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 UnitedHealthcare MedicareDirect Essential (PFFS) | $0.00 | n/a | No Rx Coverage | H5435 -001 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 UnitedHealthcare MedicareDirect Essential (PFFS) | $0.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Today's Options Premier 600 (PFFS) | $14.00 | n/a | No Rx Coverage | H3333 -037 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
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2014 Today's Options Premier 900 (PFFS) | $14.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 UnitedHealthcare MedicareDirect Rx (PFFS) | $28.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H5435 -014 -0 | $4.00 | $10.00 | $44.00 | $44.00 | 3,825 2013 Formulary | ||
2014 UnitedHealthcare MedicareDirect Rx (PFFS) | $28.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $44.00 | $44.00 | 3,604 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 300 (PFFS) | $35.00 | n/a | No Rx Coverage | H3333 -163 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
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2014 Today's Options Premier 600 (PFFS) | $35.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Today's Options Premier Plus 650B (PFFS) | $48.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H3333 -055 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | ||
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2014 Today's Options Premier Plus 950B (PFFS) | $53.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $45.00 | $45.00 | 2,885 2014 Formulary | |||
2013 Martin's Point Generations Advantage Prime (HMO-POS) | $49.00 | $4,000 | $0 | No additional gap coverage, only the Donut Hole Discount | H5591 -005 -0 | $0.00 | $6.00 | $40.00 | $40.00 | 2,952 2013 Formulary | ||
2014 Martin's Point Generations Advantage Prime (HMO-POS) | $54.00 | $4,000 | $0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $40.00 | $40.00 | 2,896 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 Martin's Point Generations Advantage Select (PPO) | $65.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H1365 -003 -0 | $0.00 | $6.00 | $40.00 | $40.00 | 2,952 2013 Formulary | ||
2014 Martin's Point Generations Advantage Select (PPO) | $65.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $40.00 | $40.00 | 2,896 2014 Formulary | |||
2013 Humana Gold Choice H2944-106 (PFFS) | $47.00 | n/a | $200 | No additional gap coverage, only the Donut Hole Discount | H2944 -106 -0 | $7.00 | $45.00 | $95.00 | $95.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Choice H2944-106 (PFFS) | $82.00 | n/a | $310 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,711 2014 Formulary | |||
2013 Today's Options Premier Plus 350A (PFFS) | $105.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H3333 -165 -0 | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | ||
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2014 Today's Options Premier Plus 350A (PFFS) | $110.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $7.00 | $40.00 | $40.00 | 2,885 2014 Formulary | |||
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