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 AZ - H5820-027-0 Benefit Details |
Pima | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in FL - H5820-027-0 Benefit Details |
Escambia | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in FL - H5820-027-0 Benefit Details |
Franklin | $19.00 | 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 FL - H5820-027-0 Benefit Details |
Okeechobee | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in FL - H5820-027-0 Benefit Details |
Santa Rosa | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
Butts | $19.00 | 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 - H5820-027-0 Benefit Details |
Clayton | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
Effingham | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
Elbert | $19.00 | 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 - H5820-027-0 Benefit Details |
Gilmer | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
Heard | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
Lanier | $19.00 | 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 - H5820-027-0 Benefit Details |
Lincoln | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
Lumpkin | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in GA - H5820-027-0 Benefit Details |
McDuffie | $19.00 | 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 GA - H5820-027-0 Benefit Details |
Taliaferro | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
Calcasieu | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
Catahoula | $19.00 | 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 - H5820-027-0 Benefit Details |
De Soto | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
Franklin | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
La Salle | $19.00 | 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 LA - H5820-027-0 Benefit Details |
Lafourche | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
Livingston | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
Orleans | $19.00 | 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 LA - H5820-027-0 Benefit Details |
Ouachita | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in LA - H5820-027-0 Benefit Details |
St. Charles | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in NV - H5820-027-0 Benefit Details |
Storey | $19.00 | 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 - H5820-027-0 Benefit Details |
Beaver | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Bradford | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Centre | $19.00 | 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 - H5820-027-0 Benefit Details |
Clearfield | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Clinton | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Dauphin | $19.00 | 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 - H5820-027-0 Benefit Details |
Lycoming | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Mercer | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Montgomery | $19.00 | 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 - H5820-027-0 Benefit Details |
Perry | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Pike | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Snyder | $19.00 | 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 - H5820-027-0 Benefit Details |
Sullivan | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Tioga | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in PA - H5820-027-0 Benefit Details |
Union | $19.00 | 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 - H5820-027-0 Benefit Details |
Aiken | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in SC - H5820-027-0 Benefit Details |
Anderson | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in SC - H5820-027-0 Benefit Details |
Colleton | $19.00 | 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 - H5820-027-0 Benefit Details |
Greenville | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in SC - H5820-027-0 Benefit Details |
Spartanburg | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Austin | $19.00 | 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 - H5820-027-0 Benefit Details |
Bell | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Bexar | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Brooks | $19.00 | 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 - H5820-027-0 Benefit Details |
Camp | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Cass | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Childress | $19.00 | 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 - H5820-027-0 Benefit Details |
Collin | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Coryell | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Dallas | $19.00 | 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 - H5820-027-0 Benefit Details |
Delta | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Eastland | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
El Paso | $19.00 | 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 - H5820-027-0 Benefit Details |
Garza | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Gray | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Guadalupe | $19.00 | 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 - H5820-027-0 Benefit Details |
Harris | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Hartley | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Haskell | $19.00 | 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 - H5820-027-0 Benefit Details |
Hockley | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Knox | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Lipscomb | $19.00 | 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 - H5820-027-0 Benefit Details |
Martin | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
McMullen | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Panola | $19.00 | 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 - H5820-027-0 Benefit Details |
San Saba | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Shackelford | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in TX - H5820-027-0 Benefit Details |
Yoakum | $19.00 | 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 - H5820-027-0 Benefit Details |
Zavala | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in UT - H5820-027-0 Benefit Details |
Beaver | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in UT - H5820-027-0 Benefit Details |
Duchesne | $19.00 | 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 - H5820-027-0 Benefit Details |
Grand | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Any, Any, Any MA Only (PFFS) in UT - H5820-027-0 Benefit Details |
Tooele | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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