Prescription Drug Plan
Part D Benefits Only
|Premium||$28 per month|
|Deductible||$415 - doesn't apply to Tier 1 Drugs|
|30 day supply||Preferred Pharmacy||Standard Pharmacy|
|Tier 1: Preferred Generic||$0||$8|
|Tier 2: Generic||$6||$16|
|Tier 3: Preferred Brand||10%||25%|
|Tier 4: Non-Preferred Drug||25%||40%|
|Tier 5: Specialty Tier||25%||25%|
Every year Medicare evaluates plans based on a 5-star rating system. You can see the Prescription Drug Plan Star Rating by clicking on the link above.
If you elect the Advantage Choice plan with Medical Benefits only, you are not allowed to also enroll in a Part D stand-alone prescription drug plan offered by another carrier.
If you don't have Medicare prescription drug coverage or creditable prescription drug coverage (meaning prescription drug coverage that is as good as Medicare's), you may have to pay a late enrollment penalty if you enroll in Medicare prescription drug coverage in the future. Our Advantage Choice Plus plan and Advantage Premier plan include Part D.
If you have questions about enrolling in a plan that includes prescription drug coverage, please call us at 918-594-5202 [TTY/TDD 1-800-722-0353].
Although Medicare is a Federal program, CommunityCare Prescription Drug Plan is available only to individuals who live in our plan service area. To stay a member of our plan, you must keep living in this service area.
The CommunityCare Prescription Drug Plan service area includes: State of Oklahoma
If you plan to move out of the service area, please contact Customer Service at 918-594-5202.