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Compare Plans

  First United American Select (PDP) First United American Enhanced (PDP)
Overview
  • Offers the lower premium of our two plans
  • You pay only $1 for Preferred Generics at one of our preferred pharmacies
  • You pay nothing for Preferred Generics through our mail order
  • Basic Formulary covers most common prescription drugs
  • Offers the broader coverage of our two plans
  • You pay only $1 for Preferred Generics at one of our preferred pharmacies
  • You pay nothing for Preferred Generics through our mail order
  • Enhanced Formulary with broader coverage offering more brand drugs
Premium $43.50 $57.50
Deductible $325.00 (Applies to all tiers) $140.00 (Applies to tiers 3,4 & 5)
Start Select Application » Start Enhanced Application »
  Select Plan Cost Sharing Enhanced Plan Cost Sharing
Drug
Tier
 Retail In-Network
Pharmacy 		Retail
Out-Of-Network Pharmacy  		Mail Order Retail In-Network
Pharmacy 		Retail
Out-Of-Network Pharmacy		 Mail Order
Preferred Non-Preferred Preferred Non-Preferred
34-Day
Supply		 90-Day
Supply		 34-Day
Supply		 90-Day
Supply		 34-Day
Supply		 90-Day
Supply		 34-Day
Supply		 90-Day
Supply		 34-Day
Supply		 90-Day
Supply		 34-Day
Supply		 90-Day
Supply
Preferred Generics
Tier 1
 $1 $3 $6 $18 $6 $0
$1
$3
$6
$18
$6
$0
Non-Preferred Generics
Tier 2
 $4 $12 $9 $27 $9 $24
$7
$21
$12
$36
$12
$30
Preferred Brands
Tier 3
 $40 $120 $45 $135 $45 $122
$40
$100
$45
$113
$45
$90
Non-Preferred Brands
Tier 4
 $95 $285 $95 $285 $95 $257
$95
$238
$95
$238
$95
$190
Specialty
Tier 5
 25% 25% 25% 25% 25% 25%
29%
29%
29%
29%
29%
29%
The Coverage Gap $2,970After your total yearly drug costs reach $2,970, you receive a discount on brand-name drugs and pay 79% of the Plan's costs for all generic drugs, until your yearly out-of-pocket drug costs reach $4,750. The discount you receive on brand-name drugs during the coverage gap is approximately 52.5%.
Cata-
strophic Coverage		 $4,750After your yearly out-of-pocket drug costs reach $4,750, you pay the greater of: A $2.65 copay for generic (including brand-name drugs treated as generic) and a $6.60 copay for all other drugs, or 5% coinsurance. We pay the rest.
  View Details » Start Select Application » View Details » Start Enhanced Application »

 

Updated 10/01/12

 

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https://www.medicare.gov/MedicareComplaintForm/home.aspx