Insurance is a matter of shifting risk. The more risk you want to shift to the insurance the insurer, the more you have to pay.
If you are certain that you will only need tier
1 drugs, and are willing to assume the risk that you are wrong (i.e. pay a lot more if you need other drugs), then the Wellcare Value Script PDP is cheapest. Lowest premium ($0.50/mo), and tier
1 drugs are "free" (no deductible).
Even if you want to insure against needing tier 2 (non-preferred generics), Wellcare is still the cheapest ($5/mo for tier 2 drugs through preferred providers).
If you want to protect yourself (partially) against paying a lot for tier 3 (and higher) drugs, then the Aetna SilverScript SmartSaver plan comes out a little better. For a yearly premium that's around $
110 higher ($9.80/mo vs. $0.50/mo), you get a deductible that's $265 less ($280 vs. $545). Is it worth paying $
110 more for the possibility that your total cost will be around $
145 less ($265 - $
110) in case you need brand name drugs?
That's not a rhetorical question. You have to decide what the odds are and whether the gamble makes sense. IMHO the hundred bucks one way or another isn't enough to fret over. What's more important is what is in each formulary and which tier each drug is placed in (some generics show up in tier 3 in some formularies).
Here are some links for plans in Houston (likely similar throughout Texas):
Wellcare Value Script:
Plan:
https://www.medicare.gov/plan-compare/#/plan-details/2024-S4802-155-0Formulary:
https://fm.formularynavigator.com/FBO/67/11_6T_Enhanced_PDP_Comp_Form_24181.pdfAetna
Plan:
https://enroll.aetnamedicare.com/s/shop?tfn=&ZipCode=77001&CountyFIPS=48201&PlanYear=2024&step=PlanList&ref=am.com&PlanID=S5601-197Formulary:
https://www.aetnamedicare.com/documents/individual/2024/formularies/FORM_2024_24023SS3NGz_EN.pdfThe Humana plans have premiums of around $50/mo (two plans) and over $
100/mo (one plan).
What I don't like about either the Wellcare plan or the Aetna plan is that they charge coinsurance (24% or 25%) for preferred brand name drugs. That can get expensive very quickly. But only if you wind up using brand name drugs.
Blue Cross MedicareRx Choice has a $25.60/mo premium and a $545 deductible (applies to tiers 3 and above), but a fixed monthly copay for tier 3 (after deductible) of $46-$47. Is it worth paying $300 more per year (above the Wellcare plan)? That depends on the odds of needing brand name drugs.
https://www.bcbstx.com/medicare/tools-resources/forms-documents/pdp-plan-documents