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Our Part D plans give you real options

${company} offers three Medicare Part D prescription drug plans (PDPs) in all 50 states and the District of Columbia. Plan premiums start at an average of $17 for our Select plan, with full Tier 1 and Tier 2 gap coverage on the majority of our plans, and low preferred cost sharing across the board.

${company} Medicare Rx® Select (PDP)

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${company} Medicare Rx® Select (PDP)

This popular plan offers you our lowest premiums. Along with a broad selection of generic and brand name drugs, you get $0 copays for Tier 1 drugs at preferred retail pharmacies or through Aetna Rx Home Delivery® — and full Tier 1 and Tier 2 gap coverage.

${company} Medicare Rx® Saver (PDP)

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${company} Medicare Rx® Saver (PDP)

With this plan, you get basic Part D coverage plus more. Benefits include affordable cost sharing at our nationwide pharmacy network. You also get low copays at our preferred pharmacies and can have your drugs delivered by mail using Aetna Rx Home Delivery®.

${company} Medicare Rx® Value Plus (PDP)

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${company} Medicare Rx® Value Plus (PDP)

This plan offers you a broad selection of generic and brand name drugs without a deductible. You’ll enjoy $1 copays for Tier 1 drugs at preferred retail pharmacies or through Aetna Rx Home Delivery®. You’ll also get full Tier 1 and Tier 2 gap coverage.

${company} Medicare Part D plans at a glance

${company} Medicare Rx Select

${company} Medicare Rx Saver

${company} Medicare Rx Value Plus

NATIONWIDE AVERAGE MONTHLY PREMIUM

$17*

$30*

$61*

ANNUAL DEDUCTIBLE

Tier 1/Tier 2: $0*
Tier 3–Tier 5: $369*

Tier 1/Tier 2: $0*
Tier 3–Tier 5: $313*

$0*

PREFERRED RETAIL TIER 1 AND TIER 2 COPAYS (30-DAY SUPPLY)

$0/$2

$1/$2

$1/$2

TIER 1 AND TIER 2 AETNA RX HOME DELIVERY THROUGH PREFERRED PHARMACIES (90-DAY SUPPLY)

$0/$6

$3/$6

$3/$6

ADDITIONAL GAP COVERAGE

Tier 1/Tier 2 gap coverage

Standard**

Tier 1/Tier 2 gap coverage

${company} Medicare Part D plans at a glance

*Premiums and deductible vary by plan. Please refer to the Evidence of Coverage for your state for additional information.
** You pay 25% of the cost for brand drugs or 37% for generic drugs (does not apply if you are receiving Extra Help).

 

 

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

This information is not a complete description of benefits. Call 1-855-335-1407 (TTY: 711) for more information. Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.

${company} Medicare’s pharmacy network includes limited lower cost, preferred pharmacies in: Rural Missouri, Urban Alabama, and Urban Tennessee. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at http://www.aetnamedicare.com/pharmacyhelp.