Mutual of Omaha Rx Plus (PDP)

S7126 - 004 - 0
2 out of 5 stars (2 / 5)

Mutual of Omaha Rx Plus (PDP) is a Medicare Prescription Drug Plan by Mutual of Omaha Rx.

This page features plan details for 2024 Mutual of Omaha Rx Plus (PDP) S7126 – 004 – 0.

Locations

Mutual of Omaha Rx Plus (PDP) is offered in the following locations.

Plan Overview

Mutual of Omaha Rx Plus (PDP) offers the following coverage and cost-sharing.

Insurer: Mutual of Omaha Rx
Drugs Covered: Yes

Ready to sign up for Mutual of Omaha Rx Plus (PDP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

Mutual of Omaha Rx Plus (PDP) has a monthly premium of $89.10. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$0.00 $ $89.10 $0.00 $89.10
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

Mutual of Omaha Rx Plus (PDP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible:$545.00
Initial Coverage Limit:$5,030.00
Catastrophic Coverage Limit:$8,000.00
Drug Benefit Type:Basic
Additional Gap Coverage:No
Formulary Link: Formulary Link

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$89.10$47.80

Initial Coverage Phase

After you pay your $545.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $5,030.00. Once you reach that amount, you will enter the next coverage phase.

Gap Coverage Phase

Tier Cost
All other tiers (Generic)25%
All other tiers (Brand-name)25%

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $8,000.00, you pay nothing for Medicare Part D covered drugs.

Ready to sign up for Mutual of Omaha Rx Plus (PDP) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Table of Contents