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 |
|||||||||
HumanaChoice H3619-001 (PPO) in IN - H3619-001-0 Benefit Details |
Dearborn | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in IN - H3619-001-0 Benefit Details |
Franklin | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Boone | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Bracken | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Campbell | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Gallatin | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Grant | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Kenton | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Mason | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in KY - H3619-001-0 Benefit Details |
Pendleton | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Adams | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Brown | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Butler | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Champaign | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Clark | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Clermont | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Clinton | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Darke | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Fayette | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Greene | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Hamilton | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Highland | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Miami | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Montgomery | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Pike | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Preble | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Ross | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Shelby | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice H3619-001 (PPO) in OH - H3619-001-0 Benefit Details |
Warren | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $41.00 Non-Preferred Brand Drugs: $82.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
|