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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 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 | |||||||||
AARP MedicareComplete Choice (Regional PPO) - R7444-001-0 Benefit Details |
Suffolk | $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 | |||||||||
CIGNA Medicare Access Plan One (PFFS) - H2762-012-0 Benefit Details |
Suffolk | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,544 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Fresenius Medical Care Health Plan (PFFS) - H5909-001-0 Benefit Details |
Suffolk | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 78 members | ||||||
SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
Suffolk | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 members | ||||||
CIGNA Medicare Access Plus RX Plan Two (PFFS) - H2762-028-0 Benefit Details |
Suffolk | $20.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 7,225 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 Basic (HMO) - H2256-025-0 Benefit Details |
Suffolk | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 584 members | ||||||
SecurityChoice Plus (PFFS) - H0540-020-0 Benefit Details |
Suffolk | $23.00 | $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% | 15,526 members Browse Formulary | |||||
Evercare Plan MP (PPO) - H2228-009-0 Benefit Details |
Suffolk | $25.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $85.00 Tier 4 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 | |||||||||
Evercare Plan IP (PPO) - H2228-001-0 Benefit Details |
Suffolk | $34.60 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 2,141 members Browse Formulary | |||||
AARP MedicareComplete Plus (HMO-POS) - H1944-001-0 Benefit Details |
Suffolk | $35.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $40.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $79.00 Tier 4 Specialty: 33% | n/a Browse Formulary | |||||
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Tufts Medicare Preferred HMO Basic Rx (HMO) - H2256-024-0 Benefit Details |
Suffolk | $53.70 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $83.00 | 2,683 members Browse Formulary | |||||
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) - H7226-009-0 Benefit Details |
Suffolk | $57.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-016-0 Benefit Details |
Suffolk | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 608 members | ||||||
Today's Options Value (PFFS) - H3333-130-0 Benefit Details |
Suffolk | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 112 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 Rx Plus (HMO) - H2256-023-0 Benefit Details |
Suffolk | $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 powered by CCRx (PFFS) - H3333-131-0 Benefit Details |
Suffolk | $74.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 139 members Browse Formulary | |||||
Tufts Medicare Preferred HMO Value (HMO) - H2256-019-1 Benefit Details |
Suffolk | $78.00 | 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 - Drug (PFFS) - H7226-008-0 Benefit Details |
Suffolk | $83.20 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 | 2,944 members Browse Formulary | |||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-036-0 Benefit Details |
Suffolk | $90.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 2,420 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H3333-128-0 Benefit Details |
Suffolk | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 142 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 Value Rx (HMO) - H2256-018-1 Benefit Details |
Suffolk | $111.70 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $83.00 | 4,210 members Browse Formulary | |||||
Tufts Medicare Preferred HMO Prime (HMO) - H2256-016-1 Benefit Details |
Suffolk | $116.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,770 members | ||||||
Medicare PPO Blue PlusRx (PPO) - H2230-002-0 Benefit Details |
Suffolk | $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 | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Tufts Medicare Preferred HMO Value Rx Plus (HMO) - H2256-017-1 Benefit Details |
Suffolk | $130.80 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $70.00 | n/a Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H3333-129-0 Benefit Details |
Suffolk | $145.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 87 members Browse Formulary | |||||
Tufts Medicare Preferred HMO Prime Rx (HMO) - H2256-015-1 Benefit Details |
Suffolk | $149.70 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $42.00 Tier 3: $83.00 | 15,944 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 Plus (HMO) - H2256-001-1 Benefit Details |
Suffolk | $168.80 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $70.00 | 35,528 members Browse Formulary | |||||
First Seniority Freedom Plus - Drug (PFFS) - H7226-007-0 Benefit Details |
Suffolk | $172.10 | $0 | All Generics | Tier 1: $10.00 Tier 2: $30.00 Tier 3: $60.00 | 12,176 members Browse Formulary | |||||
Medicare HMO Blue PlusRx (HMO) - H2261-005-0 Benefit Details |
Suffolk | $179.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 12,864 members Browse Formulary | |||||
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