2010 Medicare Advantage Plan Details | |||||
---|---|---|---|---|---|
Medicare Plan Name: | Humana Gold Choice H2944-067 (PFFS) | ||||
Location: | Richland, Wisconsin Click to see other locations | ||||
Plan ID: | H2944 - 067 - 0 Click to see other plans | ||||
Member Services: | |||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
||||
Email a copy of the Humana Gold Choice H2944-067 (PFFS) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $63.00 | ||||
Annual Rx Deductible: | $0 | ||||
Annual Rx Initial Coverage Limit (ICL): | $2,830 | ||||
Health Plan Type: | PFFS | ||||
Rx Gap Coverage? | Few Generics, Few Brand | ||||
Total Number of Formulary Drugs: | 4,024 drugs | Browse the Humana Gold Choice H2944-067 (PFFS) Formulary | |||
This plan has 4 drug tiers. See cost-sharing highlights below. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $8.00 | $42.00 | $80.00 | 33% | |
• Number of Drugs per Tier: | 1711 | 673 | 1374 | 266 | |
Number of Members enrolled in this plan in (H2944 - 067): | 6,354 members |