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2010 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) Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
Members In This Plan ID | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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AARP MedicareComplete Choice (PPO) - H2001-001-0 Benefit Details |
Cumberland | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $38.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $72.00 Tier 4 Specialty: 33% | n/a Browse Formulary | |||||
Aetna Medicare Value Plan (HMO) - H3597-001-0 Benefit Details |
Cumberland | $0.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $9.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $38.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
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CIGNA Medicare Access Plan One (PFFS) - H2762-020-0 Benefit Details |
Cumberland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 13,290 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
CIGNA Medicare Access Plus RX Plan Two (PFFS) - H2762-042-0 Benefit Details |
Cumberland | $0.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 40,257 members Browse Formulary | |||||
Martin's Point Generations Advantage Value (HMO) - H5591-003-0 Benefit Details |
Cumberland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 459 members | ||||||
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Northeast Community Care - Plus (HMO) - H5619-001-0 Benefit Details |
Cumberland | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $7.50 Tier 2 - Non-Preferred Generic: $15.00 Tier 3 - Preferred Brand: $44.00 Tier 4 - Non-Preferred Brand: $79.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 2,179 members Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Plan 2 (PFFS) - H5435-002-0 Benefit Details |
Cumberland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 16,559 members | ||||||
SecureHorizons MedicareDirect Rx Plan 55 (PFFS) - H5435-024-0 Benefit Details |
Cumberland | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $80.00 Tier 4 Specialty: 33% | 54,374 members Browse Formulary | |||||
Today's Options Advantage 1 powered by CCRx (PPO) - H2775-076-0 Benefit Details |
Cumberland | $0.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,073 members Browse Formulary | |||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Premier (PFFS) - H3333-031-0 Benefit Details |
Cumberland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 17,821 members | ||||||
Today's Options Value (PFFS) - H3333-037-0 Benefit Details |
Cumberland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 683 members | ||||||
Today's Options Advantage 2 powered by CCRx (PPO) - H2775-088-0 Benefit Details |
Cumberland | $9.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 383 members Browse Formulary | |||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Value powered by CCRx (PFFS) - H3333-055-0 Benefit Details |
Cumberland | $19.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 930 members Browse Formulary | |||||
SmartValue Classic (PFFS) - H0540-090-0 Benefit Details |
Cumberland | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 11,362 members | ||||||
Northeast Community Care - Dual Plus (HMO) - H5619-003-0 Benefit Details |
Cumberland | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 2,077 members Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Advantage 3 powered by CCRx (PPO) - H2775-082-0 Benefit Details |
Cumberland | $34.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,944 members Browse Formulary | |||||
new | new | new | |||||||||
Martin's Point Generations Advantage Select (PPO) - H1365-001-0 Benefit Details |
Cumberland | $35.00 | $0 | Many Generics | Tier 1: $5.00 Tier 2: $35.00 Tier 3: $55.00 Tier 4: 25% | 313 members Browse Formulary | |||||
SmartValue Plus (PFFS) - H0540-091-0 Benefit Details |
Cumberland | $40.00 | $0 | Many Generics | Tier 1 Preferred Generic Drugs: $8.00 Tier 2 Preferred Brand Certain Generic Drugs: $44.00 Tier 3 Non-Preferred Brand Certain Generic Drugs: $85.00 Tier 4 Non-Specialty Injectable Drugs: 33% Tier 5 Specialty Drugs: 33% | 12,629 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Premier powered by CCRx (PFFS) - H3333-049-0 Benefit Details |
Cumberland | $44.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 4,486 members Browse Formulary | |||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-024-0 Benefit Details |
Cumberland | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,787 members | ||||||
Aetna Medicare Standard Plan (HMO) - H3597-002-0 Benefit Details |
Cumberland | $49.00 | $0 | Many Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $40.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33% | 822 members Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Martin's Point Generations Advantage Prime (HMO-POS) - H5591-001-0 Benefit Details |
Cumberland | $49.00 | $0 | Many Generics | Tier 1: $5.00 Tier 2: $35.00 Tier 3: $55.00 Tier 4: 25% | 4,821 members Browse Formulary | |||||
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Aetna Medicare Standard Plan (PPO) - H5521-018-0 Benefit Details |
Cumberland | $64.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $11.00 Tier 2 - Non-Preferred Generic: $27.00 Tier 3 - Preferred Brand: $28.00 Tier 4 - Non-Preferred Brand: $68.00 Tier 5 - Specialty: 25% | 175 members Browse Formulary | |||||
First Seniority Freedom - No Drug (PFFS) - H7226-015-0 Benefit Details |
Cumberland | $68.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 242 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-050-0 Benefit Details |
Cumberland | $85.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 9,959 members Browse Formulary | |||||
First Seniority Freedom - Drug (PFFS) - H7226-013-0 Benefit Details |
Cumberland | $103.90 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 | 294 members Browse Formulary | |||||
First Seniority Freedom Plus - Drug (PFFS) - H7226-011-0 Benefit Details |
Cumberland | $127.00 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $60.00 | n/a Browse Formulary | |||||
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