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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) |
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(Donut Hole) Gap Coverage |
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AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,293 members | ||||||
AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,293 members | ||||||
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Benefit Details |
Palm Beach | $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% | 105,115 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Benefit Details |
Statewide | $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% | 105,115 members Browse Formulary | |||||
Advantage Health Florida (HMO) - H5402-035-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Generic: $0.00 Preferred Brand: $15.00 Brand: $45.00 Non-Preferred Brand: 25% Specialty: 33% | n/a Browse Formulary | |||||
Advantage Silver South (HMO) - H5402-032-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics, Few Brand | Generic: $0.00 Preferred Brand: $15.00 Brand: $45.00 Non-Preferred Brand: 25% Specialty: 33% | 79 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
Advantage Value FL (HMO) - H5402-040-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 165 members | ||||||
Amerivantage Classic + Rx (HMO) - H8991-022-0 Benefit Details |
Palm Beach | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $10.00 Non-Preferred Brand Drugs: $40.00 Specialty Drugs: 33% | 87 members Browse Formulary | |||||
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CareComplete (HMO) - H1019-021-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 107 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
CareFree (HMO) - H1019-011-0 Benefit Details |
Palm Beach | $0.00 | $0 | Few Generics, Few Brand | Preferred Generic/Value Brand: $4.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 193 members Browse Formulary | |||||
CareOne (HMO) - H1019-010-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics, Few Brand | Preferred Generic/Value Brand: $4.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 2,741 members Browse Formulary | |||||
Freedom Medicare Plan Rx (HMO) - H5427-060-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Tier 1: $0.00 Tier2: $20.00 Tier 3: $60.00 Tier 4: 33% | 2,509 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
Freedom Savings Plan (HMO) - H5427-052-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Freedom Savings Plan Rx (HMO) - H5427-054-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $20.00 Tier 3: $60.00 Tier 4: 33% | 8,129 members Browse Formulary | |||||
Freedom VIP Care (HMO) - H5427-070-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $20.00 Tier 3: $60.00 Tier 4: 33% | 3,778 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Freedom VIP Care COPD (HMO) - H5427-076-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $20.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Freedom VIP Care Plus (HMO) - H5427-072-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $20.00 Tier 3: $60.00 Tier 4: 33% | 10,840 members Browse Formulary | |||||
Freedom VIP Care Plus COPD (HMO) - H5427-077-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $20.00 Tier 3: $60.00 Tier 4: 33% | 3,366 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 H1036-035A (HMO) - H1036-035-0 Benefit Details |
Palm Beach | $0.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Plus H1036-062C (HMO) - H1036-062-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics, Few Brand | Preferred Generic/Value Brand: $0.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 40,880 members Browse Formulary | |||||
Humana Gold Plus H1036-063A (HMO) - H1036-063-0 Benefit Details |
Palm Beach | $0.00 | 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 |
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Humana Gold Plus SNP-DB H1036-130C (HMO) - H1036-130-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Preferred Generic/Value Brand: $0.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 40 members Browse Formulary | |||||
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 5,816 members | ||||||
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 5,816 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece (HMO) - H5404-034-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $5.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33% | 159 members Browse Formulary | |||||
Medicare Masterpiece MA Only (HMO) - H5404-133-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | < 10 members | ||||||
Medicare Masterpiece MA Only (PPO) - H5429-053-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 72 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier (HMO) - H5404-139-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $0.00 Preferred Brand: $20.00 Non Preferred Brand: $50.00 Speciality: 33% | 121 members Browse Formulary | |||||
Medicare Masterpiece SNP - COPD (HMO) - H5404-137-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $5.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33% | 27 members Browse Formulary | |||||
Medicare Masterpiece SNP - Diabetes (HMO) - H5404-135-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $5.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33% | 170 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Molina Medicare Options Palm Beach (HMO) - H8130-004-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Generic: $0.00 Preferred Brand: $15.00 Non-Preferred Brand: $50.00 Specialty Drug: 33% | 132 members Browse Formulary | |||||
