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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 Plan 2 (HMO) - H3749-017-0 Benefit Details |
Rogers | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $39.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $74.00 Tier 4 Specialty: 33% | n/a Browse Formulary | |||||
Evercare Plan MH (HMO) - H3749-016-0 Benefit Details |
Rogers | $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% | 335 members Browse Formulary | |||||
HumanaChoice R5826-069 (Regional PPO) - R5826-069-0 Benefit Details |
Rogers | $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 | |||||||||
HumanaChoice R5826-069 (Regional PPO) - R5826-069-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
SecureHorizons MedicareDirect Plan 3 (PFFS) - H5435-003-0 Benefit Details |
Rogers | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 24,942 members | ||||||
Senior Health Plan Silver (HMO) - H3755-002-0 Benefit Details |
Rogers | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,925 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Generations Healthcare Value (HMO) - H3706-010-0 Benefit Details |
Rogers | $24.40 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 173 members | ||||||
Medicare Blue PPO Basic (PPO) - H3709-003-0 Benefit Details |
Rogers | $24.60 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 131 members | ||||||
Senior Health Plan Platinum (HMO) - H3755-001-0 Benefit Details |
Rogers | $31.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | 14,473 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Sterling Basic Plus (PFFS) - H5006-018-1 Benefit Details |
Rogers | $39.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Humana Gold Choice H2944-023 (PFFS) - H2944-023-0 Benefit Details |
Rogers | $40.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 324 members Browse Formulary | |||||
HumanaChoice H8644-003 (PPO) - H8644-003-0 Benefit Details |
Rogers | $40.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 9,814 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 | |||||||||
Today's Options Value (PFFS) - H5421-125-0 Benefit Details |
Rogers | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 141 members | ||||||
Today's Options Advantage 2 powered by CCRx (PPO) - H5378-189-0 Benefit Details |
Rogers | $51.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 563 members Browse Formulary | |||||
new | new | new | |||||||||
AARP MedicareComplete Plan 1 (HMO) - H3749-004-0 Benefit Details |
Rogers | $55.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $39.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $74.00 Tier 4 Specialty: 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 | |||||||||
SecurityChoice Classic (PFFS) - H0540-088-0 Benefit Details |
Rogers | $55.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
SecurityChoice Plus (PFFS) - H0540-089-0 Benefit Details |
Rogers | $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 | |||||
Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
Rogers | $59.00 | 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) - H5421-128-0 Benefit Details |
Rogers | $61.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 709 members Browse Formulary | |||||
Generations Healthcare Classic powered by CCRx (HMO) - H3706-006-0 Benefit Details |
Rogers | $69.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 931 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H5421-124-0 Benefit Details |
Rogers | $78.80 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 206 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Advantage 1 powered by CCRx (PPO) - H5378-175-0 Benefit Details |
Rogers | $79.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 36 members Browse Formulary | |||||
new | new | new | |||||||||
Senior Health Plan Platinum Plus (HMO) - H3755-004-0 Benefit Details |
Rogers | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | 7,077 members Browse Formulary | |||||
Medicare Blue PPO (PPO) - H3709-001-0 Benefit Details |
Rogers | $88.10 | $0 | No Gap Coverage | Preferred Generic: $8.00 Preferred Brand: $34.00 Non-Preferred Brand and Non-Preferred Generic: $64.00 Non-specialty injectables: 30% Specialty drugs: 30% | 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 II (PFFS) - H5006-017-1 Benefit Details |
Rogers | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Humana Gold Choice H2944-021 (PFFS) - H2944-021-0 Benefit Details |
Rogers | $103.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 833 members Browse Formulary | |||||
Today's Options Advantage 3 powered by CCRx (PPO) - H5378-181-0 Benefit Details |
Rogers | $106.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 59 members Browse Formulary | |||||
new | new | new | |||||||||
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) - H5421-127-0 Benefit Details |
Rogers | $116.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 242 members Browse Formulary | |||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
Rogers | $119.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
HumanaChoice R5826-013 (Regional PPO) - R5826-013-0 Benefit Details |
Rogers | $142.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 474 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-013 (Regional PPO) - R5826-013-0 Benefit Details |
Statewide | $142.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 474 members Browse Formulary | |||||
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