Plan Details

These plans are available in the states of Utah and Idaho.

Two simple plans to choose from:

EMI Health Rx Basic (PDP) Plan Rx Advantage (PDP) Plan
Monthly Premium $109.90 $159.30
Your Deductible You will pay the first $400 each year towards your prescription drugs. (This is called your deductible.) You will pay the first $0.00 each year towards your prescription drugs.
Coverage Between Your Deductible and $3,700 After your deductible, you pay $8 for a one month supply of preferred generic drugs, $47 for non-preferred generic drugs, $100 for preferred brand drugs, and 25% for specialty medications. After your deductible, you pay 10% for a one month supply of generic drugs, 20% for preferred brand drugs, 40% for non-preferred drugs and 33% for specialty medications.
Coverage Between $3,700 and $4,950 If your yearly drug costs exceed $3,700 you pay 49% of the plan's cost on brand name drugs and pay 51% of the plan's costs for all generic drugs. If your yearly drug costs exceed $3,700 you pay 49% of the plan's cost on brand name drugs and pay 51% of the plan's costs for all generic drugs.
Coverage Above $4,950 If you exceed $4,950 in annual drug costs, you will pay 5% or $3.30 per drug refill each month for generic and $8.25 for all other drugs. If you exceed $4,950 in annual drug costs, you will pay 5% or $3.30 per drug refill each month for generic and $8.25 for all other drugs.

You must continue to pay your Medicare Part B premium.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact EMI Health.

Limitations, copayments, and restrictions may apply.

Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.