Prescription Drug Plan

Part D Benefits Only

2019CommunityCare Prescription Drug Plan001 Information and Descriptions
     
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%
Documents
Enrollment

Every year Medicare evaluates plans based on a 5-star rating system. You can see the Senior Health Plan Star Rating by clicking on the link above.

Important Notes:

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].

Service Area

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.