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 Humana Gold Plus H5416-016 (HMO) | $32.00 | $5,900 | $0 | Few Generics, Few Brands |
H5416 -016 -0 | $5.00 | $11.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Plus H5416-016 (HMO) | $29.00 | $5,900 | $0 | Few Generics, Few Brands | $5.00 | $11.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Anthem Medicare Preferred Premier (PPO) | $95.00 | $6,000 | $100 | No additional gap coverage, only the Donut Hole Discount | H7728 -001 -0 | $5.00 | $10.00 | $39.00 | $39.00 | 2,838 2013 Formulary | ||
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2014 Anthem Medicare Preferred Premier (PPO) | $90.00 | $6,000 | $170 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $18.00 | $40.00 | $40.00 | 2,880 2014 Formulary | |||
-- This plan not offered in 2013 -- |
H5041 -017 -0 | |||||||||||
2014 HumanaChoice H5041-017 (PPO) | $172.00 | $6,700 | $310 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,711 2014 Formulary | |||
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