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 Martin's Point Generations Advantage Value (HMO) | $0.00 | $3,400 | No Rx Coverage | H5591 -003 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2013 Martin's Point Generations Advantage Value (HMO) | $0.00 | $3,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2012 Today's Options Premier 400 (PFFS) | $0.00 | $6,700 | No Rx Coverage | H2816 -008 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
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2013 Today's Options Premier 500 (PFFS) | $0.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2012 Today's Options Premier Plus 450B (PFFS) | $35.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | H2816 -020 -0 | n/a | ||||||
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2013 Today's Options Premier Plus 550B (PFFS) | $40.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | |||
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 Today's Options Premier 100 (PFFS) | $47.00 | $3,400 | No Rx Coverage | H2816 -002 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
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2013 Today's Options Premier 100 (PFFS) | $47.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2012 Martin's Point Generations Advantage Prime (HMO-POS) | $49.00 | $2,800 | $0 | No additional gap coverage, only the Donut Hole Discount | H5591 -001 -0 | $5.00 | $40.00 | $70.00 | $70.00 | 3,055 2012 Formulary | ||
2013 Martin's Point Generations Advantage Prime (HMO-POS) | $49.00 | $3,200 | $0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $40.00 | $40.00 | 2,952 2013 Formulary | |||
2012 Martin's Point Generations Advantage Select (PPO) | $65.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H1365 -002 -0 | $5.00 | $40.00 | $70.00 | $70.00 | 3,055 2012 Formulary | ||
2013 Martin's Point Generations Advantage Select (PPO) | $65.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $40.00 | $40.00 | 2,952 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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-- This plan not offered in 2012 -- |
H6786 -001 -0 | |||||||||||
new | new | new | ||||||||||
2013 Anthem Medicare Preferred Premier (PPO) | $95.00 | $6,000 | $100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | $39.00 | $39.00 | 2,838 2013 Formulary | |||
2012 Today's Options Premier Plus 150A (PFFS) | $100.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H2816 -014 -0 | n/a | ||||||
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2013 Today's Options Premier Plus 150A (PFFS) | $105.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | |||
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