Mutual of Omaha Rx Plus (PDP) S7126-002-000 is a 2021 Medicare Part D Prescription Drug Plan by Mutual of Omaha Rx.This plan offers Basic drug benefits that meet the required standard Medicare Part D drug benefits.
In terms of monthly costs, Mutual of Omaha Rx Plus (PDP) S7126-002-000 has a premium of $87.10 ($51.90 with full assistance). You will owe this amount each month regardless of whether or not you use your drug plan.
When it comes to out-of-pocket costs, this plan has a Part D drug Deductible of $445.00 and an Initial Coverage Limit of $4130. Each drug tier may be subject to different cost-sharing in each coverage phase, so keep that in mind when considering out-of-pocket costs.
Check out the drug formulary below for more information, or reach out to a licensed Medicare agent for help using the call number on this page. Alternatively, if you know what plan you want, you can enroll online yourself using our site as well.
|Medicare Type||Medicare Prescription Drug Plan (Part D)|
|CMS Plan ID||S7126-002-000|
|Plan Organization||Mutual of Omaha Rx|
|Plan Type||Medicare Prescription Drug Plan|
|Plan Name||Mutual of Omaha Rx Plus (PDP)|
|Plan Organization Type||PDP|
|Drugs Covered||Prescription Drugs are covered by the prescription drug plan|
|Doctors Choice||Plan Doctors for Most Services|
|Special Needs Plan||No|
|Overall Star Rating||2.5|
Plan Cost Sharing
|Monthly Part D Basic Premium||$87.10|
|Monthly Part D Supplemental Premium||$0.00|
|Monthly Part D Total Premium||$87.10|
|Monthly Part D Premium Full Assistance||$51.90|
|Monthly Part D Premium 75% Assistance||$60.70|
|Monthly Part D Premium 50% Assistance||$69.50|
|Monthly Part D Premium 25% Assistance||$78.30|
|Part D Drug Deductible||$445.00|
|Annual Drug Deductible||$445.00|
|Part D Initial Coverage Limit||$4130.00|
|Part D Catastrophic Coverage Threshold||$6550.00|
Plan Drug Info
|Formulary Link||Drug Formulary Directory|
Official Medicare Contact
|Medicare Phone||1-800-MEDICARE (1-800-633-4227)|
|Medicare TTY User||1-877-486-2048|
Plan Available in these CountiesAddison County, Vermont, Barnstable County, Massachusetts, Bennington County, Vermont, Berkshire County, Massachusetts, Bristol County, Massachusetts, Bristol County, Rhode Island, Caledonia County, Vermont, Chittenden County, Vermont, Dukes County, Massachusetts, Essex County, Massachusetts, Essex County, Vermont, Fairfield County, Connecticut, Franklin County, Massachusetts, Franklin County, Vermont, Grand Isle County, Vermont, Hampden County, Massachusetts, Hampshire County, Massachusetts, Hartford County, Connecticut, Kent County, Rhode Island, Lamoille County, Vermont, Litchfield County, Connecticut, Middlesex County, Connecticut, Middlesex County, Massachusetts, Nantucket County, Massachusetts, New Haven County, Connecticut, New London County, Connecticut, Newport County, Rhode Island, Norfolk County, Massachusetts, Orange County, Vermont, Orleans County, Vermont, Plymouth County, Massachusetts, Providence County, Rhode Island, Rutland County, Vermont, Suffolk County, Massachusetts, Tolland County, Connecticut, Washington County, Rhode Island, Washington County, Vermont, Windham County, Connecticut, Windham County, Vermont, Windsor County, Vermont, Worcester County, Massachusetts
NOTE: Information on MedicarePolicyHelper.com is for educational purposes only. We are not affiliated with Medicare, or CMS. Medicare has not reviewed or endorsed the information on our site. All plan data on our site comes directly from medicare.gov and is subject to change.