2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Butler | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Cuyahoga | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Delaware | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Franklin | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Greene | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Hamilton | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Lorain | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Lucas | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Madison | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Mahoning | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Medina | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Montgomery | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Stark | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Summit | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Trumbull | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Warren | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- | ||||||||||
CareSource Advantage (HMO) in OH - H6178-001-0 Benefit Details |
Wood | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: $0.00 Tier 2: $45.00 Tier 3: 25% Tier 4: $98.00 | n/a Browse Formulary | |||||
-- | -- |
|