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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) |
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(Donut Hole) Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
Members In This Plan ID | |||||
Cust. Service Rating |
Member Plan Exper. |
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AARP MedicareComplete Choice (PPO) - H4522-001-0 Benefit Details |
El Paso | $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 | |||||
Advantra (PPO) - H7306-001-0 Benefit Details |
El Paso | $0.00 | $0 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Generic/Non-Preferred Brand: $70.00 Specialty-Generic and Brand: 33% | n/a Browse Formulary | |||||
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Bravo Achieve (HMO) - H4528-014-0 Benefit Details |
El Paso | $0.00 | $0 | No Gap Coverage | Generic: $3.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 33% Preferred Diabetic Drugs: $0.00 | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Bravo Classic Plus (HMO-POS) - H4528-001-0 Benefit Details |
El Paso | $0.00 | $0 | No Gap Coverage | Generic: $3.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 33% | 9,788 members Browse Formulary | |||||
Bravo Liberty Silver (PFFS) - H7406-011-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 174 members | ||||||
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Care Improvement Plus Gold Rx (Regional PPO) - R6801-009-0 Benefit Details |
El Paso | $0.00 | $0 | No Gap Coverage | Formulary Generic: $4.00 Formulary Preferred Brand: $45.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 8,547 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Care Improvement Plus Gold Rx (Regional PPO) - R6801-009-0 Benefit Details |
Statewide | $0.00 | $0 | No Gap Coverage | Formulary Generic: $4.00 Formulary Preferred Brand: $45.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 8,547 members Browse Formulary | |||||
Care Improvement Plus Medicare Advantage (PPO) - H0084-001-0 Benefit Details |
El Paso | $0.00 | $0 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $39.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 775 members Browse Formulary | |||||
new | new | new | |||||||||
Evercare Plan MP (PPO) - H4522-008-0 Benefit Details |
El Paso | $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 | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4510-022 (HMO) - H4510-022-0 Benefit Details |
El Paso | $0.00 | $0 | Some Generics, Few Brand | Preferred Generic: $5.00 Non-Preferred Generic/Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty: 33% | 997 members Browse Formulary | |||||
HumanaChoice H6411-008 (PPO) - H6411-008-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 107 members | ||||||
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HumanaChoice R5826-026 (Regional PPO) - R5826-026-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 5,537 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-026 (Regional PPO) - R5826-026-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 5,537 members | ||||||
Physicians Health Choice Basic (HMO) - H4527-024-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 117 members | ||||||
Physicians Health Choice Standard (HMO) - H4527-005-0 Benefit Details |
El Paso | $0.00 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 20% | 2,975 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Plan 1 (PFFS) - H5435-001-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 27,113 members | ||||||
SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
El Paso | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 members | ||||||
Texas Community Care- Plus Point (HMO-POS) - H4529-002-0 Benefit Details |
El Paso | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $0.00 Tier 2 - Non-Preferred Generic: $5.00 Tier 3 - Preferred Brand: $35.00 Tier 4 - Non-Preferred Brand: $60.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 5,334 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Care Improvement Plus Gold Rx Advantage (Regional PPO) - R6801-010-0 Benefit Details |
El Paso | $12.00 | $0 | No Gap Coverage | Formulary Generic: $4.00 Formulary Preferred Brand: $45.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 2,341 members Browse Formulary | |||||
Care Improvement Plus Gold Rx Advantage (Regional PPO) - R6801-010-0 Benefit Details |
Statewide | $12.00 | $0 | No Gap Coverage | Formulary Generic: $4.00 Formulary Preferred Brand: $45.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 2,341 members Browse Formulary | |||||
Evercare Plan DP (PPO) - H4522-007-0 Benefit Details |
El Paso | $ 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 | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
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Any, Any, Any MA Only (PFFS) - H5820-027-0 Benefit Details |
El Paso | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 162 members | ||||||
SecureHorizons MedicareDirect Rx Plan 51 (PFFS) - H5435-014-0 Benefit Details |
El Paso | $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 | |||||
SecurityChoice Plus (PFFS) - H0540-020-0 Benefit Details |
El Paso | $23.00 | $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% | 15,526 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Bravo Select (HMO) - H4528-002-0 Benefit Details |
El Paso | $ 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% | 3,835 members Browse Formulary | |||||
Bravo Traditions (HMO) - H4528-013-0 Benefit Details |
El Paso | $27.50 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | < 10 members Browse Formulary | |||||
Care Improvement Plus Silver Rx (Regional PPO) - R6801-008-0 Benefit Details |
