Built to go with a Medicare supplement policy, Mutual of Omaha Rx is a national prescription drug plan that affordably covers the prescriptions that matter most to clients.
See Plan outlay below:
Product details for North Carolina Plan designs, premiums and service areas are pending government approval and subject to change. |
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Mutual of Omaha
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Mutual of Omaha
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Premium |
$28.00per month for NC |
$45.60per month for NC |
Deductible |
Tiers 1, 2: Tiers 3-5: |
Tiers 1-5: |
Initial Coverage Limit |
$3,820 per year |
$3,820 per year |
Gap Coverage |
Defined Standard |
Defined Standard |
Cost Sharing Tier 1: Preferred Generic |
Preferred: Standard: 90-day Mail: |
Preferred: Standard: 90-day Mail: |
Cost Sharing Tier 2: Generic |
Preferred: Standard: 90-day Mail: |
Preferred: Standard: 90-day Mail: |
Cost Sharing Tier 3: Preferred Brand |
Preferred: Standard: 90-day Mail: |
Preferred: Standard: 90-day Mail: |
Cost Sharing Tier 4: Non-preferred Brand |
Preferred: Standard: 30-day Mail: |
Preferred: Standard: 30-day Mail: |
Cost Sharing Tier 5: Specialty |
Preferred: Standard: 30-day Mail: |
Preferred: Standard: 30-day Mail: |