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WPS offers three MedicareRx Plan options so you can choose one that’s right for you.
Our Standard Plan features a $310 deductible and our lowest premium.
- This 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 $2,830 and you generally take generic medications.
All three plans provide access to the brand-name and generic drugs included in our Medicare-approved formulary. Use the chart below to compare plans. |
 |
|
| |
Standard Plan |
|
Enhanced Plan 1 |
|
Enhanced Plan 2 |
| Monthly premium |
$41.80 |
|
$43.60 |
|
$75.10 |
| Annual deductible |
$310 |
|
$0 |
|
$0 |
| Tier 1 - Preferred Generic drugs |
25% |
|
$6 |
|
$6 |
| Tier 2 - Non-preferred generic drugs |
25% |
|
$13 |
|
$13 |
| Tier 3 - Preferred brand drugs |
25% |
|
$39 |
|
$39 |
| Tier 4 - Non-preferred brand drugs |
25% |
|
$68 |
|
$68 |
| Tier 5 - Specialty brand drugs |
25% |
|
33% |
|
33% |
| Initial coverage limit |
$2,830 |
|
$2,830 |
|
$2,830 |
| Gap coverage |
None |
|
None |
|
$6 preferred generics, $13 non-preferred generics, all others you pay 100% |
| Catastrophic coverage (After your yearly out-of-pocket costs reach $4,550) |
The greater of $2.50 for generics* and $6.30 for all others, or 5% |
|
The greater of $2.50 for generics* and $6.30 for all others, or 5% |
|
The greater of $2.50 for generics* and $6.30 for all others, or 5% |
| State and national pharmacy network |
Yes |
|
Yes |
|
Yes |
| Mail order drugs (90 day supply) |
25% |
|
2.5 times
30-day copay |
|
2.5 times
30-day copay |
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 2010 Summary of Benefits
- Click here to read the Standard Plan Evidence of Coverage
- Click here to read the Enhanced Plan 1 Evidence of Coverage
- Click here to read the Enhanced Plan 2 Evidence of Coverage
*Including brand-name drugs treated as generic. |
