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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 Plus (HMO-POS) - H3887-003-0 Benefit Details |
Cook | $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% | 4,670 members Browse Formulary | |||||
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Aetna Medicare Value Plan (HMO) - H1419-001-0 Benefit Details |
Cook | $0.00 | $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: $78.00 Tier 5 - Specialty: 25% | 693 members Browse Formulary | |||||
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HealthSpring HealthyAdvantage (HMO) - H1415-013-0 Benefit Details |
Cook | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 473 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HealthSpring HealthyAdvantage Preferred (HMO-POS) - H1415-021-0 Benefit Details |
Cook | $0.00 | $0 | Many Generics, Few Brand | Preferred Generic: $4.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | 4,583 members Browse Formulary | |||||
HealthSpring HealthyAdvantage Select (HMO-POS) - H1415-023-0 Benefit Details |
Cook | $0.00 | $0 | Many Generics, Few Brand | Preferred Generic: $4.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Plus H1406-013 (HMO) - H1406-013-0 Benefit Details |
Cook | $0.00 | $0 | Few Generics, Few Brand | Preferred Generic: $5.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 23,082 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-023 (Regional PPO) - R5826-023-0 Benefit Details |
Cook | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 9,018 members | ||||||
HumanaChoice R5826-023 (Regional PPO) - R5826-023-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 9,018 members | ||||||
Evercare Plan DH-POS (HMO-POS) - H3887-002-0 Benefit Details |
Cook | $ 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% | 473 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 | |||||||||
HealthSpring HealthyAdvantage Primary Plan (HMO-POS) - H1415-022-0 Benefit Details |
Cook | $24.70 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% | n/a Browse Formulary | |||||
Evercare Plan MH-POS (HMO-POS) - H3887-005-0 Benefit Details |
Cook | $25.00 | $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% | n/a Browse Formulary | |||||
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HealthSpring TotalCare (HMO) - H1415-005-0 Benefit Details |
Cook | $ 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% | 2,747 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 IH-POS (HMO-POS) - H3887-001-0 Benefit Details |
Cook | $30.90 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 277 members Browse Formulary | |||||
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HealthSpring OptimaCare (HMO) - H1415-015-0 Benefit Details |
Cook | $77.00 | $0 | No Gap Coverage | Preferred Generic: $2.50 Generic: $7.50 Preferred Brand: $40.00 Non-Preferred Brand: 33% Specialty: 33% | 188 members Browse Formulary | |||||
HealthSpring HealthyLiving (HMO-POS) - H1415-017-0 Benefit Details |
Cook | $85.40 | $0 | Many Generics, Few Brand | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 74 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Aetna Medicare Standard Plan (PPO) - H5521-016-0 Benefit Details |
Cook | $86.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $7.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 25% | 623 members Browse Formulary | |||||
Aetna Medicare Premier Plan (HMO) - H1419-003-0 Benefit Details |
Cook | $88.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $40.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 25% | 175 members Browse Formulary | |||||
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Today's Options Value (PFFS) - H5421-181-0 Benefit Details |
Cook | $100.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 962 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H1418-002 (PPO) - H1418-002-0 Benefit Details |
Cook | $101.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 6,559 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-182-0 Benefit Details |
Cook | $114.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-040 (PFFS) - H2944-040-0 Benefit Details |
Cook | $123.00 | $0 | Few Generics, Few Brand | Preferred Generic: $6.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 4,081 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 (PFFS) - H5421-179-0 Benefit Details |
Cook | $134.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Aetna Medicare Premier Plan (PPO) - H5521-017-0 Benefit Details |
Cook | $149.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $6.00 Tier 2 - Non-Preferred Generic: $35.00 Tier 3 - Preferred Brand: $38.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 25% | 135 members Browse Formulary | |||||
HumanaChoice R5826-009 (Regional PPO) - R5826-009-0 Benefit Details |
Cook | $179.00 | $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 | |||||||||
HumanaChoice R5826-009 (Regional PPO) - R5826-009-0 Benefit Details |
Statewide | $179.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-180-0 Benefit Details |
Cook | $203.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 735 members Browse Formulary | |||||
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