2011 / 2012 Medicare Advantage Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Plan Name | Monthly Premium |
Part A&B Maximum Out-Of |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Formulary Drugs | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
||||||
2011 Humana Gold Choice H2944-185 (PFFS) | $0.00 | $3,400 | No Rx Coverage | H2944 -185 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2012 Humana Gold Choice H2944-185 (PFFS) | $0.00 | $6,700 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2011 SecureHorizons MedicareDirect Essential (PFFS) | $0.00 | $5,200 | No Rx Coverage | H5435 -001 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2012 UnitedHealthcare MedicareDirect Essential (PFFS) | $0.00 | $6,200 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2011 SecureHorizons MedicareDirect Rx (PFFS) | $0.00 | $5,800 | $0 | No additional gap coverage, only the Donut Hole Discount | H5435 -024 -0 | $6.00 | $45.00 | $88.00 | $88.00 | n/a | ||
2012 UnitedHealthcare MedicareDirect Rx (PFFS) | $0.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | $45.00 | $45.00 | 3,614 2012 Formulary | |||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
||||||
2011 Humana Gold Choice H2944-071 (PFFS) | $108.00 | $3,400 | $0 | Few Generics, Few Brands |
H2944 -071 -0 | $6.00 | $40.00 | $80.00 | $80.00 | n/a | ||
2012 Humana Gold Choice H2944-071 (PFFS) | $79.00 | $3,400 | $320 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,798 2012 Formulary | |||
2011 MedicareBlue PPO (Regional PPO) | $71.30 | $3,350 | $310 | No additional gap coverage, only the Donut Hole Discount | R5566 -005 -0 | 13% | 26% | 50% | 50% | n/a | ||
2012 MedicareBlue PPO (Regional PPO) | $84.40 | $3,400 | $155 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $11.00 | $33.00 | $33.00 | 2,766 2012 Formulary | |||
2011 MedicareBlue PPO (Regional PPO) | $71.30 | $3,350 | $310 | No additional gap coverage, only the Donut Hole Discount | R5566 -005 -0 | 13% | 26% | 50% | 50% | n/a | ||
-- This plan not offered in 2012 -- |
||||||||||||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
||||||
2011 Humana Gold Choice H2944-184 (PFFS) | $88.00 | $6,000 | $310 | No additional gap coverage, only the Donut Hole Discount | H2944 -184 -0 | n/a | ||||||
-- This plan not offered in 2012 -- |
||||||||||||
|