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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Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Atlantic | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Bergen | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Burlington | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 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 | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Camden | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Cape May | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Cumberland | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 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 | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Essex | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Gloucester | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Hudson | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 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 | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Hunterdon | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Mercer | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Middlesex | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 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 | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Monmouth | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Morris | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Ocean | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 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 | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Passaic | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Salem | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Somerset | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 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 | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Sussex | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Union | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Horizon Medicare Blue Value w/ Rx Std (HMO) in NJ - H3154-004-0 Benefit Details |
Warren | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
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