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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 Essential (HMO) - H0609-015-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 739 members | ||||||
AARP MedicareComplete Plan 3 (HMO) - H0609-020-0 Benefit Details |
El Paso | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $39.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $74.00 Tier 4 Specialty: 33% | 7,810 members Browse Formulary | |||||
CO Access Advantage - Plan F (HMO) - H0621-007-0 Benefit Details |
El Paso | $0.00 | $0 | Many Generics | Tier 1: $1.00 Tier 2: $38.00 Tier 3: $78.00 Tier 4: 33% | 322 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 MH (HMO) - H0624-005-0 Benefit Details |
El Paso | $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% | 2,407 members Browse Formulary | |||||
Green Plan (Cost) - H0602-042-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 184 members | ||||||
Kaiser Permanente Senior Advantage Core (HMO) - H0630-017-0 Benefit Details |
El Paso | $0.00 | $0 | All Generics | Generic Drugs: $9.00 Brand Drugs: $35.00 Specialty Drugs: 25% | 861 members Browse Formulary | |||||
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 |
El Paso | $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 |
El Paso | $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 | |||||
Humana Gold Plus H5291-001 (HMO) - H5291-001-0 Benefit Details |
El Paso | $20.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 2,860 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 | |||||||||
SmartValue Classic (PFFS) - H0540-090-0 Benefit Details |
El Paso | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 11,362 members | ||||||
Evercare Plan DH (HMO) - H0624-001-0 Benefit Details |
El Paso | $ 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% | 2,186 members Browse Formulary | |||||
HumanaChoice H0623-009 (PPO) - H0623-009-0 Benefit Details |
El Paso | $23.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 159 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AB Basic Plan (Cost) - H0602-026-0 Benefit Details |
El Paso | $25.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Evercare Plan IP (PPO) - H0620-002-0 Benefit Details |
El Paso | $28.30 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
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Thrifty Plan (Cost) - H0602-028-0 Benefit Details |
El Paso | $29.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 87 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
CO Access Advantage - Plan E (HMO) - H0621-006-0 Benefit Details |
El Paso | $31.00 | $310 | No Gap Coverage | Tier 1: $0.00 Tier 2: 37% Tier 3: 60% Tier 4: 25% | 543 members Browse Formulary | |||||
Colorado Access Advantage - Plan D (HMO) - H0621-001-0 Benefit Details |
El Paso | $ 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% | 2,088 members Browse Formulary | |||||
Green Plan + Rx (Cost) - H0602-043-0 Benefit Details |
El Paso | $31.60 | $120 | No Gap Coverage | Generic Drugs: $12.00 Preferred Brand Drugs: $36.00 Non-Preferred Drugs: $56.00 Specialty Drugs: 30% | 435 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Kaiser Permanente Senior Advantage Silver (HMO) - H0630-018-0 Benefit Details |
El Paso | $39.00 | $0 | All Generics | Generic Drugs: $8.00 Brand Drugs: $35.00 Specialty Drugs: 25% | 391 members Browse Formulary | |||||
Sterling Basic Plus (PFFS) - H5006-018-1 Benefit Details |
El Paso | $39.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
AARP MedicareComplete Plan 1 (HMO) - H0609-002-0 Benefit Details |
El Paso | $40.00 | $0 | Many Generics | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $39.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $74.00 Tier 4 Specialty: 33% | 6,122 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SmartValue Plus (PFFS) - H0540-091-0 Benefit Details |
El Paso | $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 | |||||
CIGNA Medicare Access Plan One (PFFS) - H2762-013-0 Benefit Details |
El Paso | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 337 members | ||||||
Standard Plan (Cost) - H0602-007-0 Benefit Details |
El Paso | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 443 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-006 (PFFS) - H2944-006-0 Benefit Details |
El Paso | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 7,929 members Browse Formulary | |||||
Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
El Paso | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
CIGNA Medicare Access Plus RX Plan Two (PFFS) - H2762-030-0 Benefit Details |
El Paso | $60.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | n/a 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 Value (PFFS) - H5421-165-0 Benefit Details |
El Paso | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,006 members | ||||||
Thrifty Plan + Rx (Cost) - H0602-038-0 Benefit Details |
El Paso | $67.70 | $115 | No Gap Coverage | Generic Drugs: $12.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $60.00 Specialty Drugs: 30% | 102 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-166-0 Benefit Details |
El Paso | $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 | |||||||||
Standard Plan + Rx (Cost) - H0602-020-0 Benefit Details |
El Paso | $92.90 | $0 | No Gap Coverage | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Drugs: $60.00 Specialty Drugs: 33% | 2,155 members Browse Formulary | |||||
Sterling Option II (PFFS) - H5006-017-1 Benefit Details |
El Paso | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-017-0 Benefit Details |
El Paso | $100.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 165 members | ||||||
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) - H5421-163-0 Benefit Details |
El Paso | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,062 members | ||||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
El Paso | $119.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-038-0 Benefit Details |
El Paso | $135.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 442 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H0623-001 (PPO) - H0623-001-0 Benefit Details |
El Paso | $150.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 739 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-164-0 Benefit Details |
El Paso | $151.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,969 members Browse Formulary | |||||
Colorado Access Advantage - Plan B (HMO) - H0621-004-0 Benefit Details |
El Paso | $152.00 | $0 | No Gap Coverage | Tier 1: $3.00 Tier 2: $38.00 Tier 3: $78.00 Tier 4: 33% | 32 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 H2944-007 (PFFS) - H2944-007-0 Benefit Details |
El Paso | $152.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 963 members Browse Formulary | |||||
Gold Plan (Cost) - H0602-002-0 Benefit Details |
El Paso | $156.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | < 10 members | ||||||
Colorado Access Advantage - Plan C (HMO) - H0621-005-0 Benefit Details |
El Paso | $227.00 | $0 | No Gap Coverage | Tier 1: $3.00 Tier 2: $38.00 Tier 3: $78.00 Tier 4: 33% | < 10 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Gold Plan + Rx (Cost) - H0602-018-0 Benefit Details |
El Paso | $242.80 | $0 | All Generics | Generic Drugs: $8.50 Preferred Brand: $38.00 Non-Preferred Brand: $58.00 Specialty Drugs: 33% | 257 members Browse Formulary | |||||
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