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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Aetna Medicare Select Plan (HMO) - H7908-001-0 Sanctioned Plan |
Clark | $0.00 | $0 | n/a | Tier 1: Preferred Generic Drugs: $8.00 Tier 2: Non-Preferred Generic Drugs: $39.00 Tier 3: Preferred Brand Drugs: $40.00 Tier 4: Non-Preferred Brand Drugs: $80.00 Tier 5: Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Anthem Medicare Preferred Core (PPO) - H2997-003-0 Benefit Details |
Clark | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $85.00 Injectable Drugs: 33% Specialty Tier Drugs: 33% Supplemental Drugs: 0% | $6,000 Browse Formulary | |||||
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Any, Any, Any Gold (PFFS) - H8098-001-0 Benefit Details |
Clark | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $4.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
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 | |||||||||
Any, Any, Any Gold MA Only (PFFS) - H8098-003-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
new | new | new | |||||||||
CareMore Breathe (HMO SNP) - H4346-005-0 Benefit Details |
Clark | $0.00 | $0 | All Generics | Preferred Generic Drugs: 0% Generic Drugs: $5.00 Brand Drugs: 0% Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
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CareMore Diabetes (HMO SNP) - H4346-006-0 Benefit Details |
Clark | $0.00 | $0 | All Generics | Preferred Generic Drugs: 0% Generic Drugs: $5.00 Brand Drugs: 0% Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
CareMore Touch (HMO SNP) - H4346-003-0 Benefit Details |
Clark | $0.00 | $0 | All Generics | Preferred Generic Drugs: 0% Generic Drugs: $5.00 Brand Drugs: 0% Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
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CareMore Value Plus (HMO) - H4346-001-0 Benefit Details |
Clark | $0.00 | $0 | All Generics | Preferred Generic Drugs: 0% Generic Drugs: $5.00 Brand Drugs: $25.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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e-Any, Any, Any Gold Direct (PFFS) - H8098-005-0 Benefit Details |
Clark | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
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 | |||||||||
e-Medicare Masterpiece Direct (HMO-POS) - H6705-002-0 Benefit Details |
Clark | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
new | new | new | |||||||||
Humana Gold Plus H2949-009 (HMO) - H2949-009-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Humana Gold Plus H2949-012 (HMO) - H2949-012-0 Benefit Details |
Clark | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $2,500 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 | |||||||||
Humana Gold Plus SNP-CL H2949-014 (HMO SNP) - H2949-014-0 Benefit Details |
Clark | $0.00 | $0 | Some Generics, Few Brands | Preferred Generic Drugs: $5.00 Preferred Generic and Brand Drugs: $5.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Humana Gold Plus SNP-CVD/CHF/DM H2949-013 (HMO SNP) - H2949-013-0 Benefit Details |
Clark | $0.00 | $0 | Some Generics, Few Brands | Preferred Generic Drugs: $5.00 Preferred Generic and Brand Drugs: $5.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece (HMO-POS) - H6705-001-0 Benefit Details |
Clark | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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 | |||||||||
SecureHorizons MedicareComplete (HMO) - H7949-001-0 Benefit Details |
Clark | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $40.00 Non-Preferred Generic and Non-Preferred Brand Drug: $92.00 Specialty Tier Drugs: 33% | $3,350 Browse Formulary | |||||
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Senior Dimensions Southern Nevada (HMO-POS) - H2931-002-0 Benefit Details |
Clark | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Generic Drugs: $6.00 Preferred Generic and Preferred Brand Drugs: $38.00 Non-Preferred Generic and Non-Preferred Brand Drug: $92.00 Specialty Tier Drugs: 33% Supplemental Drugs: $6.00 | $3,200 Browse Formulary | |||||
Sierra Nevada Spectrum (Regional PPO) - R5674-001-0 Benefit Details |
Clark | $0.00 | $0 | Many Generics | Generic Drugs: $4.00 Preferred Generic Drugs: $6.00 Preferred Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $95.00 Specialty Tier Drugs: 33% | $4,250 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 | |||||||||
Sierra Nevada Spectrum (Regional PPO) - R5674-001-0 Benefit Details |
Statewide | $0.00 | $0 | Many Generics | Generic Drugs: $4.00 Preferred Generic Drugs: $6.00 Preferred Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $95.00 Specialty Tier Drugs: 33% | $4,250 Browse Formulary | |||||
StartSmart with CareMore (HMO) - H4346-007-0 Benefit Details |
Clark | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $5.00 Generic Drugs: $10.00 Brand Drugs: $25.00 Preferred Brand Drugs: $40.00 Non-Preferred Generic and Non-Preferred Brand Drug: $75.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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Aetna Medicare Select Plan (PPO) - H5521-022-0 Sanctioned Plan |
Clark | $21.30 | $0 | n/a | Tier 1: Preferred Generic Drugs: $8.00 Tier 2: Non-Preferred Generic Drugs: $38.00 Tier 3: Preferred Brand Drugs: $40.00 Tier 4: Non-Preferred Brand Drugs: $85.00 Tier 5: Specialty Tier Drugs: 33% | 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 | |||||||||
Sierra VillageHealth (HMO SNP) - H2931-015-0 Benefit Details |
Clark | $68.40 | $0 | Many Generics | Generic Drugs: $8.00 Preferred Generic Drugs: $10.00 Preferred Generic and Preferred Brand Drugs: $38.00 Non-Preferred Generic and Non-Preferred Brand Drug: $92.00 Specialty Tier Drugs: 33% Supplemental Drugs: $8.00 | n/a Browse Formulary | |||||
Any, Any, Any Platinum (PFFS) - H8098-009-0 Benefit Details |
Clark | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: $3.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
new | new | new | |||||||||
Humana Gold Plus H2949-015 (HMO-POS) - H2949-015-0 Benefit Details |
Clark | $81.00 | $0 | Many Generics, Few Brands | Preferred Generic Drugs: $7.00 Non-Preferred Generic and Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $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 | |||||||||
HumanaChoice H9503-001 (PPO) - H9503-001-0 Benefit Details |
Clark | $116.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $7.00 Non-Preferred Generic and Preferred Brand Drugs: $42.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,000 Browse Formulary | |||||
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