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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 Balance Plus (HMO-POS) - H3107-005-0 Benefit Details |
Monmouth | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $38.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $72.00 Tier 4 Specialty: 33% | 8,985 members Browse Formulary | |||||
AARP MedicareComplete Plus (HMO-POS) - H3107-004-0 Benefit Details |
Monmouth | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $38.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $72.00 Tier 4 Specialty: 33% | 20,583 members Browse Formulary | |||||
AARP MedicareComplete Plus Essential (HMO-POS) - H3107-008-0 Benefit Details |
Monmouth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 735 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Aetna Medicare Basic Plan (HMO) - H3152-045-0 Benefit Details |
Monmouth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 793 members | ||||||
Aetna Medicare Value Plan (HMO) - H3152-046-0 Benefit Details |
Monmouth | $0.00 | $0 | No Gap Coverage | Tier 1 - Preferred Generic: $8.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $36.00 Tier 4 - Non-Preferred Brand: $78.00 Tier 5 - Specialty: 25% | 17,713 members Browse Formulary | |||||
Amerivantage Balance + Rx (HMO) - H3240-010-0 Benefit Details |
Monmouth | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $3.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $80.00 Specialty Drugs: 33% | 930 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 | |||||||||
Amerivantage Classic + Rx (HMO) - H3240-008-0 Benefit Details |
Monmouth | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $3.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $80.00 Specialty Drugs: 33% | 284 members Browse Formulary | |||||
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Horizon Medicare Blue Value (HMO) - H3154-013-0 Benefit Details |
Monmouth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Erickson Advantage Guardian (HMO-POS) - H5918-003-0 Benefit Details |
Monmouth | $29.60 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $37.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Specialty: 33% | 22 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AmeriChoice Personal Care Plus (HMO) - H3164-003-0 Benefit Details |
Monmouth | $ 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% | 3,115 members Browse Formulary | |||||
Aetna Medicare Dual Advantage Plan (HMO) - H3152-074-0 Benefit Details |
Monmouth | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $20.00 Tier 3 - Preferred Brand: $25.00 Tier 4 - Non-Preferred Brand: $68.00 Tier 5 - Specialty: 25% | 453 members Browse Formulary | |||||
Amerivantage Specialty + Rx (HMO) - H3240-013-0 Benefit Details |
Monmouth | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Preferred Generic Drugs: $0.00 Non-Preferred Generic Drugs: $0.00 Preferred Brand Drugs: $47.00 Non-Preferred Brand Drugs: $90.00 Specialty Drugs: 25% | 723 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 | |||||||||
Horizon Medicare Blue Access (HMO-POS) - H3154-005-0 Benefit Details |
Monmouth | $38.30 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 4,897 members | ||||||
Sterling Basic Plus (PFFS) - H5006-018-2 Benefit Details |
Monmouth | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) - H3154-004-0 Benefit Details |
Monmouth | $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 | |||||
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 |
Monmouth | $86.60 | $0 | Many Generics | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 4,444 members Browse Formulary | |||||
Today's Options Value (PFFS) - H3333-146-0 Benefit Details |
Monmouth | $90.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 304 members | ||||||
Sterling Option I (PFFS) - H5006-014-2 Benefit Details |
Monmouth | $94.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
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 |
Monmouth | $104.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 372 members Browse Formulary | |||||
Sterling Option II (PFFS) - H5006-017-2 Benefit Details |
Monmouth | $107.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Sterling Option IV (PFFS) - H5006-016-2 Benefit Details |
Monmouth | $120.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Erickson Advantage Signature without Drugs (HMO-POS) - H5918-002-0 Benefit Details |
Monmouth | $121.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 25 members | ||||||
Horizon Medicare Blue Access w/ Rx Std (HMO-POS) - H3154-012-0 Benefit Details |
Monmouth | $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) - H3152-048-0 Benefit Details |
Monmouth | $133.00 | $0 | Many Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $30.00 Tier 3 - Preferred Brand: $40.00 Tier 4 - Non-Preferred Brand: $80.00 Tier 5 - Specialty: 33% | 4,391 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) - H3333-144-0 Benefit Details |
Monmouth | $134.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 587 members | ||||||
Horizon Medicare Blue Access w/Rx Enhanced (HMO-POS) - H3154-006-0 Benefit Details |
Monmouth | $152.90 | $0 | Many Generics | Generic: $8.00 Preferred Brand: $37.00 Non-Preferred Brand: $74.00 Specialty: 33% | 14,801 members Browse Formulary | |||||
Erickson Advantage Champion (HMO-POS) - H5918-004-0 Benefit Details |
Monmouth | $154.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $37.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Specialty: 33% | 273 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Erickson Advantage Signature with Drugs (HMO-POS) - H5918-001-0 Benefit Details |
Monmouth | $154.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $37.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $75.00 Tier 4 Specialty: 33% | 236 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H3333-145-0 Benefit Details |
Monmouth | $175.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 402 members Browse Formulary | |||||
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