NRECA's Medicare Part D Plans
NRECA offers five Medicare Part D prescription drug plans for Medicare-eligible retired and disabled employees and directors of NRECA member co-ops, as well as their Medicare-eligible spouses and surviving spouses.
NRECA's Part D Plans — What You Pay:
|
|
Basic Plan
|
Basic Plus Plan
|
Copayment Plan
|
Enhanced Plan
|
Enhanced Plus Plan
|
| Deductible |
$310 |
$310 |
None |
None |
None |
| Coinsurance or Copayment |
25%
|
25%
|
Copayments ranging from $5-$120 per prescription or refill
|
25%
|
15%
|
|
Coverage Gap
|
100%
|
100%
|
Generic drugs: $5-$15 copayment
Preferred brand: 100% Non-preferred brand: 100%Specialty: 100%
|
None
|
None
|
| Catastrophic level |
5%
|
5%
|
$0 |
$0 |
$0 |
| Maximum you pay in 2010* |
Unlimited
|
Unlimited |
$4,550 |
$4,550 |
$4,550 |
| Formulary** |
Restricted formulary |
Broader formulary—same for all four plans
|
| Retail Pharmacy Network |
* Same national pharmacy network, including NRECA's rural pharmacy network
* Other pharmacies available in NRECA network in addition to CVS pharmacies
|
* Does not include premiums.
** Formulary is the list of drugs covered by a particular plan. A restricted formulary means that fewer drugs are covered by that plan.
Premiums
The 2010 monthly premiums for NRECA's Part D Plans are
- Basic Plan = $28.60
- Basic Plus Plan = $40.75
- Copayment Plan = $89.70
- Enhanced Plan = $151.40
- Enhanced Plus Plan = $215.35
Your premium may be lower if your co-op pays all or some of the cost of your premium, or if you qualify for Extra Help from Medicare. Check with the benefits administrator at your co-op or call the NRECA Member Contact Center at 1-866-NRECA-99 (1-866-673-2299), available 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.
Deductible and TrOOP
Medicare determines some of the costs you pay and they can change from year to year. Here are the costs set by Medicare for 2010:
- The annual deductible is $310 for those plans requiring a deductible, such as NRECA's Basic and Basic Plus Plans.
- You must pay $4,550 in True Out-Of-Pocket costs (TrOOP) for covered drugs before you are eligible for catastrophic coverage.
- For the Basic and Basic Plus Plans only, the minimum copayment during catastrophic coverage is $2.50 for generic drugs and $6.30 for a brand-name or specialty drug.