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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Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Chattahoochee | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Coweta | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Evans | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Hancock | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Jones | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Muscogee | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-026-0 Benefit Details |
Stewart | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Allen | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Ascension | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Assumption | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Caldwell | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
East Carroll | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
East Feliciana | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Iberville | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Jefferson | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Madison | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Pointe Coupee | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
St. James | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
St. John the Baptist | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
St. Mary | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-026-0 Benefit Details |
Washington | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in NV - H5820-026-0 Benefit Details |
Eureka | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Berks | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Bucks | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Carbon | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Columbia | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Cumberland | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Delaware | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Erie | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Lackawanna | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Lancaster | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Lebanon | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Lehigh | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Luzerne | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Northampton | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Philadelphia | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
Wyoming | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-026-0 Benefit Details |
York | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in SC - H5820-026-0 Benefit Details |
Calhoun | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in SC - H5820-026-0 Benefit Details |
Edgefield | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in SC - H5820-026-0 Benefit Details |
Pickens | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Atascosa | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Bee | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Coleman | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Concho | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Crane | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Galveston | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Glasscock | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Hansford | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Hardin | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Hemphill | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Jack | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Jim Wells | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Kenedy | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Liberty | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Loving | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Medina | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Morris | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Roberts | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
San Jacinto | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Throckmorton | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-026-0 Benefit Details |
Titus | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in UT - H5820-026-0 Benefit Details |
Daggett | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any MA Only (PFFS) in UT - H5820-026-0 Benefit Details |
Davis | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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