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) | $0.00 | $5,900 | $0 | No additional gap coverage, only the Donut Hole Discount | H0543 -022 -0 | $4.00 | $7.00 | $45.00 | $45.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete SecureHorizons (HMO) | $0.00 | $5,900 | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $8.00 | $45.00 | $45.00 | 3,604 2014 Formulary | |||
-- This plan not offered in 2013 -- |
H0564 -054 -0 | |||||||||||
2014 Blue Cross Senior Secure Plan II (HMO) | $0.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $17.00 | $40.00 | $40.00 | 2,880 2014 Formulary | |||
2013 Blue Shield 65 Plus (HMO) | $0.00 | $3,000 | $0 | Many Generics | H0504 -029 -0 | $5.00 | $45.00 | $85.00 | $85.00 | 3,331 2013 Formulary | ||
2014 Blue Shield 65 Plus (HMO) | $0.00 | $3,000 | $0 | Many Generics | $5.00 | $45.00 | $85.00 | $85.00 | 3,231 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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-- This plan not offered in 2013 -- |
H0108 -038 -0 | |||||||||||
2014 Humana Gold Plus H0108-038 (HMO) | $0.00 | $5,900 | $0 | Few Generics, Few Brands | $5.00 | $10.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Kaiser Permanente Senior Advantage Ventura (HMO) | $0.00 | $3,400 | $0 | All Generics, Few Brands |
H0524 -034 -0 | $5.00 | $10.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Kaiser Permanente Senior Advantage Ventura (HMO) | $0.00 | $5,900 | $0 | All Generics, Few Brands | $5.00 | $12.00 | $45.00 | $45.00 | 5,237 2014 Formulary | |||
2013 Physicians Choice Medicare Plus (HMO) | $0.00 | $5,900 | $0 | Some Generics | H5609 -005 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 2,801 2013 Formulary | ||
2014 Physicians Choice Medicare Plus (HMO) | $0.00 | $5,900 | $0 | Some Generics | $5.00 | $15.00 | $45.00 | $45.00 | 2,861 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 Senior Advantage Medicare Medi-Cal Plan South (HMO SNP) | $11.40 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H0524 -029 -0 | $10.00 | $10.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Senior Advantage Medicare Medi-Cal Plan South (HMO SNP) | $14.40 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $45.00 | $45.00 | 5,237 2014 Formulary | |||
2013 SCAN Classic (HMO) | $14.00 | $3,400 | $0 | Some Generics | H5425 -001 -0 | $7.00 | $10.00 | $40.00 | $40.00 | 2,703 2013 Formulary | ||
2014 SCAN Classic (HMO) | $26.00 | $5,000 | $0 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $10.00 | $40.00 | $40.00 | 2,747 2014 Formulary | |||
2013 Anthem Medicare Preferred Standard (PPO) | $41.00 | $4,500 | $90 | No additional gap coverage, only the Donut Hole Discount | H8552 -007 -0 | $5.00 | $9.00 | $39.00 | $39.00 | 2,838 2013 Formulary | ||
2014 Anthem Medicare Preferred Standard (PPO) | $68.00 | $4,500 | $145 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $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 Aetna Medicare Select Plan (HMO) | $25.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H0523 -058 -0 | $7.00 | $33.00 | $45.00 | $45.00 | 3,323 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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2013 Kaiser Permanente Senior Advantage B Only South (HMO) | $0.00 | n/a | $0 | n/a | H0524 -002 -0 | $5.00 | $8.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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