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 R5826-063 (Regional PPO) | $0.00 | $3,000 | No Rx Coverage | R5826 -063 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 HumanaChoice R5826-063 (Regional PPO) | $0.00 | $3,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 HumanaChoice H3405-007 (PPO) | $24.00 | $3,900 | $0 | Few Generics, Few Brands |
H3405 -007 -0 | $4.00 | $10.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 HumanaChoice H3405-007 (PPO) | $39.00 | $4,900 | $0 | Few Generics, Few Brands | $6.00 | $18.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 HumanaChoice R5826-079 (Regional PPO) | $63.00 | $6,700 | $325 | No additional gap coverage, only the Donut Hole Discount | R5826 -079 -0 | 25% | 25% | 25% | 25% | 3,906 2013 Formulary | ||
2014 HumanaChoice R5826-079 (Regional PPO) | $72.00 | $6,700 | $310 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 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 HumanaChoice R5826-003 (Regional PPO) | $75.00 | $6,200 | $0 | Few Generics, Few Brands |
R5826 -003 -0 | $5.00 | $11.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 HumanaChoice R5826-003 (Regional PPO) | $81.00 | $6,700 | $0 | Few Generics, Few Brands | $5.00 | $12.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Presidential (PFFS) | $0.00 | n/a | No Rx Coverage | H0979 -021 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
-- This plan not offered in 2014 -- |
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2013 Presidential Plus (PFFS) | $26.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H0979 -022 -0 | $4.00 | $44.00 | $78.00 | $78.00 | 2,764 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 Choice H2944-137 (PFFS) | $71.00 | n/a | $0 | Few Generics, Few Brands |
H2944 -137 -0 | $4.00 | $8.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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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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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 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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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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