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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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HumanaChoice H6609-012 (PPO) - H6609-012-0 Benefit Details |
Kootenai | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 254 members | ||||||
SecureHorizons MedicareDirect Plan 1 (PFFS) - H5435-001-0 Benefit Details |
Kootenai | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 27,113 members | ||||||
Sierra Optima Select (PFFS) - H4449-011-0 Benefit Details |
Kootenai | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 777 members | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Sierra Optima Select Rx (PFFS) - H4449-013-0 Benefit Details |
Kootenai | $0.00 | $0 | No Gap Coverage | Preferred Generic/Some Brand Maintenance: $6.00 Preferred Brand: $45.00 Non-Preferred: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
new | new | new | |||||||||
Secure Blue (PPO) - H1302-004-0 Benefit Details |
Kootenai | $5.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 89 members | ||||||
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SecureHorizons MedicareDirect Rx Plan 51 (PFFS) - H5435-014-0 Benefit Details |
Kootenai | $20.00 | $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% | 61,945 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
True Blue (HMO) - H1350-006-0 Benefit Details |
Kootenai | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 4,096 members | ||||||
Flexi Blue (PFFS) - H5862-001-0 Benefit Details |
Kootenai | $27.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $5.00 Tier 2 - Preferred Brand: $30.00 Tier 3 - Non-Preferred Brand: $60.00 Tier 4 - Injectable Drugs: 25% Tier 5 - Specialty Drugs: 25% | 2,747 members Browse Formulary | |||||
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Sterling Basic Plus (PFFS) - H5006-018-1 Benefit Details |
Kootenai | $39.00 | 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 | |||||||||
Secure Blue (PPO) - H1302-001-0 Benefit Details |
Kootenai | $42.00 | $310 | No Gap Coverage | Tier 1 - Preferred Generic: $6.00 Tier 2 - Preferred Brand: $20.00 Tier 3 - Non Preferred Brand: $35.00 Tier 4 - Injectable Drugs: 25% Tier 5 - Specialty Drugs: 25% | 679 members Browse Formulary | |||||
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Humana Gold Choice H2944-038 (PFFS) - H2944-038-0 Benefit Details |
Kootenai | $45.00 | $0 | Few Generics, Few Brand | Preferred Generic: $5.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 2,960 members Browse Formulary | |||||
SecurityChoice Classic (PFFS) - H0540-088-0 Benefit Details |
Kootenai | $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 |
Kootenai | $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 | |||||
Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
Kootenai | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
HumanaChoice H6609-010 (PPO) - H6609-010-0 Benefit Details |
Kootenai | $70.00 | $0 | Few Generics, Few Brand | Preferred Generic: $5.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 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 Value (PFFS) - H5421-173-0 Benefit Details |
Kootenai | $85.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Sterling Option II (PFFS) - H5006-017-1 Benefit Details |
Kootenai | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-174-0 Benefit Details |
Kootenai | $99.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 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 | |||||||||
True Blue (HMO) - H1350-001-0 Benefit Details |
Kootenai | $114.00 | $0 | Many Generics | Tier 1 - Preferred Generic: $6.00 Tier 2 - Preferred Brand: $30.00 Tier 3 - Non-Preferred Brand: $40.00 Tier 4 - Injectable Drugs: 25% Tier 5 - Specialty Drugs: 25% | 18,679 members Browse Formulary | |||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
Kootenai | $119.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H5421-171-0 Benefit Details |
Kootenai | $124.00 | 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 | |||||||||
Regence MedAdvantage (PPO) - H1304-001-0 Benefit Details |
Kootenai | $153.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 335 members | ||||||
Regence MedAdvantage + Rx Classic (PPO) - H1304-002-0 Benefit Details |
Kootenai | $163.00 | $200 | No Gap Coverage | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 27% Specialty: 27% | n/a Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-172-0 Benefit Details |
Kootenai | $186.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 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 | |||||||||
Regence MedAdvantage + Rx Enhanced (PPO) - H1304-004-0 Benefit Details |
Kootenai | $219.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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