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 |
$295 |
$295 |
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 2009* |
Unlimited
|
Unlimited |
$4,350 |
$4,350 |
$4,350 |
| Formulary** |
Restricted formulary |
Broader formulary—same for all four plans
|
| Retail Pharmacy Network |
Same national pharmacy network, including NRECA's rural pharmacy network
|
* 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 2009 monthly premiums for NRECA's Part D plans are
- Basic Plan = $28.00
- Basic Plus Plan = $39.95
- Copayment Plan = $82.30
- Enhanced Plan = $149.90
- Enhanced Plus Plan = $203.35
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 866.NRECA.99 (866.673.2299).
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 2009:
- The annual deductible is $295 for those plans requiring a deductible, such as NRECA's Basic and Basic Plus plans.
- You must pay $4,350 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 $2.40 for generic drugs and $6.00 for a brand name or specialty drug.