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Medicare prescription drug plans (PDP) in Pennsylvania provide quality coverage for Seniors. The different types of drugs are preferred generic (Tier 1), generic (Tier 2), preferred brand (Tier 3), non-preferred drug (Tier 4), and specialty (Tier 5). Prescription benefits are available through Medicare Advantage plans, or separate Part D coverage. All plans publish their specific covered drugs (formulary), which should be reviewed before enrollment.

After you compare 2019 options and choose the specific plan you prefer, enrollment can be easily completed online, by phone, or through the mail. You will be required to provide your ID number (found on your Medicare Card), and the dates that your Parts A and B coverage began. If you have existing prescription drug benefits, you may not want to enroll in an Advantage plan.If you do not enroll during the time you initially become eligible, a late enrollment fee may be applied.

Your out-of-pocket costs consist of the premium you pay, the annual deductible (if applicable), coinsurance, copayments, coverage gaps, and late enrollment fees (if deadline is missed). Using drugs that are on your plan formulary list will reduce your costs. Utilizing pharmacies inside your carrier's network will also save money. Households with limited income may be eligible for financial assistance. "Extra Help" is offered if the household income is $18,210 (one person), or $24,690 (couple). The amount of resources may also impact eligibility.

Medicare utilizes a star rating system to measure the performance of Part D plans. The highest rating is 5 stars, and the lowest possible rating is 1 star. Ratings are a valuable tool that helps consumers rate plans. Every year, ratings and reviews are updated to reflect current changes. The four rating categories are: Drug pricing and patient safety, member experience with the plan, member complaints, service problems and issues, and deciding to leave the plan, and customer service and relations.

If other benefits are in effect, it is important to understand the impact it will have on any new coverage. For example, benefits through TRICARE, your employer, the VA, or a special agreement with a drug manufacturer may be impacted by your choice of coverage.

 

Shown below are all available 2019 Pa Medicare prescription drug plans offered. Premiums, deductibles, and copays are subject to change each year. CMS plan ratings apply to all plans. Five ratings are available. 5 stars (excellent), 4 stars (very good), 3 stars (good), 2 stars (fair) and 1 star (poor). A customer-service rating is also provided. "Member  plan experience" indicates how available drugs are to covered members.

 

Senior Medicare Drug plans in Pennsylvania provide prescription benefits to Keystone State consumers. Compare all plans from Major companies and enroll online.

 

EnvisionRxPlus - $14.50 monthly rate with $325 deductible (Tier 1 not subject to deductible). 2,963 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $6 (Tier 2), $35 (Tier 3), 35% (Tier 4), and 26% (Tier 5). Preferred 90-day drug copays are $2 (Tier 1), $18 (Tier 2), $105 (Tier 3), 35% (Tier 4), and n/a (Tier 5). 3-Star CMS Overall Star Rating. 

 

Aetna MedicareRx Select - $17.20 monthly rate with $380 deductible (Tiers 1 and 2 not subject to deductible). 3,737 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $2 (Tier 2), $47 (Tier 3),  40% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $6 (Tier 2), $141 (Tier 3), 40% (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.

 

Aetna MedicareRx Saver - $34.90 monthly rate with $290 deductible (Tiers 1 and 2 not subject to deductible). 3,283 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $2 (Tier 2), $30 (Tier 3), 35% (Tier 4), and 27% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $6 (Tier 2), $90 (Tier 3), 35% (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.

 

Humana Walmart Rx Plan - $28.50 monthly rate with $415 deductible (Tier 1 not subject to deductible). 3,055 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $4 (Tier 2), 20% (Tier 3),  35% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $12 (Tier 2), 20% (Tier 3), 35% (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.

 

Humana Preferred Rx Plan - $35.50 monthly rate with $415 deductible. 2,968 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $1 (Tier 2), 25% (Tier 3), 3585% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $3 (Tier 2), 25% (Tier 3), 38% (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.

