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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 (Regional PPO) - R7444-001-0 Benefit Details |
Statewide | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $41.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $79.00 Tier 4 Specialty: 33% | 20,637 members Browse Formulary | |||||
new | new | new | |||||||||
AARP MedicareComplete Choice (Regional PPO) - R7444-001-0 Benefit Details |
Washington | $0.00 | $0 | No Gap Coverage | Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $41.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $79.00 Tier 4 Specialty: 33% | 20,637 members Browse Formulary | |||||
new | new | new | |||||||||
AARP MedicareComplete Essential (HMO) - H4102-025-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 570 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AARP MedicareComplete Plus (HMO-POS) - H4102-001-0 Benefit Details |
Washington | $0.00 | $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: $79.00 Tier 4 Specialty: 33% | 11,999 members Browse Formulary | |||||
Evercare Plan MH (HMO) - H4106-002-0 Benefit Details |
Washington | $25.00 | $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% | 809 members Browse Formulary | |||||
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Evercare Plan IP (PPO) - H2228-002-0 Benefit Details |
Washington | $34.60 | $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 | |||||||||
BlueCHiP for Medicare Core (HMO) - H4152-004-0 Benefit Details |
Washington | $35.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 2,094 members | ||||||
BlueCHiP for Medicare Standard with Drugs (HMO) - H4152-013-0 Benefit Details |
Washington | $41.00 | $0 | No Gap Coverage | Tier 1: $10.00 Tier 2: $38.00 Tier 3: $90.00 Tier 4: 25% | 15,086 members Browse Formulary | |||||
SecurityChoice Classic (PFFS) - H0540-088-0 Benefit Details |
Washington | $55.00 | 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 | |||||||||
SecurityChoice Plus (PFFS) - H0540-089-0 Benefit Details |
Washington | $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 | |||||
BlueCHiP for Medicare Plus (HMO) - H4152-005-0 Benefit Details |
Washington | $146.00 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 25% | 8,658 members Browse Formulary | |||||
BlueCHiP for Medicare Preferred (HMO-POS) - H4152-007-0 Benefit Details |
Washington | $256.00 | $0 | Many Generics | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 25% | 5,662 members Browse Formulary | |||||
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