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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 R5826-053 (Regional PPO) - R5826-053-0 Benefit Details |
Livingston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,098 members | ||||||
HumanaChoice R5826-053 (Regional PPO) - R5826-053-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,098 members | ||||||
SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
Livingston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SecurityChoice Plus (PFFS) - H0540-020-0 Benefit Details |
Livingston | $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 | |||||
BCN Advantage (HMO) - H5883-001-3 Benefit Details |
Livingston | $24.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
PriorityMedicare Value (HMO-POS) - H2320-012-0 Benefit Details |
Livingston | $45.20 | $0 | No Gap Coverage | Generic: $8.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | 661 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) - H5421-165-0 Benefit Details |
Livingston | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,006 members | ||||||
PriorityMedicare (HMO-POS) - H2320-008-0 Benefit Details |
Livingston | $69.80 | $0 | No Gap Coverage | Generic: $8.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-166-0 Benefit Details |
Livingston | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,797 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HAP Senior Plus - Expanded Network (HMO) - H2312-008-0 Benefit Details |
Livingston | $95.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 201 members | ||||||
HumanaChoice R5826-072 (Regional PPO) - R5826-072-0 Benefit Details |
Livingston | $96.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
HumanaChoice R5826-072 (Regional PPO) - R5826-072-0 Benefit Details |
Statewide | $96.00 | $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 | |||||||||
PriorityMedicare Plus (HMO-POS) - H2320-010-0 Benefit Details |
Livingston | $96.70 | $0 | Many Generics | Generic: $8.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | 409 members Browse Formulary | |||||
BCN Advantage (HMO) - H5883-002-3 Benefit Details |
Livingston | $97.00 | $0 | No Gap Coverage | Preferred Generic: $4.00 Preferred Brand: $35.00 Non Preferred: $75.00 Specialty: 25% Injectable: 25% | 12,180 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H5421-163-0 Benefit Details |
Livingston | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,062 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-006 (Regional PPO) - R5826-006-0 Benefit Details |
Livingston | $107.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 9,118 members Browse Formulary | |||||
HumanaChoice R5826-006 (Regional PPO) - R5826-006-0 Benefit Details |
Statewide | $107.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 9,118 members Browse Formulary | |||||
HAP Senior Plus - Expanded Network (HMO) - H2312-007-0 Benefit Details |
Livingston | $117.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $40.00 Tier 3: $60.00 Tier 4: $60.00 | 3,330 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
PriorityMedicare Choice (PPO) - H4875-005-0 Benefit Details |
Livingston | $120.10 | $0 | No Gap Coverage | Generic: $8.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | 721 members Browse Formulary | |||||
Medicare Plus Blue PPO (PPO) - H9572-001-4 Benefit Details |
Livingston | $121.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non Preferred: $95.00 Specialty: 25% Non Self Administered Injectable: 25% | 14,447 members Browse Formulary | |||||
HAP Senior Plus - Expanded Network (HMO) - H2312-010-0 Benefit Details |
Livingston | $139.00 | $110 | All Generics, Few Brand | Tier 1: $4.00 Tier 2: $35.00 Tier 3: $55.00 Tier 4: $55.00 | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Medicare Plus Blue Option A (PFFS) - H2319-008-4 Benefit Details |
Livingston | $140.00 | $0 | No Gap Coverage | Generic: $9.00 Preferred Brand: $35.00 Non Preferred: $90.00 Specialty: 25% Non Self Administered Injectable: 25% | 20,858 members Browse Formulary | |||||
Alliance Medicare PPO (PPO) - H2322-001-0 Benefit Details |
Livingston | $147.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $40.00 Tier 3: $60.00 Tier 4: 33% | 2,343 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-164-0 Benefit Details |
Livingston | $151.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,969 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Alliance Medicare PPO (PPO) - H2322-004-0 Benefit Details |
Livingston | $167.00 | $0 | All Generics, Few Brand | Tier 1: $4.00 Tier 2: $35.00 Tier 3: $55.00 Tier 4: 33% | n/a Browse Formulary | |||||
BCN Advantage (HMO) - H5883-003-3 Benefit Details |
Livingston | $171.00 | $0 | Many Generics | Preferred Generic: $3.00 Preferred Brand: $30.00 Non-Preferred: $65.00 Specialty: 25% Injectable: 25% | 6,211 members Browse Formulary | |||||
Humana Gold Choice H2944-049 (PFFS) - H2944-049-0 Benefit Details |
Livingston | $174.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 918 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Medicare Plus Blue Option B (PFFS) - H2319-009-4 Benefit Details |
Livingston | $191.00 | $0 | No Gap Coverage | Generic: $7.00 Preferred Brand: $30.00 Non Preferred: $70.00 Specialty: 25% Non Self Administered Injectable: 25% | 26,161 members Browse Formulary | |||||
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