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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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Senior Care Plus: Value Basic Plan (HMO) - H2960-009-0 Benefit Details |
Storey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 308 members | ||||||
Senior Care Plus: Value Rx Plan (HMO) - H2960-012-0 Benefit Details |
Storey | $0.00 | $0 | Some Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $75.00 Special Pharmaceutical: 33% | n/a Browse Formulary | |||||
Sierra Nevada Spectrum (Regional PPO) - R5674-001-0 Benefit Details |
Statewide | $12.40 | $0 | No Gap Coverage | Preferred Generic/Some Brand Maintenance: $10.00 Preferred Brand: $40.00 Non-Preferred: $85.00 Specialty: 33% | 4,453 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Sierra Nevada Spectrum (Regional PPO) - R5674-001-0 Benefit Details |
Storey | $12.40 | $0 | No Gap Coverage | Preferred Generic/Some Brand Maintenance: $10.00 Preferred Brand: $40.00 Non-Preferred: $85.00 Specialty: 33% | 4,453 members Browse Formulary | |||||
Any, Any, Any MA Only (PFFS) - H5820-027-0 Benefit Details |
Storey | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 162 members | ||||||
SmartValue Classic (PFFS) - H9452-001-0 Benefit Details |
Storey | $35.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 97 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 | |||||||||
Any, Any, Any Gold (PFFS) - H5820-003-0 Benefit Details |
Storey | $39.00 | $0 | No Gap Coverage | Value Generic: $4.00 Generic: $10.00 Preferred Brand: $35.00 Non Preferred Brand: $70.00 Speciality: 33% | 3,776 members Browse Formulary | |||||
Sterling Basic Plus (PFFS) - H5006-018-1 Benefit Details |
Storey | $39.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Senior Care Plus: Value Rx Enhanced Plan (HMO) - H2960-004-0 Benefit Details |
Storey | $45.00 | $0 | All Generics | Preferred Generic: $3.00 Non-Preferred Generic: $8.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Special Pharmaceutical: 33% | 2,490 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SmartValue Plus (PFFS) - H9452-002-0 Benefit Details |
Storey | $50.50 | $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% | 828 members Browse Formulary | |||||
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Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
Storey | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
Any, Any, Any Platinum (PFFS) - H5820-009-0 Benefit Details |
Storey | $69.00 | $0 | No Gap Coverage | Value Generic: $2.00 Generic: $7.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33% | 137 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) - H5421-173-0 Benefit Details |
Storey | $85.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Sterling Option II (PFFS) - H5006-017-1 Benefit Details |
Storey | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-174-0 Benefit Details |
Storey | $99.00 | $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 | |||||||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
Storey | $119.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H5421-171-0 Benefit Details |
Storey | $124.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Senior Care Plus: Value Rx Premier Plan (HMO) - H2960-010-0 Benefit Details |
Storey | $135.00 | $0 | All Generics, Some Brand | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Special Pharmaceutical: 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 | |||||||||
Humana Gold Choice H2944-072 (PFFS) - H2944-072-0 Benefit Details |
Storey | $164.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 705 members Browse Formulary | |||||
Senior Care Plus: Freedom Rx Premier Plan (PPO) - H2906-003-0 Benefit Details |
Storey | $170.00 | $0 | All Generics, Some Brand | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: $35.00 Non- Preferred Brand Name: $70.00 Special Pharmaceutical: 33% | 381 members Browse Formulary | |||||
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Humana Gold Choice H2944-053 (PFFS) - H2944-053-0 Benefit Details |
Storey | $185.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 390 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 powered by CCRx (PFFS) - H5421-172-0 Benefit Details |
Storey | $186.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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