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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 |
Kitsap | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,544 members | ||||||
Community HealthFirst Medicare Advantage Extra (HMO) - H5826-010-0 Benefit Details |
Kitsap | $0.00 | $0 | Many Generics | Tier 1 - Generic: $5.00 Tier 2 - Brand: $45.00 Tier 3 - Specialty: 33% | 772 members Browse Formulary | |||||
SecureHorizons MedicareDirect Plan 3 (PFFS) - H5435-003-0 Benefit Details |
Kitsap | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 24,942 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SecurityChoice Classic (PFFS) - H0540-001-0 Benefit Details |
Kitsap | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 22,271 members | ||||||
Today's Options Premier (PFFS) - H5421-139-0 Benefit Details |
Kitsap | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,721 members | ||||||
Today's Options Value (PFFS) - H5421-141-0 Benefit Details |
Kitsap | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 259 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Community HealthFirst Medicare Advantage (HMO) - H5826-006-0 Benefit Details |
Kitsap | $10.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 223 members | ||||||
Clear Care Basic (HMO) - H5050-001-0 Benefit Details |
Kitsap | $17.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,745 members | ||||||
Clear Care Vital (HMO) - H5050-013-0 Benefit Details |
Kitsap | $17.00 | $310 | No Gap Coverage | Preferred Generic: $6.00 Preferred Brand: $17.00 Non-Preferred: 50% | 2,528 members Browse Formulary | |||||
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 |
Kitsap | $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 |
Kitsap | $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 | |||||
Today's Options Value powered by CCRx (PFFS) - H5421-142-0 Benefit Details |
Kitsap | $26.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) - H5826-008-0 Benefit Details |
Kitsap | $35.60 | $0 | No Gap Coverage | Tier 1 - Generic: $13.00 Tier 2 - Brand: $45.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst Medicare Advantage SNP (HMO) - H5826-005-0 Benefit Details |
Kitsap | $ 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 | |||||
Evercare Plan IH (HMO) - H5008-001-0 Benefit Details |
Kitsap | $35.60 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 406 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 | |||||||||
Sterling Basic Plus (PFFS) - H5006-018-1 Benefit Details |
Kitsap | $39.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 10,911 members | ||||||
Sterling Option I (PFFS) - H5006-014-1 Benefit Details |
Kitsap | $59.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 43,891 members | ||||||
CIGNA Medicare Access Plan Three (PFFS) - H2762-016-0 Benefit Details |
Kitsap | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 608 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) - H5421-140-0 Benefit Details |
Kitsap | $64.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-061 (PFFS) - H2944-061-0 Benefit Details |
Kitsap | $88.00 | $0 | Few Generics, Few Brand | Preferred Generic: $6.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 640 members Browse Formulary | |||||
Humana Gold Choice H2944-062 (PFFS) - H2944-062-0 Benefit Details |
Kitsap | $89.00 | $0 | Few Generics, Few Brand | Preferred Generic: $6.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 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 | |||||||||
CIGNA Medicare Access Plus RX Plan Four (PFFS) - H2762-036-0 Benefit Details |
Kitsap | $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 | |||||
Sterling Option II (PFFS) - H5006-017-1 Benefit Details |
Kitsap | $99.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $34.00 Specialty: 25% | 8,639 members Browse Formulary | |||||
Clear Care Essential (HMO) - H5050-009-0 Benefit Details |
Kitsap | $116.00 | $310 | No Gap Coverage | Prefered Generic: $4.00 Preferred Brand: $14.00 Non-Preferred: 50% | 11,759 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Sterling Option IV (PFFS) - H5006-016-1 Benefit Details |
Kitsap | $119.00 | $225 | No Gap Coverage | Generic: $10.00 Brand: $36.00 Specialty: 25% | 3,337 members Browse Formulary | |||||
Humana Gold Choice H2944-072 (PFFS) - H2944-072-0 Benefit Details |
Kitsap | $164.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 705 members Browse Formulary | |||||
Regence MedAdvantage (PPO) - H5009-001-0 Benefit Details |
Kitsap | $195.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 938 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Regence MedAdvantage + Rx Classic (PPO) - H5009-002-0 Benefit Details |
Kitsap | $200.00 | $255 | No Gap Coverage | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 26% Specialty: 26% | 7,101 members Browse Formulary | |||||
Clear Care Optimal (HMO) - H5050-004-0 Benefit Details |
Kitsap | $208.00 | $0 | No Gap Coverage | Preferred Generic: $9.00 Preferred Brand: $15.00 Non-Preferred: 50% | 8,504 members Browse Formulary | |||||
Regence MedAdvantage + Rx Enhanced (PPO) - H5009-004-0 Benefit Details |
Kitsap | $262.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | 9,116 members Browse Formulary | |||||
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