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Effective: December 1, 2007 |
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04.40.20.05ar3 - Medicare Part D Benchmark Plans (Archive) |
Archived: February 1, 2009 |
This section lists health plans providing Medicare Part D which are considered Medicare Part D Benchmark Plans for the applicable year.
l Clients enrolled in a benchmark plan may or may not be receiving Extra Help . See Medicare Part D for more information on the Extra Help Program.
l Determine if clients enrolled in a benchmark plan are receiving Extra Help.
l Do not use the premium amount or cost-sharing amounts paid by Extra Help as a medical expense or Medicare premium deduction for a spenddown or LTC income calculation. See MA/GAMC and Medicare Part D for more information.
l See Medicare Part D Cost-Sharing Amounts for information on the benchmark premium amount and other Part D cost-sharing amounts.
2007 Benchmark Plans Not Available in 2008.
2008 Medicare Part D Benchmark Plans
The following are the Medicare Part D benchmark plans for 2008.
l Aetna Medicare Rx Essentials.
l BCBS MedicareBlue Rx Option 1.
l Community CCRx Basic.
l Fox Value Plan.
l Health Net Orange Option 1.
l HealthSpring Prescription Drug Plan.
l Humana PDP Standard.
l Medco Medicare Prescription Plan - Value.
l Prescription Pathway Bronze Plan.
l RxAmerica Advantage Star Plan.
l SilverScript.
l Sterling Rx.
l Unicare MedicareRx Rewards Standard.
l Unicare MedicareRx Rewards Value.
l United Healthcare AARP Medicare Rx Saver.
l WellCare Classic.
2007 Benchmark Plans Not Available in 2008
Some 2007 benchmark plans will not be benchmark plans in 2008. They include:
l Fox Rx Care Choice Plan.
l Health Net Orange Option 2.
l United Healthcare AARP Medicare Rx Plan.
l WellCare Signature.
Some clients enrolled in these plans may be required to pay a premium if they stay in the non-benchmark plan. The rules for which plans meet benchmark qualifications are established by CMS . One factor is whether plan premiums fall in the "de minimus" range (or, what the premium amount is in relation to the regional low-income premium subsidy amount).
Note: These clients may be reassigned to a new benchmark plan by CMS if CMS enrolled them in the current plan.
2007 Medicare Part D Benchmark Plans
The following are the Medicare Part D benchmark plans for 2007.
l Aetna Medicare Rx Essentials.
l BCBS Medicare Blue Rx Option 1.
l Fox Rx Care Choice Plan.
l Health Net Orange Option 1.
l Health Net Orange Option 2.
l HealthSpring PDP.
l Humana PDP Standard.
l MemberHealth Community Care Rx Basic.
l Penn Life Prescription Pathway Bronze Plan.
l Rx America Advantage Star Plan.
l Silverscript.
l Unicare Medicare Rx Rewards Value.
l United HealthCare AARP Medicare Rx Plan Saver.
l United HealthCare AARP Medicare Rx Plan.
l WellCare Classic.
l WellCare Signature.