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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Humana Gold Plus H2949-009 (HMO) - H2949-009-0 Benefit Details |
Nye | $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 |
Nye | $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 | |||||
Humana Gold Plus SNP-CL H2949-014 (HMO SNP) - H2949-014-0 Benefit Details |
Nye | $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 | |||||
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-CVD/CHF/DM H2949-013 (HMO SNP) - H2949-013-0 Benefit Details |
Nye | $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 | |||||
Senior Dimensions Southern Nevada (HMO-POS) - H2931-002-0 Benefit Details |
Nye | $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 |
Nye | $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 | |||||
Sierra VillageHealth (HMO SNP) - H2931-015-0 Benefit Details |
Nye | $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 | |||||
Humana Gold Plus H2949-015 (HMO-POS) - H2949-015-0 Benefit Details |
Nye | $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 |
Nye | $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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