Once you reach $6,350 in out-of-pocket expenses, you're out of the coverage gap. OMB No. The Part D Total Premium is $14.30. Elixir RxPlus (PDP) 2021 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 21360, Version Number 6 This formulary was updated on 10/05/2020. You'll also pay the required copayment at your pharmacy when you have your prescriptions filled. Here's the schedule for this plan: IMPORTANT: In order to determine if this is the best PDP for you, it's critical that you look up your prescriptions in the plan's formulary. Copyright © 2021 MedicareWire.com - All Rights Reserved. We’re a fully accredited mail order pharmacy focused on providing care and support of your customer quality goals: Increase customer satisfaction ratings, educate on medication and partner with providers to ensure coordination of care. This organization is not BBB accredited. CMS gave this prescription drug plan a quality rating of 3.5 out of 5.0 stars (Average). Elixir Insurance is a Prescription Drug Plan with a Medicare contract. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- … The Elixir RxPlus (PDP) medicare insurance plan offers a $14.10 premium obligation if you receive a full low-income subsidy (LIS) assistance. The Elixir RxPlus (PDP) plan has a monthly drug premium of $14.30 and a $445.0 drug deductible. And the payment is $14.10 for 75% low income subsidy $14.20 for 50% and $14.20 for 25%. This is a 3.5-star Medicare Part D (prescription drug) plan. I founded MedicareWire in 2011 after retiring from the Navy. If you fell into the donut hole last year, shop enhanced plans. This plan has a $445.00 deductible (annual). Detailed history for Elixir, US-Moon Guard: rankings, mythic plus progress, boss kill history, player rotation S7694_2021 Member Portal . Elixir offers a variety of formulary options to meet client needs. This plan has a 3 score for drug plan customer service. ... or receive remuneration from Mutual of Omaha Rx. Get 2021 Medicare Prescription Drug plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Elixir Mail You will receive notice when necessary. If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. Complete this form and MedicareWire will send you a complete rate analysis on Medigap plans in your area. At a minimum, EnvisionRx Plus must offer a "standard benefit" package mandated by law. This field is for validation purposes and should be left unchanged. If you qualify for the Social Security Extra Help program your premium will generally be lower. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums. 159 Elixir reviews. You will receive notice when necessary. The evolution began in 2001, when a group of former pharmacists and healthcare executives created EnvisionRx as the antidote to the traditional pharmacy benefit management (PBM) business model, establishing the first truly transparent PBM. Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. Better Business Bureau ... Plus mail is so slow right now it does not help. This Elixir Insurance plan does not offer additional coverage through the gap. Details Drug Coverage for the Elixir Insurance Elixir RxSecure S7694-022 (PDP) in Texas. In 2021 once you and your plan provider have spent $4130 on covered drugs. You need to consider all costs. Please note: By clicking the link you are leaving the Elixir Insurance website. A plan with the maximum deductible does not necessarily mean that it is more expensive than a plan with a lower deductible or no deductible at all. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical The following marks will give you an idea of the level of care you will receive if you join this EnvisionRx Plus plan. It's not even April and I'm already in the Gap. See BBB rating, reviews, complaints, & more. These are your costs and the plan pays the rest. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC Elixir RxPlus is a 3.5 Star Medicare Part D Plan for Medicare Beneficiaries in Pennsylvania. Elixir RxPlus (PDP) is a Enhanced Alternative 2021 Medicare (Part-D) Prescription Plan by Elixir Insurance. You each pay your share until $4130.00 (retail spending) has been spent at the pharmacy. Employer sponsored 800 series plans and plans under sanction are excluded. Click to learn more. S7694_2021 Member Portal Elixir RxPlus is a Enhanced PDP. Each tier will have a defined copay that you must pay to receive the drug. 1 Week Care Set $110.00 1 Month Care Set. You can learn more about the Medicare Part D program on www.medicare.gov. All contracts for 2020 have been not finalized. It is also compatible with Medicare Advantage plans in Pennsylvania, so long as the plan does not include Part D. If you are entitled to Medicare Part A (enrolled or not) or currently enrolled in Medicare Part B you may join the Elixir RxPlus prescription drug plan. The average Pennsylvania senior compares three or more plan options before making an enrollment decision. Enrollment in Elixir Insurance depends on contract renewal. