2012 / 2013 Medicare Advantage Plan Information Click here to jump to the Chart Legend | ||||||||||||
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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 |
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2012 HumanaChoice R5826-068 (Regional PPO) | $0.00 | $3,400 | No Rx Coverage | R5826 -068 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2013 HumanaChoice R5826-068 (Regional PPO) | $0.00 | $3,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2012 Peoples Health Choices Plus (HMO-POS) | $0.00 | $6,700 | $0 | All Generics | H1961 -002 -0 | $5.00 | $35.00 | $80.00 | $80.00 | 4,519 2012 Formulary | ||
2013 Peoples Health Choices Plus (HMO) | $0.00 | $6,700 | $0 | All Generics, Few Brands | $3.00 | $10.00 | $35.00 | $35.00 | 4,658 2013 Formulary | |||
2012 WellCare Value (HMO-POS) | $0.00 | $4,000 | $0 | No additional gap coverage, only the Donut Hole Discount | H1903 -022 -0 | $3.00 | $35.00 | $60.00 | $60.00 | 2,506 2012 Formulary | ||
2013 WellCare Value (HMO-POS) | $0.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $35.00 | $79.00 | $79.00 | 2,835 2013 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 |
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2012 WellCare Access (HMO SNP) | $35.00 | n/a | $320 | No additional gap coverage, only the Donut Hole Discount | H1903 -011 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 2,506 2012 Formulary | ||
2013 WellCare Access (HMO SNP) | $26.00 | n/a | $325 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $44.00 | $95.00 | $95.00 | 2,835 2013 Formulary | |||
2012 Peoples Health Secure Health (HMO SNP) | $35.00 | n/a | $320 | No additional gap coverage, only the Donut Hole Discount | H1961 -003 -0 | 25% | 25% | 25% | 25% | 4,519 2012 Formulary | ||
2013 Peoples Health Secure Health (HMO SNP) | $37.30 | n/a | $325 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 4,658 2013 Formulary | |||
2012 HumanaChoice R5826-078 (Regional PPO) | $40.00 | $5,900 | $320 | No additional gap coverage, only the Donut Hole Discount | R5826 -078 -0 | 25% | 25% | 25% | 25% | 3,798 2012 Formulary | ||
2013 HumanaChoice R5826-078 (Regional PPO) | $42.00 | $6,700 | $325 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,906 2013 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 |
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2012 HumanaChoice R5826-011 (Regional PPO) | $67.00 | $6,700 | $0 | Few Generics, Few Brands |
R5826 -011 -0 | $6.00 | $40.00 | $80.00 | $80.00 | 3,798 2012 Formulary | ||
2013 HumanaChoice R5826-011 (Regional PPO) | $72.00 | $6,700 | $0 | Few Generics, Few Brands | $4.00 | $12.00 | $45.00 | $45.00 | 3,906 2013 Formulary | |||
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