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Medicare Plans

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

Medicare Script and Medicare Script Enhanced (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.

2009 Regence MedAdvantage + Rx Core 2009 Regence MedAdvantage + Rx Classic 2009 Regence MedAdvantage + Rx Enhanced
  • Monthly premium: $60
  • $0 Annual pharmacy deductible
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications
  • $25 copay for many in-network medical services
  • Monthly premium: $132*
  • Annual pharmacy deductible: $295
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications
  • $10 copay for many in-network medical services
  • Monthly premium: $149*
  • $0 Annual pharmacy deductible
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications, even throughout the coverage gap
  • $10 copay for many in-network medical services

*Compared to $99 for Regence MedAdvantage without pharmacy coverage.

Regence MedAdvantage + Rx Core, Regence MedAdvantage + Rx Classic, Regence MedAdvantage + Rx Enhanced Resource

Description

Highlights Flyer
2008 (PDF)
2009 (PDF)
High level overview of benefits and premiums.
Information Brochure
2008 (PDF)
2009 (PDF)
Plan and benefits overview, service area, FAQ and more.
Summary of Benefits
2008 (PDF)
2009 (PDF)
General description and comparison of benefits
Evidence of Coverage Brochure (EOC)
2008 (PDF)
2009 (PDF)
This is the EOC, a detailed explanation of coverage sent to all new members.
2009 Annual Notice of Change
Regence MedAdvantage + Rx Classic (PDF)
Regence MedAdvantage + Rx Enhanced (PDF)
Notice of premium, benefit and cost-sharing changes for 2009.
Discount Services Program –
Regence Advantages
Discount services for members on vision and hearing care, and discounts at fitness centers.
Counter Card
2008 (PDF)
2009 (PDF)
Order these brochures to send to your clients.
Application Form
2008 (PDF)
2009 (PDF)
Use this form to apply for coverage. Download, complete and mail to the address on the form.
SurePay Information and Authorization Form
2008 (PDF)
2009 (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?
2008 (PDF)
• 2009 (PDF) - Coming soon
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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2009 Medicare Script 2009 Medicare Script Enhanced
  • Monthly premium: $64.50
  • Annual deductible: $295
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications
  • Monthly premium: $81
  • $0 Annual deductible
  • Tiered pharmacy benefit with $4 copay for Tier 1 generic medications, even throughout the coverage gap

 

Medicare Script Resource

Description

Highlights Flyer
2008 (PDF)
2009 (PDF)
High level overview of benefits and premiums.
Information Brochure
2008 (PDF)
2009 (PDF)
Plan and benefits overview, service area, FAQ and more.
Summary of Benefits
2008 (PDF)
2009 (PDF)
General description and comparison of benefits.
Evidence of Coverage (EOC)
2008 (PDF)
2009 (PDF)
This is the EOC, a detailed explanation of coverage sent to all new members.
2009 Annual Notice of Change
Medicare Script (PDF)
Medicare Script Enhanced (PDF)
Notice of premium, benefit and cost-sharing changes for 2009.
Comprehensive Formulary (PDF) This is a listing of medications covered by our Regence MedAdvantage + Rx plans.

Discount Services Program - Advantages

Discount services for members on vision and hearing care services.
Counter card
2008 (PDF)
2009 (PDF)
Order these brochures to send to your clients.
Application Form
2008 (PDF)
2009 (PDF)
Use this form to apply for coverage. Download, complete and mail to the address on the form.
SurePay Information and Authorization Form
2008 (PDF)
2009 (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?
2008 (PDF)
• 2009 (PDF) - Coming soon
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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