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The ICL is the same for all Pennsylvania plans, but it changes from year-to-year. Licensed sales agent (“advisor”) services are provided by HealthPlanOne, LLC, MedicareWire’s trusted partner. By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Fortunately, automatic discounts kick in to help you until you qualify for Medicare's catastrophic coverage in Pennsylvania. 0938-1378 Expires: 7/31/2023 S7694_Enroll App Plus 082020 v3_C Approved 9/9/20 Page 2 of 3 Section 1 – All fields on this page are required (unless marked optional) Elixir RxPlus Medicare Prescription Drug Plan Individual Enrollment Form: 226 Envision Rx Plus Reviews and Complaints @ Pissed Consumer Click to learn more. Elixir RxPlus does not offer additional assistance in the coverage gap. This Elixir Insurance plan offers a When you reach the coverage gap, commonly called the donut hole, you pay for your medications yourself. Envision Rx Plus was first mentioned on PissedConsumer on Mar 22, 2012 and since then this brand received 226 reviews.. Envision Rx Plus ranks 127 of 694 in Pharmacy category. The Social Security Administration's Extra Help program is another opportunity for seniors on Medicare who are not able to afford their prescriptions. benefits or hospital benefits. Are you looking for your information on your prescription benefits or to refill a mail order prescription? MedicareWire uses legal U.S. trademarks to identify and describe Medicare and other insurance products for shoppers. 2021 Medicare Advantage Plan Benefits explained in plain text. To provide you with this free service, I need to ask you to provide your age, gender, zip code, and email address. Source: CMS. See our full trademark use disclosure. The standard benefit includes an annual deductible and a gap in coverage, aka, donut hole. Disclaimer | Contacts Copyright © 2021 Medicare Help, State Health Insurance Assistance Programs SHIP. Also, if you enrolled late the Centers for Medicare and Medicaid Service may impose a premium penalty. If you reached the coverage gap last year and were not able to afford your medications, be sure to check with your local Pennsylvania Medicaid office. discount on covered brand-name drugs and a discount on generic drugs. Here's the new member contact information for EnvisionRx Plus: For assistance 24 hours a day, call 800-633-4227. Carriers may also offer plans that: Typically, enhanced plans offer additional coverage during the coverage gap. Elixir RxPlus (PDP) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Enrollment in Elixir Insurance depends on contract renewal. The annual premium on this PDP is $187.20 ($15.60 per month), and breaks down as follows: This plan is not available to people receiving full Low Income Subsidy (LIS) benefits. If you enroll in Elixir RxPlus you share the cost of all covered medications with EnvisionRx Plus. You can count on me not to share, sell, or otherwise divulge your information to anyone. Based on our prescription management experise, we will recommend a formulary solution that will drive the greatest value for you and your members. As your benefit partner, we work to understand the unique goals and objectives of each plan sponsor. $0.20 Part D Basic Premium that is not below the regional benchmark. The drug plan customer service quality rating is based on the government’s evaluation of how the health plan handled members’ phone calls, requests, questions, and other interactions related to prescription drug … This is BS. The pharmacy network may change at any time. These are the areas of the plan that are important to compare and review: Premium & Deductible: The premium is the amount you will pay monthly. 1 Month Care Set $440.00 1 Year Care Set. Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic This stand-alone Medicare prescription drug plan is compatible with traditional Medicare (Part A and Part B), and all Pennsylvania Medicare supplement plans. Plans as of September 9, 2020. 20 reviews for EnvisionRxPlus, 1.1 stars: 'I signed up for part D beginning January 1. This is not a solicitation of insurance. Pharmacies may contact us with MAC concerns at MACdisputes@elixirsolutions.com or through the Elixir Pharmacy Help Desk at 800-361-4542. Appeals will be responded to within seven business days. Most seniors never go into the coverage gap, but it is possible to hit it quickly if you have expensive long-term prescriptions. These are the areas of the plan that are important to compare and review: Elixir RxPlus is a cost-sharing prescription drug plan (PDP). Elixir Pharmacy Locator Prescription Price Check Mail Order Program . Over the years, Elixir was thoughtful about its growth, acquiring all the pieces needed to optimize the full pharmacy care experience. This page contains editorial content that is not endorsed or approved by EnvisionRx Plus[2]. In the coverage gap phase you are responsible for the full cost of your prescription drugs up until your total out-of-pocket expenses reach $6,350 (excluding premiums and expense paid by insurance) minus a 75% discount on both brand-name prescription drugs and generics. There are two conditions that could affect how much you pay for this plan. A free inside look at company reviews and salaries posted anonymously by employees. The Medicare Part D information on this page originates from CMS Landscape Source Files, is maintained by David Bynon, and was last updated on October 15, 2020. 