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Affordable Plans That Meet Your Needs

We offer two plans so you can choose one that’s right for you.

WPS MedicareRx Plan 1 features a $200 deductible and our lowest premium.

  • This plan is a good option if you anticipate low yearly drug costs.

WPS MedicareRx Plan 2 features a $0 deductible, plus coverage for generic drugs in the coverage gap or “donut hole.”

  • Plan 2 is a good choice if you anticipate yearly drug costs higher than $2,930 and you generally take more expensive generic medications.

Both plans provide access to the brand-name and generic drugs included in our Medicare-approved formulary. Use the chart below to compare plans.

Coverage Gap Discount
As part of health care reform legislation, drug manufacturers will provide discounts to enrollees who are in the coverage gap. You will save 50% on covered brand-name drugs while inside the “donut hole” at the time of purchase.

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

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

*Including covered brand-name drugs treated as generic.

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2012 MedicareRx

Explore Our 2012 Plans

Compare WPS MedicareRx Plans 2012
  WPS MedicareRx Plan 1   WPS MedicareRx Plan 2
Monthly premium $51.60   $111.20
Annual deductible $200   $0
Tier 1 - Preferred Generic drugs $6   $6
Tier 2 - Non-preferred generic drugs $13   $15
Tier 3 - Preferred brand drugs $39   $39
Tier 4 - Non-preferred brand drugs 50%   50%
Tier 5 - Specialty brand drugs 28%   33%
Initial coverage limit $2,930   $2,930
Gap coverage You pay 86% for all generics all others you pay 100% (less 50% manufacturer discount on covered brand-name drugs)   $6 preferred generics, $15 non-preferred generics, all others you pay 100% (less 50% manufacturer discount on covered brand-name drugs)
Catastrophic coverage (After your yearly out-of-pocket costs reach $4,700) The greater of $2.60 for generics* and $6.50 for all others, or 5%   The greater of $2.60 for generics* and $6.50 for all others, or 5%
State and national pharmacy network Yes   Yes
Mail order drugs (90 day supply) 2.5 times
30-day copay
  2.5 times
30-day copay
   

 

Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) contracts
with the Federal government to provide this Medicare Prescription Drug Plan.
© 2012 Wisconsin Physicians Service Insurance Corporation. All Rights Reserved.
Wisconsin Physicians Service®
S5753_25342_021_1112
CMS Approved: 10/18/2011
Last Updated on 10/01/2011