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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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PremierCare Choice (HMO) - H3818-004-0 Benefit Details |
Clatsop | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 132 members | ||||||
CareOregon Advantage Star (HMO) - H5859-003-0 Benefit Details |
Clatsop | $26.40 | $310 | Many Generics | 1: $0.00 2: $45.00 3: 25% | 343 members Browse Formulary | |||||
CareOregon Advantage Plus (HMO) - H5859-001-0 Benefit Details |
Clatsop | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | 1: $0.00 2: 41% 3: 25% | 5,798 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
PremierCare Choice Rx (HMO) - H3818-003-0 Benefit Details |
Clatsop | $35.60 | $250 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 26% | 323 members Browse Formulary | |||||
PremierCare Plus (HMO) - H3818-002-0 Benefit Details |
Clatsop | $ 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% | n/a Browse Formulary | |||||
PremierCare Value Rx (HMO) - H3818-014-0 Benefit Details |
Clatsop | $50.00 | $100 | No Gap Coverage | Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty: 30% | 437 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) - H5006-018-2 Benefit Details |
Clatsop | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Sterling Option I (PFFS) - H5006-014-2 Benefit Details |
Clatsop | $94.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
PremierCare Advantage Rx (HMO) - H3818-001-0 Benefit Details |
Clatsop | $99.00 | $100 | No Gap Coverage | Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty: 30% | 499 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) - H5421-181-0 Benefit Details |
Clatsop | $100.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 962 members | ||||||
Sterling Option II (PFFS) - H5006-017-2 Benefit Details |
Clatsop | $107.00 | $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) - H5421-182-0 Benefit Details |
Clatsop | $114.00 | $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 | |||||||||
Regence MedAdvantage (PPO) - H3817-001-0 Benefit Details |
Clatsop | $116.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 8,130 members | ||||||
Sterling Option IV (PFFS) - H5006-016-2 Benefit Details |
Clatsop | $120.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) - H3817-002-0 Benefit Details |
Clatsop | $126.00 | $200 | No Gap Coverage | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 27% Specialty: 27% | 23,022 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
ODS Advantage PPO (PPO) - H3813-001-0 Benefit Details |
Clatsop | $126.10 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 70 members | ||||||
PremierCare Select Rx (HMO) - H3818-015-0 Benefit Details |
Clatsop | $129.60 | $0 | No Gap Coverage | Diabetic: $0.00 Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty: 33% | 18 members Browse Formulary | |||||
Today's Options Premier (PFFS) - H5421-179-0 Benefit Details |
Clatsop | $134.00 | 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 | |||||||||
Regence MedAdvantage + Rx Enhanced (PPO) - H3817-003-0 Benefit Details |
Clatsop | $176.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | 22,389 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-180-0 Benefit Details |
Clatsop | $203.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 735 members Browse Formulary | |||||
ODS Advantage PPORX Select (PPO) - H3813-003-0 Benefit Details |
Clatsop | $223.70 | $0 | All Generics | Tier 1: tbd | 248 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
ODS Advantage PPORX (PPO) - H3813-002-0 Benefit Details |
Clatsop | $231.90 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% | 103 members Browse Formulary | |||||
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