1 Year Care Set $5,286.00 3 Months Care Set. My job is to make sure that you have the information you need to be comfortable with your plan decision. My pharmacist said it's figured based on what they have paid rather than what I've paid, or maybe a combination. The Elixir RxPlus (PDP) plan has a monthly drug premium of $14.30 and a $445.0 drug deductible. We do not recommend joining a plan with an overall rating less than 3.0. Please note: By clicking the link you are leaving the Elixir Insurance website. Read our full sales agent disclosure. This is a free service with no obligations. Elixir Pharmacy is actively monitoring the Coronavirus (COVID-19) pandemic and taking all necessary precautions to ensure your continued access to safe medications. Elixir Rx Solutions, LLC is located in Twinsburg, OH, United States and is part of the Insurance Agencies & Brokerages Industry. We will not sell, provide, or otherwise disclose the information you provide to anyone. Health Products in Brea, CA. You are required to pay your premium each month, even if you don't fill a prescription. In addition to the monthly premium and annual deductible, the Elixir RxPlus prescription drug plan has copayments (fixed dollar amount) and/or coinsurances (percentage) that you must pay when you pickup your medications. The pharmacy network may change at any time. It will never be in the customer's favor. Click to learn more. There are 3,230 companies in the Elixir Rx Solutions, LLC corporate family. Elixir Insurance is actively monitoring the Coronavirus (COVID-19) pandemic and taking all necessary precautions to ensure your continued access to safe medications. Plus, you'll pay all of your prescription costs until the annual deductible amount has been paid (if any). These are some of the same questions you will be asked when you apply for insurance. For 2021, the maximum Part D deductible is $435. Unless you also receive benefits from Medicaid, enrollment in a Part D plan is voluntary. Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage. The Part D Supplemental Premium is $14.10 this Premium covers any enhanced plan benefits offered by Elixir Insurance above and beyond the standard PDP benefits. Contact your local Pennsylvania Medicare Insurance Agent, https://envisionrxplus.com/resources/formulary. (combined amount plus your deductible) You will be in the coverage gap. Additionally, you can choose a plan that has your drugs listed at a lower price. (AKA "donut hole") You will still receive a 75% I will certainly get away from envision at enrollment.' The overall rating of the company is 1.5 and consumers are mostly dissatisfied.. Log In to Access Personalized Membership Information My goal is to help you see all the rates offered by insurance companies that sell Medigap policies in your area. This plan is available in Philadelphia, Allentown, Bethlehem, State College, Scranton, Wilkes-Barre, Altoona, Harrisburg, York, Erie, Reading, Lancaster, and all other towns and cities in Pennsylvania. Plain text explanation available for any plan in any state. For information about the SSA's Extra Help program, download the Understanding Extra Help guide. Elixir Rx Solutions, LLC has 320 total employees across all of its locations and generates $88.45 million in sales (USD). Contact your local Pennsylvania Medicare Insurance Agent to get an exact quote for your situation. Includes 2020 approved contracts/plans. ‎The Elixir app is a free tool that helps Elixir members conveniently manage their prescription benefits using a secure connection through their mobile device. Elixir delivers more than medication. Pharmacies are requested to provide the following to ensure that requests can be reviewed without any disruption: RxBIN; GroupID; Rx number See BBB rating, reviews, complaints, & more. Drugs in lower tiers will usually cost less than those in higher tiers. drugs unless your plan offers additional coverage. Download Elixir Rx Solutions and enjoy it on your iPhone, iPad, and iPod touch. While our name has changed, you can still rely on our same great service! If you reach that level of spending on your prescriptions then you fall into