2013 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | Tufts Medicare Preferred HMO Basic Rx (HMO) | ||||
Location: | Barnstable, Massachusetts Click to see other locations | ||||
Plan ID: | H2256 - 026 - 0 Click to see other plans | ||||
Member Services: | |||||
— 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 Tufts Medicare Preferred HMO Basic Rx (HMO) benefit details
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— Medicare Plan Features — | |||||
Monthly Premium: | $24.80 | ||||
Annual Deductible: | $0 | ||||
Annual Initial Coverage Limit (ICL): | $2,970 | ||||
Health Plan Type: | Local HMO | ||||
Maximum Out-of-Pocket Limit for Parts A & B (MOOP): | $3,400 | ||||
Additional Gap Coverage? | No additional gap coverage, only the Donut Hole Discount | ||||
Total Number of Formulary Drugs: | 3,682 drugs | Browse the Tufts Medicare Preferred HMO Basic Rx (HMO) Formulary | |||
This plan has 5 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: | $5.00 | $10.00 | $33.00 | $93.00 | 33% |
• Number of Drugs per Tier: | 437 | 1607 | 748 | 630 | 298 |
Plan Offers Mail Order? | Yes | ||||
Number of Members enrolled in this plan in (H2256 - 026): | 9,553 members | ||||
Plan’s Summary Star Rating: | 4.5 out of 5 Stars. | ||||
• Customer Service Rating: | 3 out of 5 Stars. | ||||
• Member Experience Rating: | 4 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 4 out of 5 Stars. | ||||
— Plan Health Benefits — |