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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 (PPO) - H4522-001-0 Benefit Details |
Dona Ana | $0.00 | $0 | Many Generics | 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% | 8,740 members Browse Formulary | |||||
Evercare Plan MP (PPO) - H4522-008-0 Benefit Details |
Dona Ana | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $45.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $85.00 Tier 4 Specialty: 33% | 628 members Browse Formulary | |||||
HumanaChoice H6411-008 (PPO) - H6411-008-0 Benefit Details |
Dona Ana | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 107 members | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Physicians Health Choice Basic (HMO) - H3059-001-0 Benefit Details |
Dona Ana | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 129 members | ||||||
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Physicians Health Choice Standard (HMO) - H3059-002-0 Benefit Details |
Dona Ana | $0.00 | $0 | No Gap Coverage | Tier 1: $3.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 20% | n/a Browse Formulary | |||||
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SecureHorizons MedicareDirect Plan 1 (PFFS) - H5435-001-0 Benefit Details |
Dona Ana | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 27,113 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Molina Medicare Options (HMO) - H9082-002-0 Benefit Details |
Dona Ana | $9.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Drug: 33% | 566 members Browse Formulary | |||||
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Evercare Plan DP (PPO) - H4522-007-0 Benefit Details |
Dona Ana | $ 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% Tier 3: 25% Tier 4: 25% | 2,954 members Browse Formulary | |||||
SecureHorizons MedicareDirect Rx Plan 51 (PFFS) - H5435-014-0 Benefit Details |
Dona Ana | $20.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $6.00 Tier 2 Generic Preferred Brand: $42.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $80.00 Tier 4 Specialty: 33% | 61,945 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Molina Medicare Options Plus (HMO) - H9082-001-0 Benefit Details |
Dona Ana | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Tier 1: tbd | n/a Browse Formulary | |||||
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Physicians Health Choice Select (HMO) - H3059-004-0 Benefit Details |
Dona Ana | $ 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% Tier 3: 25% Tier 4: 25% | 521 members Browse Formulary | |||||
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SecureHorizons MedicareDirect Plan 100 (PFFS) - H5435-020-0 Benefit Details |
Dona Ana | $25.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 4,121 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Choice H2944-008 (PFFS) - H2944-008-0 Benefit Details |
Dona Ana | $36.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 5,315 members Browse Formulary | |||||
Sterling Basic Plus (PFFS) - H5006-018-1 Benefit Details |
Dona Ana | $39.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Presbyterian MediCare PPO Plan 1 (PPO) - H3206-003-0 Benefit Details |
Dona Ana | $49.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 371 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
CIGNA Medicare Access Plan One (PFFS) - H2762-022-0 Benefit Details |
Dona Ana | $50.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 249 members | ||||||
SecurityChoice Classic (PFFS) - H0540-088-0 Benefit Details |
Dona Ana | $55.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
SecurityChoice Plus (PFFS) - H0540-089-0 Benefit Details |
Dona Ana | $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 | |||||||||
Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
Dona Ana | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
HumanaChoice H6411-002 (PPO) - H6411-002-0 Benefit Details |
Dona Ana | $60.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $75.00 Specialty: 33% | n/a Browse Formulary | |||||
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CIGNA Medicare Access Plus RX Plan Two (PFFS) - H2762-046-0 Benefit Details |
Dona Ana | $70.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 823 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Presbyterian MediCare PPO Plan 2 with Rx (PPO) - H3206-001-0 Benefit Details |
Dona Ana | $84.00 | $0 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred: $60.00 Specialty: 30% | 2,335 members Browse Formulary | |||||
Physicians Health Choice Extra (HMO) - H3059-005-0 Benefit Details |
Dona Ana | $95.00 | $0 | No Gap Coverage | Tier 1: $3.00 Tier 2: $25.00 Tier 3: $70.00 Tier 4: 20% | 140 members Browse Formulary | |||||
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Sterling Option II (PFFS) - H5006-017-1 Benefit Details |
Dona Ana | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Presbyterian MediCare PPO Plan 3 with Rx (PPO) - H3206-002-0 Benefit Details |
Dona Ana | $105.00 | $0 | Many Generics | Preferred Generic: $5.00 Preferred Brand: $40.00 Non-Preferred: $60.00 Specialty: 30% | n/a Browse Formulary | |||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-026-0 Benefit Details |
Dona Ana | $110.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 42 members | ||||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
Dona Ana | $119.00 | $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 | |||||||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-054-0 Benefit Details |
Dona Ana | $155.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 99 members Browse Formulary | |||||
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