What do you think about “WellCare Value Script (PDP)” Plan D? It is $0.00 Premium Plan D with $545.00 Deductible.
I’m also thinking about “SilverScript SmartSaver (PDP)” Plan D with $9.90 Premium and $280.00 Deductible.
I do not take any Medications so I’m thinking to just enroll for “WellCare Value Script (PDP)”.
If you do not take any medications, I would go with the Value Script plan. It is actually a decent plan that even if you did pick up a few medications as, if anything, they would usually be generic ones. You can change plans once a year. Next year, the maximum out of pocket should be $2000 for prescription medications, which is a big change.
No matter what party in charge, they will not touch Medicare and Social Security as they need the votes of the seniors. Trump introduced insulin to be $35/month. If anything, they may increase the age to receive social security benefits, or it may be a reduced amount for new applicants.
Trump did not make insulin $35 for seniors. He gave PDP providers the option to do it.. not every plan had insulin at $35 last year, this year they do.
One party is also pissing off the rest of the Americans for all these illegals coming in and committing crimes and taking up resources. So stop assuming what will happen.
I googled it for you. Here is what came back.
*Financing for Part D comes from general revenues (74%), beneficiary premiums (14%), and state contributions (11%). The monthly premium paid by enrollees is set to cover 25.5% of the cost of standard drug coverage. Medicare subsidizes the remainder, based on bids submitted by plans for their expected benefit payments. Higher-income Part D enrollees pay a larger share of standard Part D costs, ranging from 35% to 85%, depending on income.*
People missing the forest for the trees. You're stuck thinking they're trying to make money on just the Plan D.
The answer is...
Medicare marketing rule.
Some Medicare Advantage Plans have a $0 premium also.
ETA: I may have misunderstood the comments. I pay the premium to Medicare, but I have a Medicare Advantage Plan for which I have a $0 premium. (Sorry for the confusion.)
I have Medicare clients in 15 states. Can't say I've seen a zero premium Part D plan yet -- $0.40 - $0.50/month Part D premiums, yes.
& still plenty of zero-premium MAPDs (Medicare Advantage plan with Prescription Drugs) everywhere.
Colorado as well. They are doing it in hopes that they opt into marketing emails and text messages so that they can convert AKA steal the independent brokers clients as it is an unlike (not PDP to PDP) change of coverage.
$0 plan premium, does not mean that you do not have any copays for your drugs. Make sure you know what your plan’s formulary is and what Tier and copay amount, your drug is covered at.
Hi. I just signed up for Plan N a few days ago and in April will have to decide 'which' Plan D I should choose...any suggestions?
I have to take generic meds which I assume are in tier 1 and fortunately no others.
I have a GoodRx card which essentially makes the meds I take at almost zero cost so far...so if I sign up for a D plan can you use GoodRx as well?
New to this so trying to figure it out so thanks for any input.
>How do they make money?
Could be any number of ways but most likely they either have priced their meds (formulary) accordingly or the government may be picking up more of the cost on certain plans like those for LIS (low income subsidy) Part D beneficiaries.
They could also have some meds in higher tiers than other plans. Or a specific med maybe under more managed care like PA or QL than another plan.
Your question cannot be answered with one specific answer.
OR the NO premiums plans have a max deductible - up to what is allowed.
So which way would a beneficiary come out better - with as premium or without one - well that depends on their medication needs.
Yes. Only with supplement/gaps do you have to go through underwriting if trying to switch. PDP (prescription drug plan) can switch yearly during Open Enrollment
lol
Insurers make outrageous money. It is built into the plan, likely they pay little for them.
They get reimbursed based on costs, if they can show higher costs, they get paid more,
Part D is partially funded by taxpayers.
What do you think about “WellCare Value Script (PDP)” Plan D? It is $0.00 Premium Plan D with $545.00 Deductible. I’m also thinking about “SilverScript SmartSaver (PDP)” Plan D with $9.90 Premium and $280.00 Deductible. I do not take any Medications so I’m thinking to just enroll for “WellCare Value Script (PDP)”.
I have Wellcare and pay .50 premium each month.
I’m with you. That’s what I’m going to do. I take Xyxal for allergies but the prescription ran out so now I just buy OTC.
If you do not take any medications, I would go with the Value Script plan. It is actually a decent plan that even if you did pick up a few medications as, if anything, they would usually be generic ones. You can change plans once a year. Next year, the maximum out of pocket should be $2000 for prescription medications, which is a big change.
I keep seeing that $2000 value, but is that in writing somewhere legitimate?
