2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Adams | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Brown | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Bureau | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Cass | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Champaign | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Christian | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Clark | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Coles | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Crawford | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Cumberland | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
De Witt | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Douglas | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Edgar | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Effingham | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Ford | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Hancock | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Iroquois | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Jasper | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Livingston | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Logan | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Macoupin | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Marshall | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Mason | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
McDonough | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
McLean | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Menard | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Montgomery | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Morgan | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Moultrie | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Peoria | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Piatt | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Pike | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Putnam | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Sangamon | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Schuyler | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Scott | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Stark | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Tazewell | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Vermilion | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO10 Rx Plus (PPO) in IL - H1417-005-0 Benefit Details |
Woodford | $167.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $88.00 Tier 4: 33% | n/a Browse Formulary | |||||
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