| 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
|
| 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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