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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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SecureHorizons MedicareDirect Plan 2 (PFFS) - H5435-002-0 Benefit Details |
Platte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 16,559 members | ||||||
SecureHorizons MedicareDirect Rx Plan 55 (PFFS) - H5435-024-0 Benefit Details |
Platte | $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: $80.00 Tier 4 Specialty: 33% | 54,374 members Browse Formulary | |||||
WINhealth Green Plan (Cost) - H0602-044-0 Benefit Details |
Platte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | 16 members | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
AB Basic Plan (Cost) - H0602-026-0 Benefit Details |
Platte | $25.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
WINhealth Green Plan + Rx (Cost) - H0602-045-0 Benefit Details |
Platte | $31.20 | $115 | No Gap Coverage | Generic Drugs: $11.00 Preferred Brand Drugs: $35.00 Non-Preferred Drugs: $55.00 Specialty Drugs: 30% | 67 members Browse Formulary | |||||
MedicareBlue PPO (Regional PPO) - R5566-005-0 Benefit Details |
Platte | $57.30 | $310 | No Gap Coverage | Level 1: Covered Generic: 13% Level 2: Covered Preferred Brand: 23% Level 3: Covered Brand: 50% Covered Specialty: 25% | 22,330 members Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
Plan ID Members | |||||
Service | Exper. | Cost Info | |||||||||
MedicareBlue PPO (Regional PPO) - R5566-005-0 Benefit Details |
Statewide | $57.30 | $310 | No Gap Coverage | Level 1: Covered Generic: 13% Level 2: Covered Preferred Brand: 23% Level 3: Covered Brand: 50% Covered Specialty: 25% | 22,330 members Browse Formulary | |||||
WINhealth Standard Plan (Cost) - H0602-013-0 Benefit Details |
Platte | $65.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | < 10 members | ||||||
Humana Gold Choice H2944-071 (PFFS) - H2944-071-0 Benefit Details |
Platte | $107.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 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 | |||||||||
WINhealth Standard Plan + Rx (Cost) - H0602-023-0 Benefit Details |
Platte | $113.10 | $0 | No Gap Coverage | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand: $60.00 Specialty Drugs: 33% | 64 members Browse Formulary | |||||
Humana Gold Choice H2944-072 (PFFS) - H2944-072-0 Benefit Details |
Platte | $164.00 | $310 | No Gap Coverage | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | 705 members Browse Formulary | |||||
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