2011 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) Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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BlueSaver MSA (MSA) - H9788-001-0 Benefit Details |
Genesee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
BlueCross BlueShield Senior Blue HMO 601 (HMO) - H3384-022-0 Benefit Details |
Genesee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
BlueCross BlueShield Senior Blue HMO 651 PartD (HMO) - H3384-019-0 Benefit Details |
Genesee | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $5.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 30% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Independent Health Encompass 65 Basic (HMO) - H3362-017-0 Benefit Details |
Genesee | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: $4.00 Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Independent Health Medicare Passport Basic (PPO) - H3344-006-0 Benefit Details |
Genesee | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: $4.00 Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SecureHorizons MedicareComplete Choice (Regional PPO) - R5342-001-0 Benefit Details |
Genesee | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $85.00 Specialty Tier Drugs: 33% | $4,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareComplete Choice (Regional PPO) - R5342-001-0 Benefit Details |
Statewide | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $85.00 Specialty Tier Drugs: 33% | $4,400 Browse Formulary | |||||
SecureHorizons MedicareComplete Choice Essential (Regional PPO) - R5342-002-0 Benefit Details |
Genesee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
SecureHorizons MedicareComplete Choice Essential (Regional PPO) - R5342-002-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Today's Options Premier 400 (PFFS) - H2816-007-0 Sanctioned Plan |
Genesee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
new | new | new | |||||||||
Independent Health Encompass 65 (HMO) - H3362-016-0 Benefit Details |
Genesee | $6.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Today's Options Premier 100 (PFFS) - H2816-001-0 Sanctioned Plan |
Genesee | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,250 | ||||||
new | new | new | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Today's Options Premier 450B powered by CCRx (PFFS) - H2816-019-0 Sanctioned Plan |
Genesee | $28.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic and Preferred Brand Drugs: $4.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $65.00 Specialty Tier Drugs: 29% | $3,400 Browse Formulary | |||||
new | new | new | |||||||||
BlueCross BlueShield Senior Blue HMO 602 (HMO) - H3384-051-0 Benefit Details |
Genesee | $29.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Evercare Plan RDP (Regional PPO SNP) - R5342-003-0 Benefit Details |
Genesee | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Evercare Plan RDP (Regional PPO SNP) - R5342-003-0 Benefit Details |
Statewide | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Evercare Plan IH (HMO SNP) - H3379-022-0 Benefit Details |
Genesee | $31.80 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Independent Health Medicare Family Choice (HMO SNP) - H3362-020-0 Benefit Details |
Genesee | $34.10 | $150 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: $5.00 Preferred Brand Drugs: $25.00 Non-Preferred Generic and Non-Preferred Brand Drug: $50.00 Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Independent Health Encompass 65 (HMO) - H3362-003-0 Benefit Details |
Genesee | $35.80 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: $4.00 Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Preferred Gold (HMO) - H3305-007-0 Benefit Details |
Genesee | $37.60 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
BlueCross BlueShield Forever Blue Medicare PPO 701 (PPO) - H5526-002-0 Benefit Details |
Genesee | $40.60 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorChoice Value (HMO) - H3351-010-0 Benefit Details |
Genesee | $44.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
GoldValue Rx (HMO) - H3305-015-0 Benefit Details |
Genesee | $48.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $90.00 Specialty Tier Drugs: 33% | $4,375 Browse Formulary | |||||
Univera Medicare PPO - Plan 102 (PPO) - H3335-002-0 Benefit Details |
Genesee | $64.00 | $125 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 25% | $4,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Independent Health Medicare Passport Advantage (PPO) - H3344-005-0 Benefit Details |
Genesee | $65.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: $4.00 Preferred Brand Drugs: $42.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Today's Options Premier 150A powered by CCRx (PFFS) - H2816-013-0 Sanctioned Plan |
Genesee | $71.00 | $150 | Many Generics, Some Brands | Generic and Preferred Brand Drugs: $4.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $65.00 Specialty Tier Drugs: 29% | $3,250 Browse Formulary | |||||
new | new | new | |||||||||
SeniorChoice Value Plus (HMO) - H3351-012-0 Benefit Details |
Genesee | $74.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorChoice Select (HMO-POS) - H3351-001-0 Benefit Details |
Genesee | $80.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
BlueCross BlueShield Forever Blue Medicare PPO 751 (PPO) - H5526-004-0 Benefit Details |
Genesee | $92.30 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.50 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 30% | $3,400 Browse Formulary | |||||
BlueCross BlueShield Senior Blue HMO 653 PartD (HMO) - H3384-041-0 Benefit Details |
Genesee | $95.30 | $0 | Some Generics | Generic Drugs: $5.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: 50% Specialty Tier Drugs: 30% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Preferred Gold Rx (HMO) - H3305-011-0 Benefit Details |
Genesee | $103.70 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $90.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
SeniorChoice Secure (HMO-POS) - H3351-002-0 Benefit Details |
Genesee | $114.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Independent Health Medicare Passport Premier (PPO) - H3344-003-0 Benefit Details |
Genesee | $173.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Preferred Generic and Brand Drugs: $4.00 Preferred Brand Drugs: $40.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
GoldAnywhere Rx (PPO) - H3346-002-0 Benefit Details |
Genesee | $241.20 | $0 | Many Generics | Preferred Generic Drugs: $5.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $90.00 Specialty Tier Drugs: 33% | $4,000 Browse Formulary | |||||
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