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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Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Ada | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Adams | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Bannock | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
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 | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Bear Lake | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Benewah | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Bingham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
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 | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Blaine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Boise | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Bonner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
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 | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Bonneville | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Boundary | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Butte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Camas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Canyon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Caribou | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
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 | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Cassia | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Clearwater | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Custer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Elmore | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Fremont | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Gem | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Gooding | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
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 | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Idaho | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Jerome | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Kootenai | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Latah | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Lemhi | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Lewis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Lincoln | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Minidoka | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Nez Perce | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Oneida | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Owyhee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Payette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Power | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Shoshone | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Teton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Twin Falls | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Valley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in ID - H4449-011-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Beaver | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Box Elder | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Cache | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Carbon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Daggett | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Davis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Duchesne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Emery | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Garfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Grand | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Iron | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Juab | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Kane | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Millard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Morgan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Piute | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Rich | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Salt Lake | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
San Juan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Sanpete | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Sevier | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Summit | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Tooele | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Uintah | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Utah | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Wasatch | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Wayne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new | |||||||||
Sierra Optima Select (PFFS) in UT - H4449-011-0 Benefit Details |
Weber | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
new | new | new |
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