2013 / 2014 Medicare Advantage Plan Information Click here to jump to the Chart Legend | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
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 |
||||||
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 Anthem Medicare Preferred Standard (PPO) | $40.00 | $5,200 | $60 | No additional gap coverage, only the Donut Hole Discount | H5530 -001 -0 | $4.00 | $8.00 | $45.00 | $45.00 | 4,173 2013 Formulary | ||
2014 Anthem Medicare Preferred Standard (PPO) | $56.00 | $5,900 | $135 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $16.00 | $40.00 | $40.00 | 2,998 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 |
||||||
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 | |||
-- This plan not offered in 2013 -- |
H6609 -080 -0 | |||||||||||
2014 HumanaChoice H6609-080 (PPO) | $70.00 | $6,700 | $0 | Few Generics, Few Brands | $6.00 | $15.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Humana Gold Choice H8145-020 (PFFS) | $142.00 | n/a | $0 | Few Generics, Few Brands |
H8145 -020 -0 | $5.00 | $12.00 | $44.00 | $44.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Choice H8145-020 (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 |
||||||
2013 HumanaChoice H1806-005 (PPO) | $59.00 | $6,700 | $0 | Few Generics, Few Brands |
H1806 -005 -0 | $6.00 | $15.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
-- This plan not offered in 2014 -- |
||||||||||||
|