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 HumanaChoice R5826-066 (Regional PPO) | $0.00 | $5,000 | No Rx Coverage | R5826 -066 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 HumanaChoice R5826-066 (Regional PPO) | $0.00 | $5,000 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Humana Gold Plus H2012-012 (HMO) | $0.00 | $5,900 | $0 | Few Generics, Few Brands |
H2012 -012 -0 | $0.00 | $7.00 | $40.00 | $40.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Plus H2012-012 (HMO-POS) | $21.00 | $5,900 | $0 | Few Generics, Few Brands | $5.00 | $15.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Blue Medicare Access Value (Regional PPO) | $34.00 | $6,500 | $80 | No additional gap coverage, only the Donut Hole Discount | R5941 -009 -0 | $4.00 | $12.00 | $45.00 | $45.00 | 4,173 2013 Formulary | ||
2014 Blue Medicare Access Value (Regional PPO) | $63.00 | $6,500 | $100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $40.00 | $40.00 | 3,391 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 -- |
H6609 -077 -0 | |||||||||||
2014 HumanaChoice H6609-077 (PPO) | $64.00 | $6,700 | $0 | Few Generics, Few Brands | $7.00 | $18.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 HumanaChoice R5826-008 (Regional PPO) | $66.00 | $6,700 | $0 | Few Generics, Few Brands |
R5826 -008 -0 | $6.00 | $15.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 HumanaChoice R5826-008 (Regional PPO) | $66.00 | $6,700 | $0 | Few Generics, Few Brands | $6.00 | $18.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Humana Gold Choice H2944-128 (PFFS) | $142.00 | n/a | $0 | Few Generics, Few Brands |
H2944 -128 -0 | $5.00 | $12.00 | $44.00 | $44.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Choice H2944-128 (PFFS) | $145.00 | n/a | $0 | Few Generics, Few Brands | $7.00 | $18.00 | $45.00 | $45.00 | 3,711 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 Today's Options Premier Plus 350A (PFFS) | $175.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H5421 -068 -0 | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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2013 Today's Options Premier 600 (PFFS) | $80.00 | n/a | No Rx Coverage | H5421 -056 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
-- This plan not offered in 2014 -- |
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2013 Today's Options Premier Plus 650D (PFFS) | $118.00 | n/a | $85 | No additional gap coverage, only the Donut Hole Discount | H5421 -074 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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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 Today's Options Premier 300 (PFFS) | $115.00 | n/a | No Rx Coverage | H5421 -210 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
-- This plan not offered in 2014 -- |
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2013 HumanaChoice H1806-001 (PPO) | $66.00 | $6,700 | $0 | Few Generics, Few Brands |
H1806 -001 -0 | $6.00 | $15.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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2013 Humana Gold Plus SNP-CHF/DM H2012-059 (HMO SNP) | $0.00 | n/a | $0 | Some Generics, Few Brands |
H2012 -059 -0 | $0.00 | $7.00 | $40.00 | $40.00 | 5,233 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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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 Humana Gold Plus SNP-DE H2012-062 (HMO SNP) | $34.50 | n/a | $325 | No additional gap coverage, only the Donut Hole Discount | H2012 -062 -0 | $0.00 | $39.00 | $80.00 | $80.00 | 3,906 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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