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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-- This plan not offered in 2013 -- |
H0108 -036 -0 | |||||||||||
2014 Humana Gold Plus H0108-036 (HMO) | $0.00 | $5,900 | $0 | Few Generics, Few Brands | $5.00 | $10.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Physicians Choice Medicare Plus (HMO) | $35.00 | $6,700 | $0 | Some Generics | H5609 -004 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 2,801 2013 Formulary | ||
2014 Physicians Choice Medicare Plus (HMO) | $0.00 | $6,700 | $0 | Some Generics | $5.00 | $15.00 | $45.00 | $45.00 | 2,861 2014 Formulary | |||
2013 AARP MedicareComplete SecureHorizons (HMO) | $30.00 | $5,900 | $0 | No additional gap coverage, only the Donut Hole Discount | H0543 -032 -0 | $3.00 | $6.00 | $45.00 | $45.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete SecureHorizons (HMO) | $30.00 | $5,900 | $0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $8.00 | $45.00 | $45.00 | 3,604 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 Health Net Seniority Plus Green (HMO) | $99.00 | $3,400 | No Rx Coverage | H0562 -045 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Health Net Seniority Plus Green (HMO) | $139.00 | $3,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
-- This plan not offered in 2013 -- |
H0562 -098 -2 | |||||||||||
2014 Health Net Seniority Plus Ruby (HMO) | $185.00 | $5,000 | $0 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $18.00 | $45.00 | $45.00 | 4,187 2014 Formulary | |||
2013 Health Net Seniority Plus Ruby (HMO) | $182.00 | $5,000 | $0 | No additional gap coverage, only the Donut Hole Discount | H0562 -017 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 4,263 2013 Formulary | ||
-- Members will be assigned to Health Net Seniority Plus Ruby (HMO) H0562-0098 -- | ||||||||||||
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