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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. |
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AARP MedicareComplete Plan 1 (HMO) - H0303-015-0 Benefit Details |
Maricopa | $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: $79.00 Tier 4 Specialty: 33% | 46,264 members Browse Formulary | |||||
Aetna Medicare Premier Plan (HMO) - H0318-002-0 Benefit Details |
Maricopa | $0.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $38.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
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CIGNA Medicare Select Plus Rx (HMO) - H0354-001-0 Benefit Details |
Maricopa | $0.00 | $0 | Many Generics, Few Brand | Tier 1: $5.00 Tier 2: $40.00 Tier 3: $65.00 Tier 4: $65.00 | 31,808 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Evercare Plan MP (PPO) - H0319-004-0 Benefit Details |
Maricopa | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $85.00 Tier 4 Specialty: 33% | 3,168 members Browse Formulary | |||||
Health Net Green (HMO) - H0351-030-0 Benefit Details |
Maricopa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 882 members | ||||||
Health Net Ruby 4 (HMO) - H0351-036-0 Benefit Details |
Maricopa | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Genericá: $7.00 Tier 2 Preferred Brand: $41.00 Tier 3 Non-Preferred: $82.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 917 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 Plus H0307-011 (HMO) - H0307-011-0 Benefit Details |
Maricopa | $0.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 885 members Browse Formulary | |||||
HumanaChoice R5826-070 (Regional PPO) - R5826-070-0 Benefit Details |
Maricopa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,334 members | ||||||
HumanaChoice R5826-070 (Regional PPO) - R5826-070-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,334 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
MediSunONE Classic (HMO) - H0302-006-0 Benefit Details |
Maricopa | $0.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | 266 members Browse Formulary | |||||
SCAN Health Plan Arizona (HMO) - H9385-002-0 Benefit Details |
Maricopa | $0.00 | $0 | Many Generics | Generic: $5.00 Brand: $28.00 Specialty: 25% | 5,778 members Browse Formulary | |||||
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SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
Maricopa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
CIGNA Medicare Select Plus Rx-Dual (HMO) - H0354-012-0 Benefit Details |
Maricopa | $ 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% | 2,233 members Browse Formulary | |||||
Evercare Plan DH (HMO) - H0303-034-0 Benefit Details |
Maricopa | $ 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% | 2,751 members Browse Formulary | |||||
MediSunONE Plus (HMO) - H0302-001-0 Benefit Details |
Maricopa | $14.00 | $100 | All Generics | Value Generic: $4.00 Generic: $12.00 Preferred Brand: $35.00 Non-Preferred Brand: $60.00 Specialty: 25% | 18,289 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Bridgeway Health Solutions (HMO) - H5590-001-0 Benefit Details |
Maricopa | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Maricopa Care Advantage (HMO) - H7352-003-0 Benefit Details |
Maricopa | $ 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% | 948 members Browse Formulary | |||||
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Mercy Care Advantage (HMO) - H5580-001-0 Benefit Details |
Maricopa | $ 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% | 15,233 members Browse Formulary | |||||
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 |
Maricopa | $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 | |||||
Health Choice Generations (HMO) - H5587-001-0 Benefit Details |
Maricopa | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Brand: $6.30 Specialty: $6.30 | 3,622 members Browse Formulary | |||||
Health Net Amber (HMO) - H0351-029-0 Benefit Details |
Maricopa | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1 Preferred Genericá: $2.00 Tier 2 Preferred Brand: $32.00 Tier 3 Non-Preferred: $75.00 Tier 4 Injectable: 25% Tier 5 Specialty: 25% | 8,570 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
ONECare by Care1st Health Plan Arizona, Inc. (HMO) - H5430-001-0 Benefit Details |
Maricopa | $ 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% Tier 5: 25% | n/a Browse Formulary | |||||
Abrazo Advantage Plus (HMO) - H5985-002-0 Benefit Details |
Maricopa | $ 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% | 2,285 members Browse Formulary | |||||
APIPA Personal Care Plus (HMO) - H0321-002-0 Benefit Details |
