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Effective: December 1, 2006 |
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04.40.20.05ar1 - Medicare Part D Benchmark Plans (Archive) |
Archived: December 1, 2007 |
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.
2006 Benchmark Plan Not Available in 2007.
2006 Medicare Part D Benchmark Plans
The following are the Medicare part D Benchmark Plans for 2006.
l BCBS MedicareBlue Rx Option 1.
l Humana PDP Standard.
l Medco YOURxPlan.
l MemberHealth Community Care Rx Basic.
l PacifiCare Saver Plan.
l Penn Life Prescription Pathway Bronze Plan.
l Rx America Advantage Freedom Plan.
l Rx America Advantage Star Plan.
l SilverScript.
l Unicare MedicareRx Rewards Value.
l United Health Care AARP MedicareRx Plan.
l United Health Care HealthRx.
l United Medicare MedAdvance.
l WellCare Signature.
2007 Medicare Part D Benchmark Plans
The following Medicare Part D Benchmark Plans take effect January 1, 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.
2006 Benchmark Plan Not Available in 2007
Some clients enrolled in a 2006 benchmark plan, which is no longer available in 2007 as a benchmark plan, may not be required to pay a premium if they continue their enrollment in the non-benchmark program.
l These plans are known as De Minimis Premium Plans.
l The rules for which plans meet the qualifications are established by CMS.
l Contact clients who were enrolled in an Extra Help 2006 Benchmark Plan that is no longer available to determine if the client is paying a premium amount.