PSERS Health Options Program Plus (Employer PDP)
Standalone drug coverage
Medicare Prescription Drug Plan (PDP)
This plan covers prescription drugs. It is not Medicare Advantage and does not describe the member's hospital, medical, or supplemental coverage.
CMS-backed plan details
Drug plan at a glance
- Monthly premium
- Not published for this plan
- Part D deductible
- Not published for this plan
- Plan type
- Employer/Union Only Direct Contract PDP
- Coverage area
- Employer-only
- Yes
- Part D star rating
- Not published for this plan
Plan-specific costs
Prescription drug coverage
Plan-specific drug deductible not published
Drug costs depend on the prescription, its formulary tier, and the pharmacy. Use current official plan materials before estimating what you will pay.
Contract Year 2027
How this drug plan works
- 1Deductible
The plan-specific deductible is not available here. What you pay and which tiers apply are controlled by the plan documents.
- 2Initial coverage
After any applicable deductible, you pay the plan's copay or coinsurance for covered drugs. Pharmacy type, supply length, and formulary tier can change the price.
- 3Catastrophic coverage
The 2027 out-of-pocket threshold is not reported for this record. Check that year's official plan documents.
- +Extra Help
People with limited income and resources may qualify for Extra Help with Part D premiums, deductibles, and prescription costs. Eligibility and assistance are separate from this plan's standard benefit.
Source trail
Official CMS, Contract Year 2027
Plan identity and benefits come from CMS PBP data. Benefits and drug cost sharing come from the approved annual PBP tabular extract and its CMS dictionary. Premiums and drug deductibles are cross-checked with the annual Landscape. Geography comes from annual PlanArea and PlanRegionArea records, including exact segments and partial-county or employer/group qualifiers. Quick-reference values should be confirmed in current official plan documents.
Plan context
Where E3014-801-000 fits
- Full CMS plan ID
E3014-801-000- Contract
E3014- Base plan code
E3014-801- Segment
000- Carrier
- Pennsylvania Public School Employees Retirement Sy
- Plan type
- Employer/Union Only Direct Contract PDP
- Service area
- National (AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, GU, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, 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)
45 additional service-area states listed in the CMS record.
County/service-area foundation
CMS service-area entries
Service areas come from the annual CMS PlanArea and PlanRegionArea tables for this exact contract, plan, and segment. Partial-county and employer/group qualifiers remain part of the coverage area. Regional PPO county entries use the matching annual Landscape expansion of the CMS region.
- Aleutians East, AK · employer/group only
- Aleutians West, AK · employer/group only
- Anchorage, AK · employer/group only
- Bethel, AK · employer/group only
- Bristol Bay, AK · employer/group only
- Chugach, AK · employer/group only
- Copper River, AK · employer/group only
- Denali, AK · employer/group only
- Dillingham, AK · employer/group only
- Fairbanks North Star, AK · employer/group only
- Haines, AK · employer/group only
- Hoonah-Angoon, AK · employer/group only
3234 additional service-area entries are retained in the data record.
Is E3014-801-000 a Medicare Advantage plan?
No. E3014-801-000 is a standalone Medicare Part D prescription drug plan (PDP). It covers prescription drugs and does not replace Original Medicare or describe separate medical coverage.
What is the Part D deductible for E3014-801-000?
A plan-specific Part D deductible is not available in the CMS Landscape record matched to E3014-801-000. Check the plan's current official documents before estimating your costs.
Where can I find the E3014-801-000 formulary or drug list?
Use the plan carrier's current official formulary and search for each prescription by name, dose, and form. The CMS benefit data on this page describes tier costs but does not contain the plan's complete drug list.
Which pharmacies are in network for E3014-801-000?
Check the carrier's current pharmacy directory before filling a prescription. Preferred and standard network pharmacies can charge different amounts, and the CMS data on this page does not list individual pharmacies.
Who can enroll in E3014-801-000?
PSERS Health Options Program Plus (Employer PDP) is marked employer-only in CMS data and is generally available through an eligible employer or group, not for ordinary individual enrollment. Its listed coverage area is .
About this code
What E3014-801-000 identifies
E3014-801-000 is a Contract Year 2027 Medicare plan segment code. Searches written as E3014-801, E3014 801, or the compact full CMS ID E3014801000 refer to this plan or its base plan code.
Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.