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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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Evercare Plan IP (PPO) - H2111-001-0 Benefit Details |
New Castle | $33.70 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 2,468 members Browse Formulary | |||||
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Aetna Medicare Standard Plan (HMO) - H5813-003-0 Benefit Details |
New Castle | $34.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $10.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $33.00 Tier 4 - Non-Preferred Brand: $75.00 Tier 5 - Specialty: 25% | n/a Browse Formulary | |||||
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SecurityChoice Classic (PFFS) - H0540-088-0 Benefit Details |
New Castle | $55.00 | 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) - H0540-089-0 Benefit Details |
New Castle | $56.00 | $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% | n/a Browse Formulary | |||||
Aetna Medicare Premier Plan (HMO) - H5813-006-0 Benefit Details |
New Castle | $108.50 | $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% | 468 members Browse Formulary | |||||
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Sterling Basic Plus (PFFS) - H5006-018-3 Benefit Details |
New Castle | $109.00 | 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 | |||||||||
Bravo Liberty II Rx (PFFS) - H6421-012-0 Benefit Details |
New Castle | $115.00 | $0 | No Gap Coverage | Generic: $8.50 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty: 33% | 161 members Browse Formulary | |||||
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Sterling Option II (PFFS) - H5006-017-3 Benefit Details |
New Castle | $170.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Aetna Medicare Premier Plan (PPO) - H8684-001-0 Benefit Details |
New Castle | $171.50 | $80 | No Gap Coverage | Tier 1 - Preferred Generic: $10.00 Tier 2 - Non-Preferred Generic: $25.00 Tier 3 - Preferred Brand: $28.00 Tier 4 - Non-Preferred Brand: $68.00 Tier 5 - Specialty: 25% | 218 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Sterling Option I (PFFS) - H5006-014-3 Benefit Details |
New Castle | $183.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
Sterling Option IV (PFFS) - H5006-016-3 Benefit Details |
New Castle | $196.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
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