$dynamicTitle=$dynamicTitle.' Medicare Advantage Plans'; ?>
2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
AARP MedicareComplete Choice (Regional PPO) - R7444-001-0 Benefit Details |
Barnstable | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $41.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $79.00 Tier 4 Specialty: 33% | 20,637 members Browse Formulary | |||||
new | new | new | |||||||||
AARP MedicareComplete Choice (Regional PPO) - R7444-001-0 Benefit Details |
Statewide | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $41.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $79.00 Tier 4 Specialty: 33% | 20,637 members Browse Formulary | |||||
new | new | new | |||||||||
Fresenius Medical Care Health Plan (PFFS) - H5909-001-0 Benefit Details |
Barnstable | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 78 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Tufts Medicare Preferred HMO Basic (HMO) - H2256-025-0 Benefit Details |
Barnstable | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 584 members | ||||||
Tufts Medicare Preferred HMO Basic Rx (HMO) - H2256-024-0 Benefit Details |
Barnstable | $53.70 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $83.00 | 2,683 members Browse Formulary | |||||
Tufts Medicare Preferred HMO Value (HMO) - H2256-019-7 Benefit Details |
Barnstable | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 565 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
First Seniority Freedom - No Drug (PFFS) - H7226-015-0 Benefit Details |
Barnstable | $68.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 242 members | ||||||
Tufts Medicare Preferred HMO Basic Rx Plus (HMO) - H2256-023-0 Benefit Details |
Barnstable | $72.80 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $70.00 | 539 members Browse Formulary | |||||
Today's Options Value (PFFS) - H3333-146-0 Benefit Details |
Barnstable | $90.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 304 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Tufts Medicare Preferred HMO Prime (HMO) - H2256-016-2 Benefit Details |
Barnstable | $92.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,770 members | ||||||
Tufts Medicare Preferred HMO Value Rx (HMO) - H2256-018-7 Benefit Details |
Barnstable | $95.70 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $83.00 | 4,210 members Browse Formulary | |||||
First Seniority Freedom - Drug (PFFS) - H7226-013-0 Benefit Details |
Barnstable | $103.90 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 | 294 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 powered by CCRx (PFFS) - H3333-147-0 Benefit Details |
Barnstable | $104.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 372 members Browse Formulary | |||||
Tufts Medicare Preferred HMO Value Rx Plus (HMO) - H2256-017-7 Benefit Details |
Barnstable | $114.80 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $70.00 | n/a Browse Formulary | |||||
Medicare PPO Blue PlusRx (PPO) - H2230-002-0 Benefit Details |
Barnstable | $123.10 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 25% | 11,412 members Browse Formulary | |||||
-- | |||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Tufts Medicare Preferred HMO Prime Rx (HMO) - H2256-015-2 Benefit Details |
Barnstable | $125.70 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $83.00 | 15,944 members Browse Formulary | |||||
First Seniority Freedom Plus - Drug (PFFS) - H7226-011-0 Benefit Details |
Barnstable | $127.00 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $60.00 | n/a Browse Formulary | |||||
Today's Options Premier (PFFS) - H3333-144-0 Benefit Details |
Barnstable | $134.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 587 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - H2256-001-2 Benefit Details |
Barnstable | $144.80 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $70.00 | 35,528 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H3333-145-0 Benefit Details |
Barnstable | $175.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 402 members Browse Formulary | |||||
Medicare HMO Blue PlusRx (HMO) - H2261-005-0 Benefit Details |
Barnstable | $179.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 12,864 members Browse Formulary | |||||
|