Prescription Drug Plan
Part D Benefits Only
|Premium||$20.80 per month|
|Deductible||$425 - 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%||25%|
|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.
Part D plans are designed to provide you with outpatient prescription drug coverage. Your health coverage is through Original Medicare. Remember that if you enroll in a Medicare Advantage plan – with or without Part D, you will be disenrolled from your CommunityCare Part D Prescription Drug Plan.
If you have questions about enrolling in a plan that includes prescription drug coverage, please call us at 918-594-5275 [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 or 1-800-333-3275. TTY/TDD users should call 1-800-722-0353.