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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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CIGNA Medicare Access Plan One (PFFS) - H2762-012-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,544 members | ||||||
Columbia Community Care - Plus (HMO) - H5416-004-0 Benefit Details |
Franklin | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $7.50 Tier 2 - Non-Preferred Generic: $15.00 Tier 3 - Preferred Brand: $39.00 Tier 4 - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 772 members Browse Formulary | |||||
SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 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) - H2762-028-0 Benefit Details |
Franklin | $20.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 7,225 members Browse Formulary | |||||
SecurityChoice Plus (PFFS) - H0540-020-0 Benefit Details |
Franklin | $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 | |||||
SecureHorizons MedicareDirect Rx Plan 59 (PFFS) - H5435-031-0 Benefit Details |
Franklin | $30.00 | $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% | 7,345 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Spokane Community Care - Enhanced (HMO) - H5416-026-0 Benefit Details |
Franklin | $35.50 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | < 10 members Browse Formulary | |||||
Community HealthFirst Medicare Advantage SNP (HMO) - H5826-005-0 Benefit Details |
Franklin | $ 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% | n/a Browse Formulary | |||||
Clear Care Prestige (PPO) - H2810-001-0 Benefit Details |
Franklin | $37.00 | $310 | No Gap Coverage | Preferred Generic: $6.00 Preferred Brand: $17.00 Non-Preferred: 50% | 509 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) - H5826-009-0 Benefit Details |
Franklin | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | 827 members Browse Formulary | |||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-016-0 Benefit Details |
Franklin | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 608 members | ||||||
Clear Care Elite (PPO) - H2810-002-0 Benefit Details |
Franklin | $78.00 | $0 | No Gap Coverage | Preferred Generic: $9.00 Preferred Brand: $15.00 Non-Preferred: 50% | 969 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 |
Franklin | $85.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-036-0 Benefit Details |
Franklin | $90.00 | $0 | No Gap Coverage | Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | 2,420 members Browse Formulary | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-174-0 Benefit Details |
Franklin | $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 Basic Plus (PFFS) - H5006-018-3 Benefit Details |
Franklin | $109.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Today's Options Premier (PFFS) - H5421-171-0 Benefit Details |
Franklin | $124.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Asuris TruAdvantage (PPO) - H5010-001-0 Benefit Details |
Franklin | $136.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 88 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Asuris TruAdvantage + Rx Classic (PPO) - H5010-002-0 Benefit Details |
Franklin | $146.00 | $265 | No Gap Coverage | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 26% Specialty: 26% | 683 members Browse Formulary | |||||
Sterling Option II (PFFS) - H5006-017-3 Benefit Details |
Franklin | $170.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Sterling Option I (PFFS) - H5006-014-3 Benefit Details |
Franklin | $183.00 | 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 Premier powered by CCRx (PFFS) - H5421-172-0 Benefit Details |
Franklin | $186.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
Sterling Option IV (PFFS) - H5006-016-3 Benefit Details |
Franklin | $196.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
Asuris TruAdvantage + Rx Enhanced (PPO) - H5010-004-0 Benefit Details |
Franklin | $206.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | 858 members Browse Formulary | |||||
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