Comparing features of Maryland Medicare Part D plans
There are basically two ways you can receive Part D coverage; you can enroll in a Medicare Advantage plan that includes drug coverage or you can join a stand-alone Part D plan.
If you are going to receive your benefits from original Medicare either with or without a supplemental policy you should choose one of the 31 Part D plans available in Maryland for 2012.
When comparing Part D drug plans there are many factors to consider. Finding a plan that includes all of your required medications with features you find important will take a little time and research.
The following is a complete list of Part D plans available in Maryland and organized in a manner that will allow you to make side -by-side comparisons of plan features.
Medicare Advantage vs Medicare Supplement Plans
Maryland Part D
SilverScript Insurance Company
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| CVS Caremark Value (PDP) | Basic | $33.30 | $320 | No Gap Coverage | 3 |
| CVS Caremark Plus (PDP) | Enhanced | $82.50 | $0 | No Gap Coverage | 3 |
CIGNA Medicare Rx
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| CIGNA Medicare Rx Plan One (PDP) | Basic | $32.10 | $320 | No Gap Coverage | 2.5 |
Medco Medicare Prescription Plan
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| Medco Medicare Prescription Plan – Value (PDP) | Basic | $33.00 | $320 | No Gap Coverage | 4 |
| Medco Medicare Prescription Plan – Choice (PDP) | Enhanced | $89.70 | $150 | Many Generics | 4 |
Health Net
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| Health Net Value Orange Option 2 (PDP) | Enhanced | $63.30 | $0 | No Gap Coverage | 3 |
| Health Net Orange Option 1 (PDP) | Basic | $34.80 | $320 | No Gap Coverage | 3 |
United American Insurance Company
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| United American – Preferred (PDP) | Enhanced | $43.00 | $120 | No Gap Coverage | 2.5 |
| United American – Select (PDP) | Basic | $33.10 | $320 | No Gap Coverage | 2.5 |
Medi-CareFirst BlueCross BlueShield
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| BlueRx Standard (PDP) | Basic | $87.10 | $150 | No Gap Coverage | 4 |
| BlueRx Enhanced (PDP) | Enhanced | $131.80 | $0 | Many Generics | 4 |
First Health Part D
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| First Health Part D Premier (PDP) | Basic | $32.30 | $250 | No Gap Coverage | 2.5 |
| First Health Part D Value Plus (PDP) | Enhanced | $23.40 | $0 | No Gap Coverage | 2.5 |
| First Health Part D Premier Plus (PDP) | Enhanced | $96.20 | $0 | Some Generics and Some Brands | 3.5 |
Community CCRx PDP
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| Community CCRx Basic (PDP) | Basic | $32.80 | $320 | No Gap Coverage | 3 |
| Community CCRx Choice (PDP) | Enhanced | $89.20 | $0 | No Gap Coverage | 3 |
Aetna Medicare
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| Aetna CVS/pharmacy Prescription Drug Plan (PDP) | Basic | $26.00 | $320 | No Gap Coverage | 2.5 |
| Aetna Medicare Rx Premier (PDP) | Enhanced | $83.70 | $0 | Many Generics | 2.5 |
UnitedHealthCare
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| AARP MedicareRx Preferred (PDP) | Basic | $37.50 | $0 | No Gap Coverage | 3 |
| AARP MedicareRx Enhanced (PDP) | Enhanced | $89.70 | $0 | Some Generics | 3 |
Humana Insurance Company
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| Humana Enhanced (PDP) | Enhanced | $43.80 | $0 | No Gap Coverage | 3 |
| Humana Complete (PDP) | Enhanced | $109.40 | $0 | Many Generics and Some Brands | 3 |
| Humana Walmart-Preferred Rx Plan (PDP) | Basic | $15.10 | $320 | No Gap Coverage | 3 |
HealthSpring Prescription Drug Plan
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| HealthSpring Prescription Drug Plan -Reg 5 (PDP) | Basic | $33.30 | $320 | No Gap Coverage | 2.5 |
UniCare
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| MedicareRx Rewards Standard (PDP) | Basic | $43.80 | $320 | No Gap Coverage | 2 |
| MedicareRx Rewards Plus (PDP) | Enhanced | $105.80 | $0 | Some Generics | 2 |
WellCare
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| WellCare Signature (PDP) | Enhanced | $56.40 | $0 | No Gap Coverage | 3.5 |
| WellCare Classic (PDP) | Basic | $34.30 | $320 | No Gap Coverage | 3.5 |
Bravo Health
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| BravoRx (PDP) | Basic | $35.10 | $320 | No Gap Coverage | 2.5 |
EnvisionRx Plus
| Medicare Part D Plan Name | Benefit Type | Premium | Deductible | Gap Coverage | Star Rating |
|---|---|---|---|---|---|
| EnvisionRxPlus Silver (PDP) | Basic | $28.30 | $320 | No Gap Coverage | 2.5 |
| Rite Aid EnvisionRxPlus (PDP) | Enhanced | $59.40 | $0 | Some Generics | 2.5 |
Why Part D formularies matter
There are several things to consider when choosing a Part D plan but none is more important than the formulary. The formulary is the list of drugs which are covered by the plan. Formularies are either basic or enhanced.
Basic Formulary
A basic formulary will include the most popular drugs taken by Medicare beneficiaries but may not include less common brand-name medications. If all your drugs are covered by a plan with a basic formulary that you find acceptable, you can enroll in that plan knowing that you are not paying more than necessary by joining a plan with an enhanced formulary.
Enhanced Formulary
A plan with an enhanced formulary will include all the drugs of the basic plan from the same company and then some. If you have a chronic health condition or require less popular name brand drugs you may require a plan with an enhanced formulary. Many enhanced formulary plans do not include an annual deductible and may offer additional coverage while you are in the donut hole.
A plan’s formulary will also indicate which tier each drug is listed in. The same drug may be listed in different tiers by different companies. So it’s not enough just to be certain that your drug is covered. Comparing tier placement of drugs may allow you to save some money. Several factor go into determining your ultimate annual cost and if you are going to find the most suitable Maryland Part D plan you should be prepared to do your homework.
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