2011 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) Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
|||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Belknap | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Carroll | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Cheshire | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Coos | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Grafton | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Hillsborough | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Merrimack | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Rockingham | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Strafford | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in NH - H2944-163-0 Benefit Details |
Sullivan | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Addison | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Bennington | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Caledonia | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Chittenden | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Essex | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Franklin | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Grand Isle | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Lamoille | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Orange | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Orleans | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Rutland | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Washington | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Windham | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- | ||||||||||
Humana Gold Choice H2944-163 (PFFS) in VT - H2944-163-0 Benefit Details |
Windsor | $64.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
-- | -- |
|