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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Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Atlantic | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Burlington | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Camden | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | 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 | |||||||||
Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Cumberland | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Gloucester | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Mercer | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | 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 | |||||||||
Aetna Medicare Standard Plan (HMO) in NJ - H3152-022-0 Benefit Details |
Salem | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
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