Washington State Office of the Insurance Commissioner  Statewide Health Insurance Benefits Advisors (SHIBA)
2017 Medicare Part D Stand-Alone prescription drug plans
Washington state - *Indicates national plans
Note: The annual deductible could be between $0 and $82 for people with Extra Help.
For the exact amount, use personalized Plan Finder results or contact 1-800-MEDICARE.
Monthly
premium
Organization/plan name
Premium
with full
Extra Help
Annual
deductible
Contract & plan ID
number
Aetna Medicare: 1-855-338-7030
Aetna Medicare Rx Saver (PDP)*
$35.20
$0
$400
S5810 / 064
Asuris Northwest Health: 1-888-369-3172
Asuris Medicare Script Basic (PDP)
$99.50
$64.70
$210
S5609 / 001
Asuris Medicare Script Enhanced
(PDP)
$163.00
$128.20
$0
S5609 / 002
Cigna – Health-Spring Rx: 1-800-735-1459 sanctioned**
Cigna HealthSpring Rx Secure
(PDP)*
$21.20
$0
$400
S5617 / 148
Cigna HealthSpring Rx Secure-Extra
(PDP)*
$31.30
$9.80
$50
S5617 / 275
$270
S7694 / 030
Envision Rx Plus: 1-866-250-2005
EnvisionRxPlus (PDP)*
$14.60
$0
Express Scripts Medicare: 1-866-477-5704
Express Scripts Medicare – Choice
(PDP)*
$81.50
$46.70
$350
S5660 / 215
Express Scripts Medicare - Value
(PDP)*
$49.00
$14.20
$400
S5660 / 132
First Health Part D: 1-855-389-9688
First Health Part D Value Plus
(PDP)*
$37.40
$8.70
$0
S5768 / 153
First Health Part D Premier Plus
(PDP)*
$101.80
$67.00
$0
S5768 / 192
Humana Insurance Company: 1-800-706-0872
Humana Walmart-Rx Plan (PDP)*
$17.00
$7.70
$400
S5884 / 176
Humana Preferred Rx Plan (PDP)*
$30.30
$0
$400
S5884 / 113
Humana Enhanced (PDP)*
$62.10
$27.30
$0
S5884 / 028
Washington State Office of the Insurance Commissioner  Statewide Health Insurance Benefits Advisors (SHIBA)
Organization/plan name
Monthly
Premium
Premium
with full
Extra Help
Annual
Deductible
Contract & Plan ID
number
Silver Script: 1-866-552-6106
Silver Script Choice (PDP)*
$32.30
$0
$0
S5601 / 060
Silver Script Plus (PDP)*
$72.90
$38.10
$0
S5601 / 061
$400
S0522 / 030
$400
S5022 / 063
United Healthcare:
1-855-283-2958
Symphonix Value Rx (PDP)*
$26.00
$0
1-800-753-8004
AARP Medicare Rx Walgreens
(PDP)*
$22.40
$2.10
1-888-867-5564
AARP Medicare Rx Saver Plus
(PDP)*
$34.80
$0
$400
S5921 / 374
AARP Medicare Rx Preferred
(PDP)*
$72.70
$37.90
$0
S5820 / 029
WellCare: 1-888-900-4307
WellCare Classic (PDP)*
$26.10
$0
$400
S4802 / 020
WellCare Extra (PDP)*
$74.90
$40.10
$0
S4802 / 126
Summary compiled by the Statewide Health Insurance Benefits Advisors (SHIBA). For unbiased help deciding what plan
best meets your needs, call 1‐800‐562‐6900 and ask to speak with a SHIBA volunteer advisor in your county.
**Sanctioned means plans cannot enroll new clients.
Statewide Health Insurance Benefits Advisors (SHIBA)
is a free, unbiased service of the:
This publication may have been partially funded by
grants from the Centers for Medicare and Medicaid
Services and the U.S. Administration for Community Living.
10/4/16/SHP839