$dynamicTitle=$dynamicTitle.' Medicare Advantage Plans'; ?>
2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
Advocare Essence (HMO-POS) - H5211-003-0 Benefit Details |
Juneau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,141 members | ||||||
Gundersen Lutheran Sr. Pref. Value (no RX) (HMO) - H5262-004-0 Benefit Details |
Juneau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 345 members | ||||||
HumanaChoice R5826-023 (Regional PPO) - R5826-023-0 Benefit Details |
Juneau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 9,018 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-023 (Regional PPO) - R5826-023-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 9,018 members | ||||||
Advocare Essence Rx (HMO-POS) - H5211-002-0 Benefit Details |
Juneau | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | 6,085 members Browse Formulary | |||||
Gundersen Lutheran Senior Pref. Value w/RX (HMO) - H5262-003-0 Benefit Details |
Juneau | $34.60 | $0 | No Gap Coverage | Tier 1 - Generic Drugs: $9.00 Tier 2 - Formulary Preferred Brand Drugs: $32.00 Tier 3 - Formulary Non-Preferred Brand Drugs: $87.00 Tier 4 - Specialty High Cost Drugs: 33% | 661 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) - H4270-001-0 Benefit Details |
Juneau | $51.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 813 members | ||||||
-- | |||||||||||
SmartValue Classic (PFFS) - H0540-094-0 Benefit Details |
Juneau | $55.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 965 members | ||||||
UCare for Seniors Value Plus (HMO-POS) - H4270-003-0 Benefit Details |
Juneau | $61.50 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 25% | 2,157 members Browse Formulary | |||||
-- | |||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
SmartValue Plus (PFFS) - H0540-095-0 Benefit Details |
Juneau | $62.00 | $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% | 802 members Browse Formulary | |||||
Humana Gold Choice H2944-067 (PFFS) - H2944-067-0 Benefit Details |
Juneau | $63.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33% | 6,354 members Browse Formulary | |||||
Today's Options Value (PFFS) - H5421-165-0 Benefit Details |
Juneau | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,006 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Today's Options Value powered by CCRx (PFFS) - H5421-166-0 Benefit Details |
Juneau | $76.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 3,797 members Browse Formulary | |||||
Gundersen Lutheran Sr. Pref. Elite (no RX) (HMO) - H5262-005-0 Benefit Details |
Juneau | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 3,691 members | ||||||
Today's Options Premier (PFFS) - H5421-163-0 Benefit Details |
Juneau | $104.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 6,062 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) - H5211-001-0 Benefit Details |
Juneau | $108.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 5,824 members | ||||||
Gundersen Lutheran Senior Pref. Elite w/RX (HMO) - H5262-001-0 Benefit Details |
Juneau | $113.60 | $0 | No Gap Coverage | Tier 1 - Generic Drugs: $9.00 Tier 2 - Formulary Preferred Brand Drugs: $24.00 Tier 3 - Formulary Non-Preferred Brand Drugs: $80.00 Tier 4 - Specialty High Cost Drugs: 33% | 7,149 members Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) - H4270-002-0 Benefit Details |
Juneau | $128.00 | $0 | Many Generics | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $60.00 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 | |||||||||
Advocare Spirit Rx (HMO-POS) - H5211-004-0 Benefit Details |
Juneau | $143.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | 7,572 members Browse Formulary | |||||
Today's Options Premier powered by CCRx (PFFS) - H5421-164-0 Benefit Details |
Juneau | $151.00 | $0 | All Generics | Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33% | 2,969 members Browse Formulary | |||||
Advocare Vitality (HMO-POS) - H5211-006-0 Benefit Details |
Juneau | $164.00 | 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 | |||||||||
HumanaChoice R5826-009 (Regional PPO) - R5826-009-0 Benefit Details |
Juneau | $179.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
HumanaChoice R5826-009 (Regional PPO) - R5826-009-0 Benefit Details |
Statewide | $179.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | n/a Browse Formulary | |||||
Advocare Vitality Rx (HMO-POS) - H5211-005-0 Benefit Details |
Juneau | $199.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | 3,214 members Browse Formulary | |||||
|