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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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Aetna Medicare Basic Plan (HMO) - H3152-045-0 Benefit Details |
Sussex | $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 |
Sussex | $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 | |||||
Horizon Medicare Blue Value (HMO) - H3154-013-0 Benefit Details |
Sussex | $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 | |||||||||
Aetna Medicare Dual Advantage Plan (HMO) - H3152-074-0 Benefit Details |
Sussex | $ 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 | |||||
Horizon Medicare Blue Access (HMO-POS) - H3154-005-0 Benefit Details |
Sussex | $38.30 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 4,897 members | ||||||
Horizon Medicare Blue Value w/ Rx Std (HMO) - H3154-004-0 Benefit Details |
Sussex | $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 |
Sussex | $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 |
Sussex | $90.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 304 members | ||||||
Today's Options Value powered by CCRx (PFFS) - H3333-147-0 Benefit Details |
Sussex | $104.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 372 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 Access w/ Rx Std (HMO-POS) - H3154-012-0 Benefit Details |
Sussex | $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 |
Sussex | $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 | |||||
Today's Options Premier (PFFS) - H3333-144-0 Benefit Details |
Sussex | $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 | |||||||||
Horizon Medicare Blue Access w/Rx Enhanced (HMO-POS) - H3154-006-0 Benefit Details |
Sussex | $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) - H3333-145-0 Benefit Details |
Sussex | $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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