MedicareRx - Affordable Plans That Meet Your Needs

WPS offers three MedicareRx plan options so you can choose one that’s right for you.

Our Standard Plan features a $295 deductible and our lowest premium.

The Standard Plan is a good option if you anticipate low yearly drug costs.

Enhanced Plan 1 features a $0 deductible and predictable copays for brand-name and generic drugs.

Plan 1 is a good choice if you’re looking for a no-deductible plan with a low monthly premium.

Enhanced Plan 2 provides the same great benefits as Plan 1, plus coverage for generic drugs in the coverage gap or “doughnut hole.”

Plan 2 is a good choice if you anticipate yearly drug costs higher than $2,500 and you generally take generic medications.

All three plan options provide the same outstanding access to the brand-name and generic drugs included in our Medicare-approved comprehensive formulary. Use the chart below to compare plans.

Explore Our 2009 Plans

WPS MedicareRx Plans
	Standard Plan	Enhanced Plan 1	Enhanced Plan 2
Monthly premium	$39.30	$43.90	$75
Annual deductible	$295	$0	$0
Generic drugs	25%	$7	$7
Preferred brand drugs	25%	$37	$37
Non-preferred brand drugs	25%	$57	$57
Specialty brand drugs	25%	33%	33%
Initial coverage limit	$2,700	$2,585	$2,585
Gap coverage	None	None	$7 generics, all others you pay 100%
Catastrophic coverage (After your yearly out-of-pocket costs reach $4,350)	The greater of $2.40 for generics* and $6 for all others or 5%	The greater of $2.40 for generics* and $6 for all others or 5%	The greater of $2.40 for generics* and $6 for all others or 5%
State and national pharmacy network	Yes	Yes	Yes
Mail order drugs (3-month supply)	25%	2.5 times 30-day copay	2.5 times 30-day copay
Free Prilosec OTC	Yes	Yes	Yes

Unless otherwise noted, copay and coinsurance amounts shown above are what you pay for a 30-day supply.

The chart above highlights plan benefits. Please refer to the Summary of Benefits and Evidence of Coverage for complete plan details.

Click here to read the 2009 Summary of Benefits
Click here to read the 2009 Standard Plan Evidence of Coverage
Click here to read the 2009 Enhanced Plan 1 Evidence of Coverage
Click here to read the 2009 Enhanced Plan 2 Evidence of Coverage

*Including brand-name drugs treated as generic.

Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) contracts
with the Federal government to provide this Medicare Prescription Drug Plan.
©2009 Wisconsin Physicians Service Insurance Corporation. All Rights Reserved.
Wisconsin Physicians Service^®

S5753_24227_021_0909

CMS Approved: 10/09/2009

Last Updated on 11/15/2008