| Medicare Part D prescription drug plans
We’re pleased to offer a choice of Medicare Part D prescription drug coverage options for your clients.
Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO) (medical and Rx coverage) Learn more.
Medicare Script Enhanced (PDP) and Medicare Script (PDP) (Rx coverage only) Learn more.
Key Dates
Plans announced October 1.
Enrollment begin November 15.
Plans are effective January 1.
Training and Certification Required
To be eligible to sell these drug plans, you must attend a training session. To schedule, please contact your sales representative.
| 2010 Regence MedAdvantage + Rx Enhanced (PPO) |
2010 Regence MedAdvantage + Rx Classic (PPO) |
Monthly premium: $176*
Annual medical deductible: $0 (Applies to Medicare-covered services.)
Annual pharmacy deductible: $0
Tiered pharmacy benefit with $4 copay for Tier 1 generic medications, even throughout the coverage gap
$10 copay for many in-network medical services |
Monthly premium: $126*
Annual medical deductible: $50 (Applies to Medicare-covered services.)
Annual pharmacy deductible: $200
Tiered pharmacy benefit with $4 copay for Tier 1 generic medications
$25 copay for many in-network medical services |
*Compared to $116 for Regence MedAdvantage (PPO) without pharmacy coverage.
| Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO) Resource |
Description |
Highlights Flyer
• 2009 (PDF)
• 2010 (PDF) |
High level overview of benefits and premiums. |
Information
Brochure
• 2009 (PDF)
• 2010 (PDF) |
Plan and benefits overview, service area, FAQ and more. |
Summary
of Benefits
• 2009 (PDF)
• 2010 (PDF) |
This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits. |
Evidence
of Coverage Brochure (EOC)
• 2009 (PDF)
• 2010 (PDF) |
This is the EOC, a detailed explanation of coverage sent to all new members. |
Annual Notice of Changes
2009
•
Regence MedAdvantage + Rx Classic (PPO) (PDF)
• Regence MedAdvantage + Rx Enhanced (PPO) (PDF)
2010
• Regence MedAdvantage + Rx Classic (PPO) (PDF)
• Regence MedAdvantage + Rx Enhanced (PPO) (PDF) |
Notice of premium, benefit and cost-sharing changes for 2009 and 2010. |
Pharmacy Directory
• 2009 (PDF)
• 2010 (PDF) |
We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customer's area. |
Comprehensive Formulary
• 2009 (PDF)
• 2010 (PDF) |
Search prescription medications to determine copay/coinsurance amounts. |
| Provider Directory |
Search the online provider directory. |
| Discount
Services Program – Regence Advantages |
Discount Services available to members such as
vision care services, hearing care services and discounts
at fitness centers. |
Counter card
• 2010 (PDF)
|
Order these brochures to send to your clients. |
Application
form
• 2009 (PDF)
• 2010 (PDF) |
Use this form to apply for coverage. Download the form, complete and mail to the address listed. |
|
SurePay
Information and Authorization Form
• 2009 (PDF)
• 2010 (PDF) |
Give this form to member to set up automatic payment of premium from the member's personal account. |
I Have Limited Income What Should I Do? (PDF)
• 2009 (PDF)
• 2010 (PDF) |
Income levels that qualify for extra help.
• Annual income less than $15,600 (single)
• Annual income less than $21,000 (married)
• Limited resources/assets |
| 2010 Medicare Script Enhanced (PDP) |
2010 Medicare Script (PDP) |
Monthly premium: $92.50
Annual deductible: $100
Tiered pharmacy benefit with $4 copay for Tier 1 generic medications, even throughout the coverage gap |
Monthly premium: $74.50
Annual deductible: $200
Tiered pharmacy benefit with $4 copay for Tier 1 generic medications |
Medicare Script Resource |
Description |
Highlights Flyer
• 2009 (PDF)
• 2010 (PDF) |
High level overview of benefits and premiums. |
Information
Brochure
• 2009 (PDF)
• 2010 (PDF) |
Plan and benefits overview, service area, FAQ and more. |
Summary
of Benefits
• 2009 (PDF)
• 2010 (PDF)
|
This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits. |
Evidence of Coverage (EOC)
• 2009 (PDF)
• 2010 (PDF) |
This is the EOC, a detailed explanation of coverage sent to all new members. |
Annual Notice of Changes
• 2009 Medicare Script (PDP) (PDF)
• 2009 Medicare Script Enhanced (PDP) (PDF)
• 2010 Medicare Script (PDP) (PDF)
• 2010 Medicare Script Enhanced (PDP) (PDF) |
Notice of premium, benefit and cost-sharing changes for 2009 and 2010. |
Pharmacy Directory
• 2009
(PDF)
• 2010 (PDF) |
We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customer's area. |
Comprehensive Formulary
• 2009
(PDF)
• 2010 (PDF) |
Search a list of prescription medications to determine your copay/coinsurance amounts. |
Discount Services Program - Advantages |
Discount services for members on vision and hearing care services. |
Counter card
• 2010 (PDF) |
Order these brochures to send to your clients. |
Application
Form
• 2009 (PDF)
• 2010 (PDF) |
Use this form to apply for coverage. Download, complete and mail to the address on the form. |
SurePay Information and Authorization Form
• 2009 (PDF)
• 2010 (PDF) |
Give this form to member to set up automatic payment of premium from the member's personal account. |
I Have Limited Income What Should I Do?
• 2009 (PDF)
• 2010 (PDF) |
Income levels that qualify for extra help.
• Annual income less than $15,600 (single)
• Annual income less than $21,000 (married)
• Limited resources/assets |
Customer Service 1 (800) 541-8981
Agent Desk 1 (800) 452-7278 ext. 4960
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