Maricopa | $ 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% | 17,695 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Evercare Plan IP (PPO) - H0319-001-0 Benefit Details |
Maricopa | $24.80 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
Abrazo Advantage (HMO) - H5985-001-0 Benefit Details |
Maricopa | $25.00 | $0 | Many Generics | Generic: $10.00 Preferred Brand: $40.00 Brand: $40.00 Specialty: 20% | 411 members Browse Formulary | |||||
AARP MedicareComplete Plan 3 (HMO) - H0303-039-0 Benefit Details |
Maricopa | $30.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $82.00 Tier 4 Specialty: 33% | 5,159 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 Plus H0307-008 (HMO) - H0307-008-0 Benefit Details |
Maricopa | $33.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 9,800 members Browse Formulary | |||||
Health Net Ruby 1 (HMO) - H0351-014-0 Benefit Details |
Maricopa | $36.00 | $0 | No Gap Coverage | Tier 1 Preferred Genericá: $6.00 Tier 2 Preferred Brand: $42.00 Tier 3 Non-Preferred: $84.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 29,793 members Browse Formulary | |||||
MediSunONE HeartSmart (HMO) - H0302-004-0 Benefit Details |
Maricopa | $45.00 | $50 | No Gap Coverage | Value Generic: $4.00 Generic: $12.00 Preferred Brand: $35.00 Non-Preferred Brand: $60.00 Specialty: 25% | 560 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
MediSunONE Premier (HMO) - H0302-007-0 Benefit Details |
Maricopa | $45.00 | $50 | All Generics | Value Generic: $4.00 Generic: $12.00 Preferred Brand: $35.00 Non-Preferred Brand: $60.00 Specialty: 25% | 442 members Browse Formulary | |||||
Any, Any, Any MA Only (PFFS) - H5820-029-0 Benefit Details |
Maricopa | $49.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 872 members | ||||||
Humana Gold Plus H0307-010 (HMO-POS) - H0307-010-0 Benefit Details |
Maricopa | $57.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 217 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Any, Any, Any Gold (PFFS) - H5820-011-0 Benefit Details |
Maricopa | $59.00 | $0 | No Gap Coverage | Value Generic: $4.00 Generic: $10.00 Preferred Brand: $35.00 Non Preferred Brand: $70.00 Speciality: 33% | 15,561 members Browse Formulary | |||||
Health Net Ruby 3 (HMO) - H0351-034-0 Benefit Details |
Maricopa | $59.00 | $0 | No Gap Coverage | Tier 1 Preferred Genericá: $5.00 Tier 2 Preferred Brand: $42.00 Tier 3 Non-Preferred: $84.00 Tier 4 Injectable: 33% Tier 5 Specialty: 33% | 5,325 members Browse Formulary | |||||
Today's Options Value (PFFS) - H5421-165-0 Benefit Details |
Maricopa | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,006 members | ||||||
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) - H5421-166-0 Benefit Details |
Maricopa | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,797 members Browse Formulary | |||||
HumanaChoice H0317-002 (PPO) - H0317-002-0 Benefit Details |
Maricopa | $80.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 4,229 members Browse Formulary | |||||
HumanaChoice R5826-014 (Regional PPO) - R5826-014-0 Benefit Details |
Maricopa | $88.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 4,928 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-014 (Regional PPO) - R5826-014-0 Benefit Details |
Statewide | $88.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 4,928 members Browse Formulary | |||||
Any, Any, Any Platinum (PFFS) - H5820-013-0 Benefit Details |
Maricopa | $89.00 | $0 | No Gap Coverage | Value Generic: $2.00 Generic: $7.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33% | 612 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H5421-163-0 Benefit Details |
Maricopa | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,062 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H0317-001 (PPO) - H0317-001-0 Benefit Details |
Maricopa | $121.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 636 members Browse Formulary | |||||
Humana Gold Choice H2944-031 (PFFS) - H2944-031-0 Benefit Details |
Maricopa | $137.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 2,882 members Browse Formulary | |||||
HumanaChoice R5826-076 (Regional PPO) - R5826-076-0 Benefit Details |
Maricopa | $147.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | < 10 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-076 (Regional PPO) - R5826-076-0 Benefit Details |
Statewide | $147.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | < 10 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-164-0 Benefit Details |
Maricopa | $151.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,969 members Browse Formulary | |||||
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