2013 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 Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Anderson | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Bledsoe | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Blount | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Bradley | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Campbell | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Carter | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Claiborne | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Cocke | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Cumberland | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Franklin | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Grainger | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Greene | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Grundy | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Hamblen | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Hamilton | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Hancock | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Hawkins | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Jefferson | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Johnson | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Knox | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Loudon | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Marion | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
McMinn | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Meigs | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Monroe | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Morgan | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Polk | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Putnam | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Rhea | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Roane | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Scott | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Sequatchie | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Sevier | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Sullivan | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Unicoi | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Union | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4461-004 (HMO) in TN - H4461-004-0 Benefit Details |
Washington | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,250 | ||||||
|