Optimum Platinum Plan (HMO) - H5594-006-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | 99 members Browse Formulary | |||||
Physicians Health Choice Basic (HMO) - H6120-001-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | < 10 members | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Physicians Health Choice Standard (HMO) - H6120-002-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 20% | 60 members Browse Formulary | |||||
new | new | new | |||||||||
PUP Easy (HMO) - H5696-027-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Tier 1 - Preferred Generic: $0.00 Tier 2 - Generic: $0.00 Tier 3 - Preferred Brand: $30.00 Tier 4 - Non-Preferred: $80.00 Tier 5 - Injectables Specialty: 33% | 16 members Browse Formulary | |||||
PUP Perks (HMO) - H5696-019-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 206 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
PUP Rewards (HMO) - H5696-028-0 Benefit Details |
Palm Beach | $0.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $0.00 Tier 2 - Generic: $0.00 Tier 3 - Preferred Brand: $40.00 Tier 4 - Non-Preferred: $90.00 Tier 5 - Injectables Specialty: 33% | 51 members Browse Formulary | |||||
Summit Ideal (HMO) - H5850-004-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $25.00 Non-Preferred Brand: $60.00 Specialty Drugs: 33% | n/a Browse Formulary | |||||
Summit Maximum (HMO) - H5850-002-0 Benefit Details |
Palm Beach | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Preferred Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $76.00 Specialty Drugs: 25% | 7,016 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Value One Florida (HMO) - H5402-041-0 Benefit Details |
Palm Beach | $ 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: $15.00 Brand: $45.00 Non-Preferred Brand: 25% Specialty: 33% | n/a Browse Formulary | |||||
VISTA Platinum Choice (HMO) - H1076-011-0 Benefit Details |
Palm Beach | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Preferred Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $76.00 Specialty Drugs: 25% | n/a Browse Formulary | |||||
VISTA Platinum Prime (HMO) - H1076-016-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Drugs: 33% | 682 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
VISTA Platinum Value (HMO) - H1076-010-0 Benefit Details |
Palm Beach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 855 members | ||||||
Universal IP (HMO) - H5404-112-0 Benefit Details |
Palm Beach | $1.60 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | < 10 members Browse Formulary | |||||
Evercare Plan RDP (Regional PPO) - R5287-003-0 Benefit Details |
Palm Beach | $ 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% | 12,354 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 RDP (Regional PPO) - R5287-003-0 Benefit Details |
Statewide | $ 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% | 12,354 members Browse Formulary | |||||
Aetna Medicare Value Plan (HMO) - H5414-010-0 Benefit Details |
Palm Beach | $21.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $10.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $31.00 Tier 4 - Non-Preferred Brand: $75.00 Tier 5 - Specialty: 25% | 308 members Browse Formulary | |||||
CareNeeds (HMO) - H1019-025-0 Benefit Details |
Palm Beach | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Preferred Generic/Value Brand: $0.00 Non-Preferred Generic/Preferred Brand: $32.00 Non-Preferred Brand: $70.00 Specialty: 25% | 694 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 SNP-DE H1036-104A (HMO) - H1036-104-0 Benefit Details |
Palm Beach | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Preferred Generic/Value Brand: $0.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $69.00 Specialty: 25% | n/a Browse Formulary | |||||
BlueMedicare HMO (HMO) - H1026-038-0 Benefit Details |
Palm Beach | $25.00 | $65 | No Gap Coverage | Tier 1 - Covered Generic: $4.00 Tier 2 - Covered Preferred Brand: $45.00 Tier 3 - Covered Brand: $95.00 Tier S - Covered Specialty: 25% | 5,827 members Browse Formulary | |||||
Amerivantage Specialty + Rx (HMO) - H8991-017-0 Benefit Details |
Palm Beach | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $47.00 Non-Preferred Brand Drugs: $90.00 Specialty Drugs: 25% | n/a Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Preferred Pharmacy Copay/ Coinsurance |
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Evercare Plan IP (PPO) - H5417-001-0 Benefit Details |
Palm Beach | $27.50 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
Medicare Masterpiece (PPO) - H5429-005-0 Benefit Details |
Palm Beach | $29.00 | $0 | No Gap Coverage | Value Generic: $3.00 Generic: $10.00 Preferred Brand: $35.00 Non Preferred Brand: $70.00 Speciality: 33% | 249 members Browse Formulary | |||||
Medicare Masterpiece Plus (HMO-POS) - H5404-086-0 Benefit Details |
Palm Beach | $29.00 | $0 | No Gap Coverage | Value Generic: $3.00 Generic: $10.00 Preferred Brand: $35.00 Non Preferred Brand: $70.00 Speciality: 33% | 3,158 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Benefit Details |
Palm Beach | $45.00 | $90 | No Gap Coverage | Tier 1 - Covered Generic: $4.00 Tier 2 - Covered Preferred Brand: $45.00 Tier 3 - Covered Brand: $95.00 Tier S - Covered Specialty: 25% | 10,845 members Browse Formulary | |||||
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Benefit Details |
Statewide | $45.00 | $90 | No Gap Coverage | Tier 1 - Covered Generic: $4.00 Tier 2 - Covered Preferred Brand: $45.00 Tier 3 - Covered Brand: $95.00 Tier S - Covered Specialty: 25% | 10,845 members Browse Formulary | |||||
