*** The Health Care Programs Manual (HCPM) has been replaced by the Minnesota Health Care Programs Eligibility Policy Manual (EPM) as of June 1, 2016. Please refer to the EPM for current health care program policy information. ***
Effective: December 1, 2014 |
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04.40.20.05 - Medicare Part D Benchmark Plans |
Archived: June 1, 2016 (Previous Versions) |
This section lists health plans providing Medicare Part D that 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 subsidy.
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 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.
2015 Medicare Part D Benchmark Plans.
2014 Medicare Part D Benchmark Plans not Benchmark plans in 2015.
2014 Medicare Part D Benchmark Plans.
2015 Medicare Part D Stand Alone Benchmark Plans
The following are the stand alone Medicare Part D benchmark plans for 2015:
l Aetna Medicare RX Saver Pharmacy Prescription Drug Plan
l Blue Cross Blue Shield Platinum Blue Core with RX
l Humana Preferred Rx Plan
l Medica Prime Solution Basic with Part D Option 1
l Medica Prime Solution Enhanced with Part D Option 1
l Medica Prime Solution Thrift with Part D Option 1
l Medica Prime Solution Value Part D Option 1
l Symphonix Value Rx
l United Healthcare AARP Medicare Saver Plus
See the "2015 Amounts in Excess of Medicare Part D Benchmark to Apply as Medical Expense" document for more information on Medicare Part D benchmark plans in which a person is enrolled in conjunction with a Medicare Part C (Medicare Advantage) plan.
2014 Medicare Part D Benchmark Plans not Benchmark Plans in 2015
The following 2014 benchmark plans will not be a benchmark plan in 2015:
l Aetna Medicare CVS Pharmacy Prescription Drug Plan
l Cigna Medicare RX Secure
l Envision Rx Plus Silver
l HealthMarkets Value Rx
l WellCare Classic
2014 Medicare Part D Stand Alone Benchmark Plans
The following are the stand alone Medicare Part D benchmark plans for 2014:
l Aetna Medicare CVS Pharmacy Prescription Drug Plan
l Cigna Medicare RX Secure
l Envision Rx Plus Silver
l HealthMarkets Value Rx
l Humana Preferred Rx Plan
l Symphonix Value Rx
l United Healthcare AARP Medicare Saver Plus
l WellCare Classic
See the "2014 Amounts in Excess of Medicare Part D Benchmark to Apply as Medical Expense" document for more information on Medicare Part D benchmark plans in which a person is enrolled in conjunction with a Medicare Part C (Medicare Advantage) plan.