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 AARP MedicareComplete Plan 3 (HMO) | $0.00 | $5,700 | $0 | No additional gap coverage, only the Donut Hole Discount | H5005 -019 -0 | $4.00 | $7.00 | $45.00 | $45.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete Plan 3 (HMO) | $0.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $7.00 | $45.00 | $45.00 | 3,604 2014 Formulary | |||
-- This plan not offered in 2013 -- |
H6609 -070 -0 | |||||||||||
2014 HumanaChoice H6609-070 (PPO) | $0.00 | $4,000 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Community HealthFirst MA Special Needs Plan (HMO SNP) | $37.40 | n/a | $325 | No additional gap coverage, only the Donut Hole Discount | H5826 -005 -0 | 25% | 3,102 2013 Formulary | |||||
2014 Community HealthFirst MA Special Needs Plan (HMO SNP) | $34.80 | n/a | $310 | No additional gap coverage, only the Donut Hole Discount | 15% | 3,124 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 Kaiser Permanente Senior Advantage Basic (HMO) | $39.00 | $3,400 | $0 | All Generics, Few Brands |
H9003 -006 -0 | $6.00 | $10.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Kaiser Permanente Senior Advantage Basic (HMO) | $39.00 | $4,900 | $0 | All Generics, Few Brands | $5.00 | $10.00 | $45.00 | $45.00 | 5,237 2014 Formulary | |||
2013 AARP MedicareComplete Plan 1 (HMO) | $73.00 | $4,200 | $0 | Some Generics | H5005 -011 -0 | $3.00 | $6.00 | $44.00 | $44.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete Plan 1 (HMO) | $73.00 | $4,200 | $0 | Some Generics | $3.00 | $6.00 | $44.00 | $44.00 | 3,604 2014 Formulary | |||
2013 Community HealthFirst MA Pharmacy Plan (HMO) | $61.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H5826 -009 -0 | $10.00 | $50.00 | 33% | 3,102 2013 Formulary | |||
2014 Community HealthFirst MA Pharmacy Plan (HMO) | $77.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $50.00 | 33% | 3,124 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 Humana Prime Choice H6609-062 (PPO) | $78.00 | $5,000 | $0 | Few Generics, Few Brands |
H6609 -062 -0 | $6.00 | $40.00 | $80.00 | $80.00 | 3,906 2013 Formulary | ||
2014 HumanaChoice H6609-062 (PPO) | $86.00 | $5,900 | $0 | Few Generics, Few Brands | $4.00 | $6.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
2013 Regence MedAdvantage Basic (PPO) | $79.00 | $3,400 | No Rx Coverage | H5009 -001 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Regence MedAdvantage Basic (PPO) | $89.00 | $3,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Kaiser Permanente Senior Advantage (HMO) | $99.00 | $2,500 | $0 | All Generics, Few Brands |
H9003 -001 -0 | $6.00 | $10.00 | $45.00 | $45.00 | 5,250 2013 Formulary | ||
2014 Kaiser Permanente Senior Advantage (HMO) | $109.00 | $2,500 | $0 | All Generics, Few Brands | $5.00 | $10.00 | $45.00 | $45.00 | 5,237 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 Regence MedAdvantage + Rx Classic (PPO) | $99.00 | $3,400 | $205 | No additional gap coverage, only the Donut Hole Discount | H5009 -002 -0 | $7.50 | $33.00 | $45.00 | $45.00 | 3,733 2013 Formulary | ||
2014 Regence MedAdvantage + Rx Classic (PPO) | $137.00 | $3,400 | $235 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $33.00 | $45.00 | $45.00 | 3,414 2014 Formulary | |||
2013 Humana Prime Choice H6609-073 (PPO) | $202.00 | $6,700 | $325 | No additional gap coverage, only the Donut Hole Discount | H6609 -073 -0 | 25% | 25% | 25% | 25% | 3,906 2013 Formulary | ||
2014 HumanaChoice H6609-073 (PPO) | $205.00 | $6,700 | $310 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,711 2014 Formulary | |||
2013 Humana Gold Choice H8145-097 (PFFS) | $0.00 | n/a | No Rx Coverage | H8145 -097 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
-- This plan not offered in 2014 -- |
||||||||||||
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 Regence MedAdvantage + Rx Enhanced (PPO) | $241.00 | $2,800 | $0 | Many Generics | H5009 -004 -0 | $5.00 | $33.00 | $45.00 | $45.00 | 3,733 2013 Formulary | ||
-- This plan not offered in 2014 -- |
||||||||||||
2013 AARP MedicareComplete Essential (HMO) | $29.00 | $4,200 | No Rx Coverage | H5005 -018 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
-- This plan not offered in 2014 -- |
||||||||||||
|