 

Humana Enhanced - $73.70 monthly rate with $0 deductible. 3,174 formulary drugs available. Preferred 30-day drug copays are $5 (Tier 1), $10 (Tier 2), $47 (Tier 3), 50% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $15 (Tier 1), $30 (Tier 2), $141 (Tier 3), 50% (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.

 

Express Scripts Medicare Saver - $25.40 monthly rate with $415 deductible (Tiers 1 and 2 not subject to deductible). 2,806 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $4 (Tier 2), 18% (Tier 3), 33% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $12 (Tier 2), 18% (Tier 3), n/a (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.  

 

Express Scripts Medicare Value - $36.20 monthly rate with $415 deductible. 2,931 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $3 (Tier 2), $26 (Tier 3), 35% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $9 (Tier 2), $78 (Tier 3), n/a (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.   

 

Express Scripts Medicare Choice - $100 monthly rate with $350 deductible (Tiers 1 and 2 not subject to deductible). 3,268 formulary drugs available. Preferred 30-day drug copays are $2 (Tier 1), $7 (Tier 2), $42 (Tier 3), 48% (Tier 4), and 26% (Tier 5). Preferred 90-day drug copays are $6 (Tier 1), $21 (Tier 2), $126 (Tier 3), n/a (Tier 4), and n/a (Tier 5). 3.5-Star CMS Overall Star Rating.   

 

AARP MedicareRx Walgreens - $26.80 monthly rate with $405 deductible (Tiers 1 and 2 not subject to deductible). 3,037 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $6 (Tier 2), $31 (Tier 3), 32% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $18 (Tier 2), $93 (Tier 3), 32% (Tier 4), and 25% (Tier 5). 3.5-Star CMS Overall Star Rating.   

 

AARP MedicareRx Saver Plus - $48.20 monthly rate with $405 deductible. 3,122 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $8 (Tier 2), $32 (Tier 3), 41% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $24 (Tier 2), $96 (Tier 3), 41% (Tier 4), and 25% (Tier 5). 3.5-Star CMS Overall Star Rating.  

 

AARP MedicareRx Preferred - $83.90 monthly rate with $0 deductible. 3,549 formulary drugs available. Preferred 30-day drug copays are $7 (Tier 1), $10 (Tier 2), $37 (Tier 3), 40% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $21 (Tier 1), $30 (Tier 2), $111 (Tier 3), 40% (Tier 4), and 33% (Tier 5). 4.0-Star CMS Overall Star Rating.   

 

Basic Blue Rx - $27.20 monthly rate with $405 deductible (Tiers 1 and 2 not subject to deductible). 2,957 formulary drugs available. Preferred 30-day drug copays are $4 (Tier 1), $9 (Tier 2), 15% (Tier 3), 30% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $10 (Tier 1), $22.50 (Tier 2), 15% (Tier 3), 30% (Tier 4), and n/a (Tier 5).  Since the plan is fairly new, there is no CMS rating.   

 

Blue Rx PDP Plus - $84.90 monthly rate with $405 deductible. 4,357 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $5 (Tier 2), 20% (Tier 3), 40% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $15 (Tier 2), 20% (Tier 3), 40% (Tier 4), and n/a (Tier 5). 4.0-Star CMS Overall Star Rating. 

 

Blue Rx PDP Complete - $157.80 monthly rate with $0 deductible. 4,357 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $5 (Tier 2), $40 (Tier 3), 35% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $15 (Tier 2), $120 (Tier 3), 35% (Tier 4), and n/a (Tier 5). 4.0-Star CMS Overall Star Rating.      

 

SilverScript Choice - $27.80 monthly rate with $0 deductible. 3,052 formulary drugs available. Preferred 30-day drug copays are $3 (Tier 1), $14 (Tier 2), $42 (Tier 3), 45% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $7.50 (Tier 1), $35 (Tier 2), $105 (Tier 3), 45% (Tier 4), and n/a (Tier 5). 4.0-Star CMS Overall Star Rating.   

