Optima Medicare (PPO)
Help With Prescription Drug Costs
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your monthly plan premium as a member of our health plan.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for seventy-five percent of drug costs including monthly prescription drug premiums, annual deductibles and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it.
The tables below show you what your monthly plan premium will be if you get extra help The premiums listed below do not include any Part B premium that you may have to pay.
2010 Information
| Your Level of Extra Help |
Monthly Premium for Optima Medicare Preferred Plus* |
Montly Premium for Optima Medicare Value Plus* |
| 100% |
$113.80 |
$0 |
| 75% |
$122.40 |
$0 |
| 50% |
$130.90 |
$0 |
| 25% |
$139.50 |
$0 |
Optima Medicare's premium includes coverage for both medical services and prescription drug coverage.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for getting Extra Help call:
If you aren't getting extra help, you can see if you qualify by calling:
- 1-800-MEDICARE (1-800-633-4227) or TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
If you have any questions, please call Member Services at 1-800-927-6048, (TTY/TDD users should call 1-800-225-7784), 7 days a week from 8 a.m.to 8 p.m. EST.
* You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party.