2011 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | Brand New Day (HMO SNP) | ||||
Location: | Riverside, California Click to see other locations | ||||
Plan ID: | H0838 - 020 - 0 Click to see other plans | ||||
Member Services: | 1-866-255-4795 TTY users 1-866-321-5955 | ||||
— 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 |
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Email a copy of the Brand New Day (HMO SNP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $33.80 (see Plan Premium Details below) | ||||
Annual Deductible: | $310 | ||||
Annual Initial Coverage Limit (ICL): | $2,840 | ||||
Health Plan Type: | Local HMO | ||||
Special Needs Plan (SNP) Eligibility Requirement: | |||||
Additional Gap Coverage? | No additional gap coverage, only the Donut Hole Discount | ||||
Total Number of Formulary Drugs: | 3,107 drugs | Browse the Brand New Day (HMO SNP) Formulary | |||
This plan has 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: | cost-sharing data not available. | ||||
• Number of Drugs per Tier: | |||||
Plan's Pharmacy Search: | http://www.BrandNewDayHMO.com | ||||
Number of Members enrolled in this plan in (H0838 - 020): | 1,937 members | ||||
— Plan Premium Details — | |||||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | 100% Subsidy | 75% Subsidy | 50% Subsidy | 25% Subsidy | |
Monthly Part D Premium with LIS: | $0.00 | $0.00 | $0.00 | $0.00 | |
— Plan Health Benefits — |