Which Alliance Medicare Rx plan is right for you?
This chart summarizes the key benefits for each plan and how they compare.
Download the Summary of Benefits
(requires Adobe Reader)
| |
Basic Plan |
Value Plan
|
Enhanced Plan |
Premium
|
$35 |
$50 |
$64 |
Deductible
|
$0 |
$150 annually |
$0 |
Initial coverage
Annual drug costs paid by you and the plan, combined
|
$2,700 limit |
$2,700 limit |
$2,700 limit |
Copay for 30-day supply
during initial coverage
|
$8
generic
$40 preferred brand
$60
non-preferred
and specialty
|
$3
generic
$17 preferred brand
$55
non-preferred
and specialty
|
$2
generic
$35 preferred brand
$55
non-preferred
and specialty
|
| Copay for 90-day supply,
Choice 90 retail, and
mail-order during initial coverage |
$20 generic
$100 preferred brand
$150
non-preferred
and specialty
|
$7.50
generic
$42.50 preferred brand
$137.50
non-preferred
and specialty
|
$5
generic
$87.50 preferred brand
$137.50
non-preferred
and specialty
|
Coverage gap
(Donut hole)
|
HAP
negotiated prices |
HAP
negotiated prices |
Copay for 30-day supply
$2 generic
Copay for 90-day supply
$5 generic
HAP negotiated prices
on all other drugs
|
Catastrophic coverage:
Copay after you reach $4,350
in total out-of-pocket costs |
$2.40 generic or 5%
(whichever is greater)
$6 all other drugs or 5%
(whichever is greater)
|
$2.40 generic
or 5%
(whichever is greater)
$6 all other drugs or 5%
(whichever is greater)
|
$2.40 generic or 5%
(whichever is greater)
$6 all other drugs or 5%
(whichever is greater)
|
For more information (requires Adobe Reader)
Learn more about our plans and plan premiums
Download the Alliance Medicare Rx booklet
Learn details and key components of our plans
Download the Summary of Benefits
Talk with a plan representative
Our experienced Alliance Medicare Rx representative can answer questions about coverage, medications, or pharmacies.
Enrollment and customer service, call:
(800) 868-3153 toll free or
TDD (800) 956-4325 toll free
Monday through Friday
8:30 a.m. to 5:00 p.m.
Prescriptions or drug benefits, call:
800) 765-3436 toll free or
TDD (800) 956-4325 toll free
Monday through Friday, 8 a.m. to 8 p.m.
Saturday, 8 a.m. to noon
Extended Hours
We will have extended hours from November 15
through March 1. Client Services Specialists will be available 7
days a week, including holidays, between 8 a.m. and 8 p.m.
Important information
Our Alliance Medicare Rx contract with CMS is renewed annually. The availability
of coverage beyond the end of the current contract year is not guaranteed.