 

SilverScript Plus - $72 monthly rate with $0 deductible. 3,087 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $5 (Tier 2), $35 (Tier 3), 40% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $2.50 (Tier 1), $12.50 (Tier 2), $87.50 (Tier 3), 40% (Tier 4), and n/a (Tier 5). 4.0-Star CMS Overall Star Rating.    

 

Symphonix Value Rx - $33 monthly rate with $405 deductible. 3,122 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $3 (Tier 2), $33 (Tier 3), 27% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $9 (Tier 2), $99 (Tier 3), 27% (Tier 4), and 25% (Tier 5). 3.0-Star CMS Overall Star Rating.     

 

Cigna-HealthSpring Rx Secure - $37.70 monthly rate with $405 deductible. 3,449 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $5 (Tier 2), $35 (Tier 3), 39% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $15 (Tier 2), $105 (Tier 3), 39% (Tier 4), and n/a (Tier 5).  

 

Cigna-HealthSpring Rx Secure Extra - $55.10 monthly rate with $0 deductible. 3,493 formulary drugs available. Preferred 30-day drug copays are $4 (Tier 1), $10 (Tier 2), $42 (Tier 3), 50% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $12 (Tier 1), $30 (Tier 2), $126 (Tier 3), 50% (Tier 4), and n/a (Tier 5). 2.0-Star CMS Overall Star Rating.

 

WellCare Classic - $34.80 monthly rate with $415 deductible (Tier 1 not subject to deductible). 2,990 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $1 (Tier 2), $37 (Tier 3), 48% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $3 (Tier 2), $111 (Tier 3), 48% (Tier 4), and n/a (Tier 5). 2.5-Star CMS Overall Star Rating.  

 

WellCare Extra - $72.60 monthly rate with $0 deductible. 2,933 formulary drugs available. Preferred 30-day drug copays are $0 (Tier 1), $0 (Tier 2), $36 (Tier 3), 35% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $0 (Tier 1), $0 (Tier 2), $108 (Tier 3), 35% (Tier 4), and n/a (Tier 5). 2.5-Star CMS Overall Star Rating.

 

WellCare Value Script - $15.50 monthly rate with $415 deductible (Tier 1 not subject to deductible).

 

First Health Part D Value Plus - $56.20 monthly rate with $0 deductible. 5,257 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $2 (Tier 2), $47 (Tier 3), 50% (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $6 (Tier 2), $141 (Tier 3), 50% (Tier 4), and n/a (Tier 5). 3.0-Star CMS Overall Star Rating.  

 

SecureRx - Option 3 - $68.10 monthly rate with $0 deductible. 3,114 formulary drugs available. Preferred 30-day drug copays are $5 (Tier 1), $15 (Tier 2), $38 (Tier 3), 50% (Tier 4), and 38% (Tier 5). Preferred 90-day drug copays are $15 (Tier 1), $45 (Tier 2), $114 (Tier 3), 50% (Tier 4), and n/a (Tier 5). 4.0-Star CMS Overall Star Rating. 

 

SecureRx - Option 1 - $133.70 monthly rate with $0 deductible. 4,198 formulary drugs available. Preferred 30-day drug copays are $4 (Tier 1), $15 (Tier 2), $38 (Tier 3), $89 (Tier 4), and 33% (Tier 5). Preferred 90-day drug copays are $12 (Tier 1), $45 (Tier 2), $114 (Tier 3), $267 (Tier 4), and n/a (Tier 5). 4.0-Star CMS Overall Star Rating.

 

Magellen RX Medicare Basic - $70.60 monthly rate with $405 deductible. 3,471 formulary drugs available. Preferred 30-day drug copays are $1 (Tier 1), $5 (Tier 2), 15% (Tier 3), 50% (Tier 4), and 25% (Tier 5). Preferred 90-day drug copays are $3 (Tier 1), $15 (Tier 2), 15% (Tier 3), 50% (Tier 4), and n/a (Tier 5). 2.0-Star CMS Overall Star Rating.