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 AARP MedicareComplete SecureHorizons (HMO) | $80.00 | $6,300 | $0 | No additional gap coverage, only the Donut Hole Discount | H0543 -086 -0 | $8.00 | $12.00 | $45.00 | $45.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete SecureHorizons (HMO) | $80.00 | $6,300 | $0 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $11.00 | $45.00 | $45.00 | 3,604 2014 Formulary | |||
2013 Humana Gold Choice H2944-220 (PFFS) | $82.00 | n/a | $325 | No additional gap coverage, only the Donut Hole Discount | H2944 -220 -0 | $4.00 | $9.00 | $35.00 | $35.00 | 3,906 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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2013 Humana Gold Choice H2944-221 (PFFS) | $49.00 | n/a | No Rx Coverage | H2944 -221 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
-- This plan not offered in 2014 -- |
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