SimpliveraCoverage Companion

MedicareRx Rewards (PDP)

WELLPOINT LIFE AND HEALTH INSURANCE COMPANY · 2026 plan year

Plan ID S5960-804-000

Showing MO · sold in 56 states and territories

AK, AL, AR, AS, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MP, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VA, VI, VT, WA, WI, WV, WY

Medicare Prescription Drug Plan★ 3 CMS Part D StarsEmployer group plan
MOOP (in-network)
—
MOOP (combined)
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Monthly premium
Not published
CMS publishes no consumer premium for this plan
Prescription drugs
This is a standalone drug plan

Offered only through an employer or union retiree plan; premiums are set by the group.

This plan in 2027

Plan information

Contract / Plan / Segment
S5960-804-000

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