Express Scripts Medicare - Value, by Express Scripts Medicare, is a 2018 Medicare Part D Plan available in Connecticut. It's rated 4.0 out of five stars ("Above Average"), has a $33.40 monthly premium, and the annual deductible is $405.00. It's a National plan with members.
Below are the PDP plan details. If available, we highly recommend downloading the plan's Summary of Benefits document.
Premiums and Deductibles
Medicare Part D is a cost share plan. When you join Express Scripts Medicare - Value there are several costs that you pay, including premiums, a deductible and pharmacy copayments.
The total premium is $400.80 ($33.40/month). The annual deductible on this plan is $405.00. This is the amount you must pay towards your prescriptions before the plan kicks in and pays its share. The following table shows the premium breakdown:
Low-Income Subsidy Premiums
This plan qualifies for the FULL Low Income Subsidy. The following table details subsidised premium amounts:
Express Scripts Medicare - Value has a $3,750.00 initial coverage limit (ICL). When you hit the ICL you must pay the next $3752.50 in prescription drug costs out of pocket. This gap in coverage is commonly called the Donut Hole. During this period you'll get a minimum 42% discount on ALL formulary generics and a minimum 55% discount on ALL brand drugs will have. Some plans offer additional assistance in the Coverage Gap, but Express Scripts Medicare - Value does not.
Pharmacy CopaymentsWith the Express Scripts Medicare - Value plan you'll make a copayment at the pharmacy when you pick up your prescriptions. The copay amount is based on the formulary tier your prescription falls under, as follows:
|3||$23||Preferred Brand Drugs|
|4||42%||Non-Preferred Brand Drugs|
Compare Express Scripts Medicare - Value with these PDPs
Express Scripts Medicare - Value is a Basic (Actuarially Equivalent Standard) National PDP plan with a $405.00 deductible. We think it compares well with these plans:
Medicare Part D Eligibility
You are eligible to enroll in the Express Scripts Medicare - Value plan if you are:
- A resident of the state of Connecticut,
- Enrolled in both Medicare Part A and Medicare Part B, and
- You are 65 years old or older (or have Medicare Disability).
Express Scripts Medicare offers this plan in Hartford, Bridgeport, Stamford, Norwalk, New Haven, Milford, Danbury, Bristol, Meriden, West Haven and all other cities and rural areas of Connecticut.
This webpage was last reviewed and updated on 10/16/2017.
Plan data on Medicare-Plans.net comes from CMS.gov and is subject to change. The Centers for Medicare and Medicaid Services has neither reviewed nor endorsed the information on this site.
This page is a brief summary, not a complete description. Limitations, co-payments, and restrictions may apply. For more information contact the plan directly.
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