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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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Bravo Achieve (HMO) - H7281-005-0 Benefit Details |
Camden | $0.00 | $250 | No Gap Coverage | Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 26% Preferred Diabetic Drugs: $0.00 | 96 members Browse Formulary | |||||
Bravo Classic Plus (HMO-POS) - H7281-001-0 Benefit Details |
Camden | $0.00 | $250 | No Gap Coverage | Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 26% | 457 members Browse Formulary | |||||
Horizon Medicare Blue Value (HMO) - H3154-013-0 Benefit Details |
Camden | $0.00 | 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 | |||||||||
Bravo Silver (HMO) - H7281-003-0 Benefit Details |
Camden | $32.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 65 members Browse Formulary | |||||
Bravo Traditions (HMO) - H7281-004-0 Benefit Details |
Camden | $34.10 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | < 10 members Browse Formulary | |||||
Horizon Medicare Blue Access (HMO-POS) - H3154-005-0 Benefit Details |
Camden | $38.30 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 4,897 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SecurityChoice Classic (PFFS) - H0540-088-0 Benefit Details |
Camden | $55.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Aetna Medicare Basic Plan (HMO) - H3152-041-0 Benefit Details |
Camden | $56.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 367 members | ||||||
SecurityChoice Plus (PFFS) - H0540-089-0 Benefit Details |
Camden | $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 | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) - H3154-004-0 Benefit Details |
Camden | $62.00 | $310 | No Gap Coverage | Generic: $8.00 Preferred Brand: $38.00 Non-Preferred Brand: $76.00 Specialty: 25% | 12,744 members Browse Formulary | |||||
Today's Options Value (PFFS) - H3333-138-0 Benefit Details |
Camden | $75.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 191 members | ||||||
Bravo Premier Plus (HMO-POS) - H7281-002-0 Benefit Details |
Camden | $81.00 | $0 | No Gap Coverage | Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 33% | 218 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Horizon Medicare Blue Value w/ Rx Enhanced (HMO) - H3154-016-0 Benefit Details |
Camden | $86.60 | $0 | Many Generics | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 4,444 members Browse Formulary | |||||
Aetna Medicare Standard Plan (HMO) - H3152-022-0 Benefit Details |
Camden | $87.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $32.00 Tier 3 - Preferred Brand: $37.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | 5,824 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H3333-139-0 Benefit Details |
Camden | $89.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 212 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) - H3333-136-0 Benefit Details |
Camden | $119.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 341 members | ||||||
Horizon Medicare Blue Access w/ Rx Std (HMO-POS) - H3154-012-0 Benefit Details |
Camden | $127.10 | $310 | No Gap Coverage | Generic: $10.00 Preferred Brand: $43.00 Non-Preferred Brand: $86.00 Specialty: 25% | 8,302 members Browse Formulary | |||||
Aetna Medicare Premier Plan (HMO) - H3152-053-0 Benefit Details |
Camden | $129.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $45.00 Tier 4 - Non-Preferred Brand: $85.00 Tier 5 - Specialty: 33% | 2,306 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AmeriHealth 65 NJ Medical Only (HMO) - H3156-027-0 Benefit Details |
Camden | $145.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 54 members | ||||||
Horizon Medicare Blue Access w/Rx Enhanced (HMO-POS) - H3154-006-0 Benefit Details |
Camden | $152.90 | $0 | Many Generics | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 14,801 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H3333-137-0 Benefit Details |
Camden | $160.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 221 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AmeriHealth 65 NJ Rx (HMO) - H3156-028-0 Benefit Details |
Camden | $191.60 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 602 members Browse Formulary | |||||
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