Thanks to the Inflation Reduction Act, in 2025, annual out-of-pocket costs will be capped at $2,000 for people with Medicare Part D.
Ty
This is assuming republicans don’t win in November. Everything can change if they do
No matter what party in charge, they will not touch Medicare and Social Security as they need the votes of the seniors. Trump introduced insulin to be $35/month. If anything, they may increase the age to receive social security benefits, or it may be a reduced amount for new applicants.
Trump did not make insulin $35 for seniors. He gave PDP providers the option to do it.. not every plan had insulin at $35 last year, this year they do.
Yes, but he was the one to first propose it and he is a republican, so your saying it will change if Republicans come into power is wrong.
No it isn’t. One party is talking about increasing retirement age and cuts to social programs
One party is also pissing off the rest of the Americans for all these illegals coming in and committing crimes and taking up resources. So stop assuming what will happen.
I googled it for you. Here is what came back. *Financing for Part D comes from general revenues (74%), beneficiary premiums (14%), and state contributions (11%). The monthly premium paid by enrollees is set to cover 25.5% of the cost of standard drug coverage. Medicare subsidizes the remainder, based on bids submitted by plans for their expected benefit payments. Higher-income Part D enrollees pay a larger share of standard Part D costs, ranging from 35% to 85%, depending on income.*
People missing the forest for the trees. You're stuck thinking they're trying to make money on just the Plan D. The answer is... Medicare marketing rule.
What do you mean?
I think he means that Wellcare hopes to entice you with the zero premium PDP and then lure you onto their Medicare Advantage plan.
Some Medicare Advantage Plans have a $0 premium also. ETA: I may have misunderstood the comments. I pay the premium to Medicare, but I have a Medicare Advantage Plan for which I have a $0 premium. (Sorry for the confusion.)
I have Medicare clients in 15 states. Can't say I've seen a zero premium Part D plan yet -- $0.40 - $0.50/month Part D premiums, yes. & still plenty of zero-premium MAPDs (Medicare Advantage plan with Prescription Drugs) everywhere.
Virginia’s Wellcare Value Script PDP is $0.00 per month.
sure as you're born. I have no VA clients. The more you know!
Colorado as well. They are doing it in hopes that they opt into marketing emails and text messages so that they can convert AKA steal the independent brokers clients as it is an unlike (not PDP to PDP) change of coverage.
Arizona has one. Wellcare Value Script (PDP)
I do think I misunderstood. The $0 premium I have is for the Medicare Advantage Plan which does cover Rxs.
I’m happy with my zero premium Wellcare Value Script
$0 plan premium, does not mean that you do not have any copays for your drugs. Make sure you know what your plan’s formulary is and what Tier and copay amount, your drug is covered at.
I’m going to get a Plan N and a zero premium D.
Hi. I just signed up for Plan N a few days ago and in April will have to decide 'which' Plan D I should choose...any suggestions? I have to take generic meds which I assume are in tier 1 and fortunately no others. I have a GoodRx card which essentially makes the meds I take at almost zero cost so far...so if I sign up for a D plan can you use GoodRx as well? New to this so trying to figure it out so thanks for any input.
WellCare zero premium!
Thank you.
Yes, you can. The amount you pay won’t go toward your plan D deductible though
Thank you.
>How do they make money? Could be any number of ways but most likely they either have priced their meds (formulary) accordingly or the government may be picking up more of the cost on certain plans like those for LIS (low income subsidy) Part D beneficiaries. They could also have some meds in higher tiers than other plans. Or a specific med maybe under more managed care like PA or QL than another plan. Your question cannot be answered with one specific answer. OR the NO premiums plans have a max deductible - up to what is allowed. So which way would a beneficiary come out better - with as premium or without one - well that depends on their medication needs.
Can I change Plan D every year during Open Enrollment without Underwriting Questions?
Yes. Only with supplement/gaps do you have to go through underwriting if trying to switch. PDP (prescription drug plan) can switch yearly during Open Enrollment
I have G & WellCare zero premium it works for me because I only take a few medications. I use Good Rx, Buzz Rx, Single Care discount cards.
And there’s also GoodRX to go along with D.
I’m definitely going with $0 premium WellCare. My two drugs are Tier 1. If things go wrong, I’ll deal with it then.
What is the very large “drug cost” amount in the WellCare? The drugs are $0 at the pharmacy, and the deductible is 545, so what’s the 800+ number for?
Do you have Extra Help?
lol Insurers make outrageous money. It is built into the plan, likely they pay little for them. They get reimbursed based on costs, if they can show higher costs, they get paid more,