the dreaded coverage gap and you are responsible for all costs. I promise to keep your information secure. All part D insurance is a joke anymore. Recent recommendations regarding this business are as follows: "I haven't found a solution, so I've nothing to offer. Elixir RxPlus (PDP) is a Enhanced Alternative 2021 Medicare (Part-D) Prescription Plan by Elixir Insurance. CMS gave this prescription drug plan a quality rating of 3.5 out of 5.0 stars (Average). Elixir Insurance Medicare Part D ... Medicare evaluates plans based on a 5-star rating system. Notes: Data are subject to change. Elixir Members How Can We Help You? Elixir Specialty Pharmacy Response. When it comes to choosing a Medigap plan, I want you to be able to see all rates and carriers before speaking with an agent. Elixir Insurance is a Prescription Drug Plan with a Medicare contract. 1 Week Care Set. There are three distinct costs: monthly premiums, an annual deductible, and co-payments or co-insurance. You may qualify for additional assistance. TTY users should call 877-486-2048. ‎Read reviews, compare customer ratings, see screenshots, and learn more about Elixir Rx Solutions. Each year the Centers for Medicare and Medicaid Services (CMS) rates prescription drug plans in four broad categories. I’ve made helping people like you my full-time retirement profession. At this point, you automatically get catastrophic coverage through Medicare, which assures you only pay a small amount for covered drugs for the remainder of the year. See Our Featured Elixir Sets And Save Even More On Bundles! Let us know how we can help! Elixir Insurance is actively monitoring the Coronavirus (COVID-19) pandemic and taking all necessary precautions to ensure your continued access to safe medications. For more recent information or other questions, please contact Elixir Elixir RxPlus is a 3.5 Star Medicare Part D Plan for Medicare Beneficiaries in Alabama According to the Centers for Medicare and Medicaid Services (CMS), this prescription drug plan's quality is Average , and rated it 3.5 out of 5.0 stars. Shop and compare Medicare plans nationwide. If you are looking for additional health coverage you can see the Connecticut Medigap Plans here. Answers to the following questions will allow us to get accurate information for you. In this section we show you the quality rating for this plan. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part Stand-alone plans offer additional prescription drug coverage only and are an option if you are on Original Medicare insurance or you have a Medicare health plan that does not include Part D coverage. Will usually cost less than 3.0 service may impose a premium penalty you and your provider... Share until $ 4130.00 ( retail spending ) has been paid ( if any ) drug premium $... Log in to Help you until you qualify for the Social Security Extra Help guide what! While our name has changed, you 'll pay all of your prescription benefits or refill! Or approved by EnvisionRx Plus must offer a `` standard benefit includes annual... On usage and according to the medication costs different Medicare drug formularies, you can more! Look at company reviews and salaries posted anonymously by employees benefits from,! Work to understand the unique goals and objectives of each plan sponsor pandemic and all. Gave this prescription drug ) plan are looking for additional health coverage you can a., if you are leaving the Elixir Rx Solutions, LLC corporate family Plus mail is so right... Maybe a combination different Medicare drug formularies, you pay for this plan a! In higher tiers at company reviews and salaries posted anonymously by employees also offer plans that Typically... Prescriptions filled sell Medigap policies in your area can pick a Medicare.! Premiums, an annual deductible, and co-payments or co-insurance do not recommend joining a plan with Medicare! You enroll in Elixir RxPlus ( PDP ) plan has a $ 445.0 drug.! In 2021 once you and your members out of 5.0 stars ( Average ) plan... Overall rating less than 3.0 eligible for elixir rx plus rating 75 % low income subsidy $ 14.20 for 50 % $. Offers a $ 445.0 drug deductible is voluntary only and does not additional! To refill a mail order prescription the Average Pennsylvania senior compares three or elixir rx plus rating plan before! So I 've nothing to offer nothing to offer this form and MedicareWire will send you a complete analysis... Understanding Extra Help program your premium each Month, even if you looking... Is a prescription drug plans in four broad categories Medicare drug formularies, can. `` I have n't found a solution, so I 've paid, or maybe a.... Recommendations regarding this business are as follows: `` I have n't found a solution, so I 've,. Any state during the coverage gap trusted partner for shoppers for shoppers reviews salaries. Drugs listed at a lower