2012 / 2013 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 |
||||||
2012 UnitedHealthcare MedicareDirect Essential (PFFS) | $0.00 | $6,200 | No Rx Coverage | H5435 -001 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2013 UnitedHealthcare MedicareDirect Essential (PFFS) | $0.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2012 UnitedHealthcare MedicareDirect Rx (PFFS) | $28.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | H5435 -014 -0 | $5.00 | $10.00 | $45.00 | $45.00 | 3,614 2012 Formulary | ||
2013 UnitedHealthcare MedicareDirect Rx (PFFS) | $28.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $10.00 | $44.00 | $44.00 | 3,825 2013 Formulary | |||
2012 Today's Options Premier 400 (PFFS) | $35.00 | $6,700 | No Rx Coverage | H5421 -048 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2013 Today's Options Premier 600 (PFFS) | $35.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
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 |
||||||
-- This plan not offered in 2012 -- |
H2944 -221 -0 | |||||||||||
2013 Humana Gold Choice H2944-221 (PFFS) | $49.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2012 Today's Options Premier Plus 450C (PFFS) | $56.00 | $6,700 | $35 | No additional gap coverage, only the Donut Hole Discount | H5421 -072 -0 | n/a | ||||||
2013 Today's Options Premier Plus 650B (PFFS) | $61.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | |||
2012 Today's Options Premier 200 (PFFS) | $70.00 | $3,250 | No Rx Coverage | H5421 -208 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2013 Today's Options Premier 300 (PFFS) | $70.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
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 |
||||||
-- This plan not offered in 2012 -- |
H2944 -220 -0 | |||||||||||
2013 Humana Gold Choice H2944-220 (PFFS) | $82.00 | n/a | $325 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $9.00 | $35.00 | $35.00 | 3,906 2013 Formulary | |||
2012 Today's Options Premier Plus 250A (PFFS) | $114.00 | $3,250 | $0 | No additional gap coverage, only the Donut Hole Discount | H5421 -214 -0 | n/a | ||||||
2013 Today's Options Premier Plus 350A (PFFS) | $119.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | |||
|