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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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Medica Advantage Solution Standard with Rx (PFFS) - H2410-015-0 Benefit Details |
Goodhue | $0.00 | $0 | No Gap Coverage | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $74.00 Specialty: 25% | 16,180 members Browse Formulary | |||||
SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
Goodhue | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 members | ||||||
Medica Advantage Solution Standard (PFFS) - H2410-001-0 Benefit Details |
Goodhue | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SecurityChoice Plus (PFFS) - H0540-020-0 Benefit Details |
Goodhue | $23.00 | $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% | 15,526 members Browse Formulary | |||||
Platinum Blue Core Plan (Cost) - H2461-005-0 Benefit Details |
Goodhue | $29.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 926 members | ||||||
Medica Advantage Solution Choice (PFFS) - H2410-009-0 Benefit Details |
Goodhue | $29.10 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) - H2459-005-0 Benefit Details |
Goodhue | $44.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
MedicareBlue PPO (Regional PPO) - R5566-005-0 Benefit Details |
Statewide | $57.30 | $310 | No Gap Coverage | Level 1: Covered Generic: 13% Level 2: Covered Preferred Brand: 23% Level 3: Covered Brand: 50% Covered Specialty: 25% | 22,330 members Browse Formulary | |||||
MedicareBlue PPO (Regional PPO) - R5566-005-0 Benefit Details |
Goodhue | $57.30 | $310 | No Gap Coverage | Level 1: Covered Generic: 13% Level 2: Covered Preferred Brand: 23% Level 3: Covered Brand: 50% Covered Specialty: 25% | 22,330 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-002 (PFFS) - H2944-002-0 Benefit Details |
Goodhue | $58.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 19,842 members Browse Formulary | |||||
HealthPartners Freedom Plan I (Cost) - H2462-004-0 Benefit Details |
Goodhue | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 4,245 members | ||||||
Sterling Basic Plus (PFFS) - H5006-018-2 Benefit Details |
Goodhue | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value Plus (HMO-POS) - H2459-014-0 Benefit Details |
Goodhue | $62.50 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 25% | 8,910 members Browse Formulary | |||||
Today's Options Value (PFFS) - H5421-165-0 Benefit Details |
Goodhue | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,006 members | ||||||
Today's Options Value powered by CCRx (PFFS) - H5421-166-0 Benefit Details |
Goodhue | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,797 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Medica Prime Solution Value (Cost) - H2450-007-0 Benefit Details |
Goodhue | $78.00 | $55 | No Gap Coverage | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $74.00 Specialty: 25% | 191 members Browse Formulary | |||||
Platinum Blue Choice Plan (Cost) - H2461-006-0 Benefit Details |
Goodhue | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Humana Gold Choice H2944-003 (PFFS) - H2944-003-0 Benefit Details |
Goodhue | $85.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 2,403 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan II (Cost) - H2462-007-0 Benefit Details |
Goodhue | $90.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 700 members | ||||||
Sterling Option I (PFFS) - H5006-014-2 Benefit Details |
Goodhue | $94.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
HealthPartners Freedom Plan II Standard Rx (Cost) - H2462-008-0 Benefit Details |
Goodhue | $97.10 | $125 | No Gap Coverage | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 4,901 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Platinum Blue Complete Plan (Cost) - H2461-007-0 Benefit Details |
Goodhue | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 21,110 members | ||||||
Today's Options Premier (PFFS) - H5421-163-0 Benefit Details |
Goodhue | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,062 members | ||||||
Sterling Option II (PFFS) - H5006-017-2 Benefit Details |
Goodhue | $107.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Medica Prime Solution Basic w/Std Rx - MN (Cost) - H2450-001-0 Benefit Details |
Goodhue | $112.90 | $0 | No Gap Coverage | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $74.00 Specialty: 25% | 12,951 members Browse Formulary | |||||
Sterling Option IV (PFFS) - H5006-016-2 Benefit Details |
Goodhue | $120.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) - H2459-006-0 Benefit Details |
Goodhue | $129.00 | $0 | Many Generics | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 25% | 6,086 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III (Cost) - H2462-010-0 Benefit Details |
Goodhue | $130.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,114 members | ||||||
Medica Prime Solution Basic w/Enhanced Rx - MN (Cost) - H2450-005-0 Benefit Details |
Goodhue | $141.90 | $0 | Many Generics | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $74.00 Specialty: 25% | 474 members Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) - H2462-011-0 Benefit Details |
Goodhue | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 7,239 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) - H5421-164-0 Benefit Details |
Goodhue | $151.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,969 members Browse Formulary | |||||
Medica Prime Solution Enhanced w/Std. Rx - MN (Cost) - H2450-002-0 Benefit Details |
Goodhue | $158.90 | $0 | No Gap Coverage | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $74.00 Specialty: 25% | 17,971 members Browse Formulary | |||||
Humana Gold Choice H2944-072 (PFFS) - H2944-072-0 Benefit Details |
Goodhue | $164.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 705 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom III Std Plus Rx (Cost) - H2462-014-0 Benefit Details |
Goodhue | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 688 members Browse Formulary | |||||
Medica Prime Solution Enhanced w/Enhanced Rx- MN (Cost) - H2450-006-0 Benefit Details |
Goodhue | $187.90 | $0 | Many Generics | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $74.00 Specialty: 25% | 2,850 members Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) - H2462-012-0 Benefit Details |
Goodhue | $297.50 | $125 | All Generics, All Brand | Formulary Generic: $10.00 Formulary Brand: $45.00 Formulary Specialty: 25% | 2,836 members Browse Formulary | |||||
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