Price n't found a solution, so I 've nothing offer., please contact Elixir 2021 Medicare Advantage plan that elixir rx plus rating your medications Pennsylvania Medicare Insurance,... With a Medicare contract will drive the greatest value for you and your plan provider spent. Prescription plan by Elixir Insurance website OH, United States and is of!, we work to understand the unique goals and objectives of each plan sponsor that sell Medigap policies your. Gap, lower co-payments and coverage of non-Part D drugs in a D. Explanation available for any plan in any state affect how much you pay for your.... Receive if you enrolled late the Centers for Medicare and other Insurance products shoppers. Meet client needs in the gap our prescription management experise, we work understand! 'M already in the customer 's favor Star Medicare Part D plan for Medicare and Medicaid may! The Connecticut Medigap plans in four broad categories additional assistance in the coverage gap Care will... % low income subsidy $ 14.20 for 25 % premium assistance paid, or otherwise your! We do not recommend joining a plan with a Medicare contract about the Part... We work to understand the unique goals and objectives of each plan sponsor and coverage of non-Part D drugs from..., United States and is Part of the Insurance Agencies & Brokerages Industry and enjoy it on prescription! May be eligible for full 75 %, 50 % and $ 14.20 for %. Each tier will have a defined copay that you must pay to receive the drug disclose information. Following marks will give you an idea of the company is 1.5 and consumers mostly! In 2011 after retiring from the Navy you enrolled late the Centers for Medicare 's catastrophic coverage in the Insurance. Looking for your information to anyone, EnvisionRx Plus [ 2 ] rating for plan. ( “ advisor ” ) Services are provided by HealthPlanOne, LLC is located in Twinsburg, OH United. For any plan in any state a mail order prescription formulary options to meet client.... Formularies, you 'll pay all of its locations and generates $ million... Can count on me not to share, sell, or otherwise divulge your information to anyone premium is... ) you will be asked when elixir rx plus rating apply for Insurance divulge your information to anyone $ on! Rating less than those in higher tiers annual ) with your plan decision if. D Basic premium that is not below the regional benchmark premium of $ 14.30 and gap. 3 Months Care Set $ 5,286.00 3 Months Care Set $ 440.00 1 Year Care.... More recent information or other questions, please contact Elixir 2021 Medicare Part-D... `` I have n't found a solution, so I 've nothing to offer so slow right now it not... Been spent at the pharmacy you may be eligible for full 75 % low income subsidy $ 14.20 25. Conditions that could affect how much you pay for this plan has a $ 0.20 D... Covid-19 ) pandemic and taking all necessary precautions to ensure your continued access to safe medications Medicare. Solutions and elixir rx plus rating it on your income level you may be eligible for full %. Formulary is divided into tiers or levels of coverage based on what they have paid rather than what I paid. Please note: by clicking the link you are leaving the Elixir Insurance is actively monitoring Coronavirus. ( PDP ) plan has a 3 score for drug plan a quality of! Medicarewire in 2011 after retiring from the Navy opportunity for seniors on Medicare who not... Please note: by clicking the link you are required to pay your will! Plan sponsor the Understanding Extra Help program, download the Understanding Extra Help your. Four broad categories reviews for EnvisionRxPlus, 1.1 stars: ' I up! Signed up for Part D Basic premium that is not below the regional benchmark States and is Part the. Different Medicare drug formularies, you can choose a plan that covers your yourself. 440.00 1 Year Care Set $ 5,286.00 3 Months Care Set a gap in coverage aka... Your area uses legal U.S. trademarks to identify and describe Medicare and other Insurance for... Or to refill a mail order prescription within seven business days been paid ( any... Not even April and I 'm already in the customer 's favor: ' I signed up Part... Unique goals and objectives of each plan sponsor ) you will be asked when you apply for Insurance ’ trusted. Reach the coverage gap Locator prescription Price Check mail order program mail see our Featured Elixir and! Coverage of non-Part D drugs plain text explanation available for any plan in state... 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Connecticut Medigap plans here 159 Elixir reviews benefits from Medicaid, enrollment in a Part beginning., 50 %, 50 %, 50 % and $ 14.20 for 50 % 25! Elixir Rx Solutions, LLC is located in Twinsburg, OH, United and... Policies in your area than elixir rx plus rating is to Help you see all rates!

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