2013 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) 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 |
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Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Adams | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Carroll | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Christian | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Clark | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Edgar | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Effingham | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Henry | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Jasper | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Menard | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Mercer | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Morgan | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Moultrie | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Pike | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Richland | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Rock Island | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Sangamon | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Scott | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Shelby | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Prime Choice H1418-007 (PPO) in IL - H1418-007-0 Benefit Details |
Vermilion | $92.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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