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Windsor Rx Review

Windsor Rx – standing out from the crowd?3D Figure Holding Red and White Medicine Capsule

Everyday there are approximately 10,000 Baby Boomers turning 65 and becoming eligible for Medicare benefits. Many of these people will either stick with original Medicare or purchase a Medigap policy as a supplement.

If you are planning to receive your medical benefits from original Medicare, with or without a Medigap policy, you should also enroll in a stand-alone Part D plan.

If, on the other hand, you are enrolling in a Medicare Advantage plan, you more than likely will receive Part D benefits through the plan.

Windsor Rx is a stand-alone Part D plan available in many States. Most states have somewhere near 30 plans available from which to choose.

The Part D market is very competitive and it is necessary to stand out in order to attract a piece of the business.

This article will take a look at Windsor Rx to see what sets them apart from the other plans.

Windsor Rx PDP

Windsor Rx is made available by a partnership between Windsor Health Plan Inc. and Sterling Life Insurance Company. this partnership is also responsible for marketing Medicare Advantage plans such as WindsorSterling.

Most insurance companies that are approved to offer Part D plans make two types of plans available; Basic and Enhanced.

Basic Part D Plan – A basic plan normally includes the most popular medications prescribed to the Medicare community. Most plans require an annual deductible and offer little or no gap coverage.

Enhanced Part D Plan – An enhanced plan generally includes a larger range of drugs, including some of those that are less common and more expensive. Many beneficiaries with chronic conditions require an enhanced formulary. Plans typically do not require an annual deductible and may offer some coverage in the gap. They also require a higher monthly premium on average.

Windsor Rx is a basic plan with the highest deductible allowed by law – $325. There is no coverage in the gap and the Medicare Star rating is average or less than average among plans available.

The monthly premium is in line with other basic plans with similar features. An enhanced plan is not available. Windsor Rx stands out from other company’s plans by offering less choice.

What sells and what beneficiaries are looking forPart D Apples and Oranges

Most companies offering basic plans have similar premiums and similar formularies. Some require a fixed copay or each tier and others require a percentage of the charge known as coinsurance.

If insurance companies want there plans to stand out, they have to add some value or at leas offer the appearance of adding value!

Some basic plans include lower deductibles. AARP Medicare Rx Preferred is a basic plan with a $0 deductible.

Other companies have teamed up with retailers to offer co-branded Part D plans with discounts through preferred pharmacies. One such plan is Humana Walmart Preferred Rx.

Yet another way that companies are adding value to their plans is by providing additional discounts on non-prescription health related products and services. An example of this is Cigna Medicare Rx Healthy Rewards Program.

These are but a few of the ways that plans are adding value and attracting new business.

Windsor Rx needs to step up their game if they are going to attract more than crumbs from the flood of new beneficiaries being added to Medicare each day.


What’s really important in a Part D plan

There is a simple formula to finding the right Part D plan based on your needs and budget. Taking the time to research plans is important and shouldn’t be taken lightly.

Part D plans are available Statewide, but plans can offer different benefits from State to State and premiums will vary greatly. This said, you must look at plans specific to your State of residence.

See all State Specific Plans Here

Follow these steps:

  • Decide what criteria is important to you. Do you want a $0 deductible? Does your health require that you have coverage in the gap? Do you need to be under a certain premium amount? Narrow your list of possible plans using your criteria.
  • Take the time to visit each website for plans on your short list. To save time, go straight to the fomulary which is the list of medicines covered. The most important feature of a plan is that your drugs are covered.
  • Once you have found plans that include your prescriptions, note which tier each drug is placed in. Calculate your share of the cost with this information. Factor in the deductible amount (if any) as well as the total of plan premiums to learn the true annual cost of each plan.
  • When you have narrowed your list even further, look at the pharmacy network, mail order options and any ancillary benefits to determine if they will add value to your choice.

When you approach things methodically, you can make the best choice. And if you need a basic plan and all information adds up to the Windsor Rx plan, you have found a good plan. Value is reflected in the needs and budget of the beholder!
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2 comments

  1. I am newly enrolled in your RX plan. I need a phone # so than may call you to get information for a medication I need now and cannot find my paperwork

  2. Helen, Call the number on the back of your member card.

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