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Medicare Part D prescription drug plans
We’re pleased to offer new choices of Medicare Part D prescription drug coverage options for your clients.

Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage + Rx Classic (PPO) (medical and Rx coverage) Learn more.

Regence Life and Health (RLH) Medicare Script™ Enhanced (PDP) and RLH Medicare Script (PDP) (Rx coverage only) Learn more.

Key Dates
Plans announced October 1

Enrollment begins November 15.

Plans are effective January 1.

Training and Certification Required
To be eligible to sell these drug plans, you must attend a training session. To schedule, please contact your sales representative.

2010 Regence MedAdvantage + Rx Enhanced (PPO) 2010 Regence MedAdvantage + Rx Classic (PPO)
  • Monthly premium: $165*
  • Annual medical deductible: $0
  • Annual pharmacy deductible: $0
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications, even throughout the coverage gap
  • $10 copay for many in-network medical services
  • Monthly premium: $117*
  • Annual medical deductible: $50 (applies to Medicare-covered services)
  • Annual pharmacy deductible: $200
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications
  • $25 copay for many in-network medical services

*Compared to $102 for Regence MedAdvantage (PPO) without pharmacy coverage.

Regence MedAdvantage + Rx Enhanced (PPO), Regence MedAdvantage + Rx Classic (PPO) Resource

Description

Highlights Flyer
2010 (PDF)
High level overview of benefits and premiums.

Information Brochure
2010 (PDF)

Plan and benefits overview, service area, FAQ and more.

Summary of Benefits
2010 (PDF)

This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits.

Evidence of Coverage Brochure (EOC)
2010 (PDF)

This is the EOC, a detailed explanation of coverage sent to all new members.

Annual Notice of Changes
2010
Regence MedAdvantage + Rx Enhanced (PPO) (PDF)
Regence MedAdvantage + Rx Classic (PPO) (PDF)

Notice of premium, benefit and cost-sharing changes for 2010.

Pharmacy Directory
2010 (PDF)

We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customer's area.
Comprehensive Formulary
2010 (PDF)
Search prescription medications to determine copay/coinsurance amounts.
Discount Services Program – Regence Advantages Discount Services available to members such as vision care services, hearing care services and discounts at fitness centers.
Counter card
2010 (PDF)
Order these brochures to send to your clients.
Application Form
2010 (PDF)

Use this form to apply for coverage. Download, complete and mail to the address on the form.

SurePay Information and Authorization Form
2010 (PDF)
Give this form to the member to set up automatic payment of premium from the member's personal account.
I Have Limited Income What Should I Do?
2010 (PDF)

Income levels that qualify for extra help.
• Annual income less than $15,600 (single)
• Annual income less than $21,000 (married)
• Limited resources/assets

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2010 RLH Medicare Script™ Enhanced (PDP) 2010 RLH Medicare Script™ (PDP)
  • Monthly premium: $94.50
  • Annual deductible: $100
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications, even throughout the coverage gap
  • Monthly premium: $76.50
  • Annual deductible: $200
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications

 

RLH Medicare Script (PDP) Resource

Description

Highlights Flyer
2010 (PDF)
High level overview of benefits and premiums.
Information Brochure
2010 (PDF)

Plan and benefits overview, service area, FAQ and more.

Summary of Benefits
2010 (PDF)

This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits.

Evidence of Coverage (EOC)
2010 (PDF)

This is the EOC, a detailed explanation of coverage sent to all new members.

Annual Notice of Changes
2010
RLH Medicare Script Enhanced (PDP) (PDF)
RLH Medicare Script (PDP) (PDF)
Notice of premium, benefit and cost-sharing changes for 2010.
Pharmacy Directory
2010 (PDF)
We have contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your customer's area.
Comprehensive Formulary
2010 (PDF)

Search prescription medications to determine copay/coinsurance.

Discount Services Program - Regence Advantages

Discount services for members on vision and hearing care services.
Counter card
2010 (PDF)
Order these brochures to send to your clients.
Application Form
2010 (PDF)

Use this form to apply for coverage. Download, complete and mail to the address on the form.

SurePay Information and Authorization Form
2010 (PDF)
Give this form to member to set up automatic payment of premium from the member's personal account.
I Have Limited Income What Should I Do?
2010 (PDF)
Income levels that qualify for extra help.
• Annual income less than $15,600 (single)
• Annual income less than $21,000 (married)
• Limited resources/assets

Customer Service 1 (800) 541-8981
Agent Desk 1 (800) 452-7278 ext. 4960

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