El Paso | $27.50 | $0 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $43.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 4,489 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Care Improvement Plus Silver Rx (Regional PPO) - R6801-008-0 Benefit Details |
Statewide | $27.50 | $0 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $43.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 4,489 members Browse Formulary | |||||
Fidelis Secure Comfort (HMO) - H5980-005-0 Benefit Details |
El Paso | $27.50 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 122 members Browse Formulary | |||||
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Physicians Health Choice Select (HMO) - H4527-006-0 Benefit Details |
El Paso | $ 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 | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Texas Community Care - Dual Plus (HMO) - H4529-007-0 Benefit Details |
El Paso | $ 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 | |||||
Care Improvement Plus Medicare Advantage (Regional PPO) - R6801-012-0 Benefit Details |
El Paso | $33.00 | $0 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $39.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 2,438 members Browse Formulary | |||||
Care Improvement Plus Medicare Advantage (Regional PPO) - R6801-012-0 Benefit Details |
Statewide | $33.00 | $0 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $39.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 33% | 2,438 members Browse Formulary | |||||
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 |
El Paso | $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 |
El Paso | $39.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
CIGNA Medicare Access Plan One (PFFS) - H2762-013-0 Benefit Details |
El Paso | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 337 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-012 (Regional PPO) - R5826-012-0 Benefit Details |
El Paso | $51.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $44.00 Non-Preferred Brand: $80.00 Specialty: 33% | 35,590 members Browse Formulary | |||||
HumanaChoice R5826-012 (Regional PPO) - R5826-012-0 Benefit Details |
Statewide | $51.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $44.00 Non-Preferred Brand: $80.00 Specialty: 33% | 35,590 members Browse Formulary | |||||
Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
El Paso | $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 | |||||||||
CIGNA Medicare Access Plus RX Plan Two (PFFS) - H2762-030-0 Benefit Details |
El Paso | $60.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | n/a Browse Formulary | |||||
HumanaChoice H6411-002 (PPO) - H6411-002-0 Benefit Details |
El Paso | $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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Bravo Freedom (PPO) - H1355-001-0 Benefit Details |
El Paso | $61.00 | $0 | No Gap Coverage | Generic: $4.00 Preferred Brand: $35.00 Non-Preferred Brand: $80.00 Specialty: 33% | 81 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 Value (PFFS) - H5421-165-0 Benefit Details |
El Paso | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,006 members | ||||||
Any, Any, Any Platinum (PFFS) - H5820-009-0 Benefit Details |
El Paso | $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 | |||||
Fidelis Secure Comfort Plus (HMO) - H5980-006-0 Benefit Details |
El Paso | $70.00 | $0 | No Gap Coverage | generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | < 10 members Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Bravo Liberty II Rx (PFFS) - H7406-001-0 Benefit Details |
El Paso | $71.00 | $0 | No Gap Coverage | Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 36 members Browse Formulary | |||||
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Humana Gold Choice H2944-026 (PFFS) - H2944-026-0 Benefit Details |
El Paso | $74.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33% | 6,092 members Browse Formulary | |||||
Physicians Health Choice Extra (HMO) - H4527-028-0 Benefit Details |
El Paso | $75.00 | $0 | No Gap Coverage | Tier 1: $3.00 Tier 2: $25.00 Tier 3: $70.00 Tier 4: 20% | 105 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-075 (Regional PPO) - R5826-075-0 Benefit Details |
El Paso | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 104 members Browse Formulary | |||||
HumanaChoice R5826-075 (Regional PPO) - R5826-075-0 Benefit Details |
Statewide | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 104 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-166-0 Benefit Details |
El Paso | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,797 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Fidelis Secure Independence (HMO) - H5980-007-0 Benefit Details |
El Paso | $85.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred: $65.00 Specialty: 33% | < 10 members Browse Formulary | |||||
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Sterling Option II (PFFS) - H5006-017-1 Benefit Details |
El Paso | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-017-0 Benefit Details |
El Paso | $100.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 165 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Premier (PFFS) - H5421-163-0 Benefit Details |
El Paso | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,062 members | ||||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
El Paso | $119.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-038-0 Benefit Details |
El Paso | $135.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 442 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
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Today's Options Premier powered by CCRx (PFFS) - H5421-164-0 Benefit Details |
El Paso | $151.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,969 members Browse Formulary | |||||
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