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TEAMStar Medicare Part D enroll plans

Enroll in one of our TEAMStar Part D Plans

Enrolling in one of our TEAMStar Plans is easy. You may enroll online, over the telephone, or by paper enrollment form.

To enroll online, simply click 'Enroll' below the Plan you choose. This is the fastest and easiest way to enroll. Once you click the submit button, the system will walk you through the enrollment process in three easy steps.

To enroll over the telephone or to request a paper enrollment form, please call our Customer Service Department, weekdays, from 8 am to 8 pm in your local time zone.

Toll-free: 1-866-524-4173

Hearing-impaired callers using TTY/TDD equipment: 1-866-524-4174

When you are finished with your enrollment, we will submit your information to the Centers for Medicare & Medicaid Services (CMS) for approval. When we receive approval of your enrollment form from CMS, we will send your member identification card and Plan information in the mail within 7-10 business days.

Choose from three (3) TEAMStar Medicare Part D Plans:

To compare your costs across all 3 plans, click here

For a copy of the 2014 Summary of Benefits click here.

Select Plan
(learn more)
bronze plan silver plan platinum plan
Monthly
Premium
$25* $54* $120*
 
Union Preferred Pharmacies Certain Preferred Generics
Retail
30-Day Supply
$2
Retail
30-Day Supply
$2
Retail
30-Day Supply
$2
Other Network Pharmacies
Copay/Coinsurance
Retail
30-Day
Supply
Mail
90-Day
Supply
Retail
30-Day
Supply
Mail
90-Day
Supply
Retail
30-Day
Supply
Mail
90-Day
Supply
Preferred Generics
Tier 1
$6 $12 $6 $12 $6 $12
Preferred Brands
Tier 2
$45 $90 $45 $90 $35 $70
Non-Preferred
Generics & Brands
Tier 3 & 4
29% 29% $70 $140 $55 $110
Deductible
$150

enroll bronze

$0

enroll silver

$0

enroll platinum

*Monthly premium will be reduced to $24 for Bronze, $53 for Silver and $119 for Platinum if you elect monthly bank draft.

Note: Monthly premiums shown do not reflect any Medicare imposed charges for late enrollment or extra Part D amount based on your income.           

With the TEAMStar Silver or Platinum Part D Plans, there is no deductible. With the TEAMStar Bronze Plan, there is a $150 deductible; however this deductible does not apply to certain Preferred Generics filled at Union Preferred Pharmacies. Your coverage for Preferred Generics, during the Initial Coverage Phase, will be the same regardless of which plan you choose. You pay a low, fixed copayment for Preferred Generic drugs. The chart above shows what you will pay until the calendar year total of your payments and the plan payments equal $2,850. Then your payments will depend upon the type of drug and which plan you select. While you are in the Coverage Gap, you will receive a discount on brand name drugs and you pay only 72% of the cost for generic drugs until your total calendar year out-of-pocket costs equal $4,550 in true out-of-pocket. With the Platinum Plan, you will pay no more than $6 for Tier 1 Preferred Generic drugs. After your true out-of-pocket costs reach $4,550, you pay the greater of 5% coinsurance or a $2.55 copay for generic (including brand drugs treated as generic) and a $6.35 copay for all other drugs and the plan pays the rest. However, with TEAMStar Part D, you will pay no more than $100 per prescription during the catastrophic phase.

Premiums and costs for prescription drugs that are not in the plan formulary do not qualify as out-of-pocket expenses for purposes of this calculation.

2014 Low Income Subsidy (LIS) Information
If you meet certain income and resource guidelines, you may qualify for Extra Help from Medicare to pay the costs of Medicare prescription drug coverage. If you qualify for Extra Help, your monthly plan premium is lower. The amount of Extra Help you get determines your total monthly plan premium as a member of one of our plans. In addition, your deductible, copays, and coinsurance will be reduced. The LIS amount for 2014 is $32.42.

If you aren't getting Extra Help, you can see if you qualify by calling:

  • 1-800-Medicare/1-800-633-4227 (TTY/TDD: 1-877-486-2048)
  • Your state Medicaid office
  • Social Security Administration at 1-800-772-1213 (TTY/TDD: 1-800-325-0778)

 

 

 

updated 10/01/13