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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.