Our Prescription Drug Plan Solutions
You want an affordable, easy-to-use prescription drug plan with great coverage. We listened and created plans to fit your needs. Our premiums start as low as $25 per month and have copays as low as $0 on our Value Plan. Coverage includes access to more than 28,000 pharmacies and major chains, including local grocery stores, so getting your prescriptions is convenient. Our plans work well with our Medicare supplement insurance plan or as a stand-alone prescription plan to use with your Medicare Part A and Part B coverage.
Mutual of Omaha Rx Value
Mutual of Omaha Rx Plus
If you would like to view prescription drug plans for a different state, you can do so by changing the ZIP Code below.
Plan Highlights and Details
Value
Plus
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This is the amount you have to pay before your prescription drug plan coverage begins to pay. Once you reach your deductible, your prescription drug plan starts sharing the cost with you.
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$0
Tiers 1 & 2 $415
Tiers 3 - 5 |
$415 |
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This is the limit to how much your plan will cover in one year. If your prescriptions add up to this amount, you have to pay extra for your prescriptions. If your bills add up to $5,000, your costs go down again.
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| $3,820 | $3,820 |
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After the member and the plan have reached a certain amount of out of pocket expenses, the member enters the "coverage gap" AKA the "donut hole."
During this gap, the member pays coinsurance of 25% coinsurance on generics, 37% coinsurance on brand name drugs. |
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| Defined Standard | Defined Standard |
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The list of drugs covered in your plan.
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| Tighter formulary | Broader formulary |
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The pharmacies that are the most affordable under our plan.
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| CVS, CVS/Target, Walmart, Sam’s Club, and regional Rx networks. | |
| Plan works best for | |
| Cost conscious healthy population | People who take multiple medications |
| Cost Share by Tier & Network | |
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These are the most commonly prescribed and affordable prescriptions. The copay depends on where you get your prescription filled.
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$1
Preferred Retail 30 Days $5
Standard Retail 30 Days $2
Preferred Home Delivery 90-Days |
$3
Preferred Retail 30 Days $8
Standard Retail 30 Days $8
Preferred Home Delivery 90-Days |
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These are a little more expensive than Tier 1, but still generic medicines. The copay depends on where you get your prescription filled.
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$4
Preferred Retail 30 Days $10
Standard Retail 30 Days $8
Preferred Home Delivery 90-Days |
$6
Preferred Retail 30 Days $13
Standard Retail 30 Days $15
Preferred Home Delivery 90-Days |
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Tier 3 drugs are brand-name or higher-priced generic prescriptions. The cost sharing depends on where you get your prescription filled.
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15%
Preferred Retail 30 Days 18%
Standard Retail 30 Days 18%
Preferred Home Delivery 90-Days |
$35
Preferred Retail 30 Days $45
Standard Retail 30 Days $100
Preferred Home Delivery 90-Days |
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These are more expensive brand-name drugs. The cost sharing depends on where you get your prescription filled.
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37%
Preferred Retail 30 Days 40%
Standard Retail 30 Days 40%
Preferred Home Delivery 30-Days |
48%
Preferred Retail 30 Days 50%
Standard Retail 30 Days 48%
Preferred Home Delivery 30-Days |
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These are the most expensive drugs. They treat very complex conditions like cancer. The cost sharing depends on where you get your prescription filled.
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25%
Preferred Retail 30 Days 25%
Standard Retail 30 Days 25%
Preferred Home Delivery 30-Days |
25%
Preferred Retail 30 Days 25%
Standard Retail 30 Days 25%
Preferred Home Delivery 30-Days |
(4/02/2019)
(4/02/2019)
Need Help? You don’t have to go it alone!
If you have questions or want help understanding your plan options, our agents are ready to listen. They can help you find the prescription drug plan that’s right for you and that works with your other Medicare coverage.
If you have any questions, please contact Mutual of Omaha Rx at 855-864-6797. Customer Service is available 24 hours a day, 7 days a week. TTY users should call 800-716-3231.