Any, Any, Any MA Only (PFFS) - H5820-029-0 Benefit Details |
Palm Beach | $49.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 872 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
Any, Any, Any Gold (PFFS) - H5820-011-0 Benefit Details |
Palm Beach | $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 | |||||
Medicare Masterpiece Premier (PPO) - H5429-062-0 Benefit Details |
Palm Beach | $59.00 | $0 | No Gap Coverage | Value Generic: $3.00 Generic: $10.00 Preferred Brand: $35.00 Non Preferred Brand: $70.00 Speciality: 33% | 13 members Browse Formulary | |||||
Medicare Masterpiece SNP - COPD (PPO) - H5429-061-0 Benefit Details |
Palm Beach | $69.00 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $7.00 Preferred Brand: $35.00 Non Preferred Brand: $60.00 Speciality: 33% | < 10 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Medicare Masterpiece SNP - Diabetes (PPO) - H5429-059-0 Benefit Details |
Palm Beach | $69.00 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $7.00 Preferred Brand: $35.00 Non Preferred Brand: $60.00 Speciality: 33% | < 10 members Browse Formulary | |||||
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Benefit Details |
Palm Beach | $84.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 475 members Browse Formulary | |||||
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Benefit Details |
Statewide | $84.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 475 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
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Service | Exper. | Cost Info | |||||||||
Any, Any, Any Platinum (PFFS) - H5820-013-0 Benefit Details |
Palm Beach | $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 | |||||
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Benefit Details |
Palm Beach | $95.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 20,502 members Browse Formulary | |||||
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Benefit Details |
Statewide | $95.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 20,502 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Today's Options Value (PFFS) - H5421-181-0 Benefit Details |
Palm Beach | $100.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 962 members | ||||||
Aetna Medicare Premier Plan (HMO) - H5414-012-0 Benefit Details |
Palm Beach | $103.50 | $0 | Many Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $35.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33% | 90 members Browse Formulary | |||||
Physicians Health Choice Extra (HMO) - H6120-003-0 Benefit Details |
Palm Beach | $110.00 | $0 | Many Generics, Some Brand | Tier 1: $0.00 Tier 2: $15.00 Tier 3: $70.00 Tier 4: 20% | 14 members Browse Formulary | |||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
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BlueMedicare PPO (PPO) - H5434-002-0 Benefit Details |
Palm Beach | $112.00 | $90 | No Gap Coverage | Tier 1 - Covered Generic: $4.00 Tier 2 - Covered Preferred Brand: $45.00 Tier 3 - Covered Brand: $95.00 Tier S - Covered Specialty: 25% | 4,483 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-182-0 Benefit Details |
Palm Beach | $114.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
Aetna Medicare Standard Plan (PPO) - H5521-030-0 Benefit Details |
Palm Beach | $123.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $10.00 Tier 2 - Non-Preferred Generic: $38.00 Tier 3 - Preferred Brand: $45.00 Tier 4 - Non-Preferred Brand: $90.00 Tier 5 - Specialty: 25% | 134 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
Today's Options Premier (PFFS) - H5421-179-0 Benefit Details |
Palm Beach | $134.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Humana Gold Choice H2944-140 (PFFS) - H2944-140-0 Benefit Details |
Palm Beach | $150.00 | $0 | Few Generics, Few Brand | Preferred Generic: $9.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 256 members Browse Formulary | |||||
BlueMedicare PFFS (PFFS) - H3518-001-0 Benefit Details |
Palm Beach | $151.00 | $145 | No Gap Coverage | Tier 1 - Covered Generic: $4.00 Tier 2 - Covered Preferred Brand: $45.00 Tier 3 - Covered Brand: $95.00 Tier S - Covered Specialty: 25% | n/a 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 | |||||||||
Aetna Medicare Premier Plan (PPO) - H5521-031-0 Benefit Details |
Palm Beach | $158.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $4.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $40.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 25% | 164 members Browse Formulary | |||||
Medicare Masterpiece SNP - Dementia (HMO) - H5404-136-0 Benefit Details |
Palm Beach | $159.50 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33% | < 10 members Browse Formulary | |||||
Humana Gold Choice H2944-144 (PFFS) - H2944-144-0 Benefit Details |
Palm Beach | $200.00 | $0 | Few Generics, Few Brand | Preferred Generic: $5.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $60.00 Specialty: 33% | 52 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) - H5421-180-0 Benefit Details |
Palm Beach | $203.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 735 members Browse Formulary | |||||
Medicare Masterpiece SNP - Dementia (PPO) - H5429-060-0 Benefit Details |
Palm Beach | $248.40 | $0 | No Gap Coverage | Value Generic: $0.00 Generic: $0.00 Preferred Brand: $35.00 Non Preferred Brand: $60.00 Speciality: 33% | < 10 members Browse Formulary | |||||
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