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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SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Belmont | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Guernsey | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Harrison | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 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 | |||||||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Jefferson | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Monroe | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Muskingum | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 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 | |||||||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Noble | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in OH - H5151-002-0 Benefit Details |
Washington | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Barbour | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 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 | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Boone | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Braxton | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Brooke | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 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 | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Cabell | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Calhoun | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Clay | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 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 | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Doddridge | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Fayette | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Gilmer | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 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 | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Hancock | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Harrison | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Jackson | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Kanawha | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Lewis | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Lincoln | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Marion | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Marshall | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Monongalia | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Nicholas | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Ohio | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Pleasants | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Pocahontas | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Preston | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Putnam | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Randolph | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Ritchie | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Roane | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Taylor | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Tucker | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Tyler | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Upshur | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Wayne | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Webster | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Wetzel | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Wirt | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Wood | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureCare - Option II (HMO) in WV - H5151-002-0 Benefit Details |
Wyoming | $94.50 | $0 | Many Generics | Preferred Generic: $8.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
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