2013 / 2014 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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2013 Humana Gold Plus H0108-004 (HMO) | $0.00 | $3,400 | $0 | Some Generics, Few Brands |
H0108 -004 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Plus H0108-004 (HMO) | $0.00 | $6,700 | $0 | Few Generics, Few Brands | $5.00 | $10.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Kaiser Permanente Senior Advantage Basic Fresno (HMO) | $0.00 | $3,400 | $0 | All Generics, Few Brands |
H0524 -046 -0 | $5.00 | $8.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Kaiser Permanente Senior Advantage Basic Fresno (HMO) | $0.00 | $5,900 | $0 | All Generics, Few Brands | $5.00 | $15.00 | $45.00 | $45.00 | 5,237 2014 Formulary | |||
2013 Senior Advantage Medicare Medi-Cal Plan North (HMO SNP) | $16.60 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H0524 -030 -0 | $10.00 | $12.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Senior Advantage Medicare Medi-Cal Plan North (HMO SNP) | $9.50 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $13.00 | $45.00 | $45.00 | 5,237 2014 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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2013 AARP MedicareComplete SecureHorizons Plan 1 (HMO) | $69.00 | $4,900 | $0 | No additional gap coverage, only the Donut Hole Discount | H0543 -035 -0 | $3.00 | $6.00 | $44.00 | $44.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete SecureHorizons (HMO) | $39.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $9.00 | $45.00 | $45.00 | 3,604 2014 Formulary | |||
2013 Humana Gold Plus H0108-010 (HMO-POS) | $42.00 | $3,400 | $0 | Few Generics, Few Brands |
H0108 -010 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Plus H0108-010 (HMO) | $42.00 | $5,900 | $0 | Some Generics, Few Brands | $0.00 | $10.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
-- This plan not offered in 2013 -- |
H8552 -018 -0 | |||||||||||
2014 Anthem Medicare Preferred Standard (PPO) | $60.00 | $4,500 | $146 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $17.00 | $40.00 | $40.00 | 2,880 2014 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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2013 Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) | $81.00 | $3,400 | $0 | All Generics, Few Brands |
H0524 -038 -0 | $5.00 | $10.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) | $81.00 | $3,400 | $0 | All Generics, Few Brands | $5.00 | $15.00 | $45.00 | $45.00 | 5,237 2014 Formulary | |||
2013 AARP MedicareComplete SecureHorizons Plan 2 (HMO) | $0.00 | $5,900 | $0 | No additional gap coverage, only the Donut Hole Discount | H0543 -125 -0 | $4.00 | $7.00 | $45.00 | $45.00 | 3,825 2013 Formulary | ||
-- Members will be assigned to AARP MedicareComplete SecureHorizons (HMO) H0543-0035 -- | ||||||||||||
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