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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Anthem Medicare Preferred Core (PPO) - H2997-003-0 Benefit Details |
Washoe | $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 |
Washoe | $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 | |||||||||
Any, Any, Any Gold MA Only (PFFS) - H8098-003-0 Benefit Details |
Washoe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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-Any, Any, Any Gold Direct (PFFS) - H8098-005-0 Benefit Details |
Washoe | $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 | |||||||||
Senior Care Plus: Value Basic Plan (HMO) - H2960-009-0 Benefit Details |
Washoe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,250 | ||||||
Senior Care Plus: Value Rx Plan (HMO) - H2960-012-0 Benefit Details |
Washoe | $0.00 | $0 | All Generics | Preferred Generic Drugs: $4.00 Non-Preferred Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | $3,250 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 | |||||||||
Senior Dimensions Greater Nevada (HMO-POS) - H2931-004-0 Benefit Details |
Washoe | $0.00 | $0 | Many Generics | Generic Drugs: $5.00 Preferred Generic Drugs: $6.00 Preferred Generic and Preferred Brand Drugs: $44.00 Non-Preferred Generic and Non-Preferred Brand Drug: $93.00 Specialty Tier Drugs: 33% Supplemental Drugs: $5.00 | $3,600 Browse Formulary | |||||
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 Nevada Spectrum (Regional PPO) - R5674-001-0 Benefit Details |
Washoe | $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 | |||||||||
Senior Care Plus: Value Rx Enhanced Plan (HMO) - H2960-004-0 Benefit Details |
Washoe | $24.00 | $0 | All Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $8.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HumanaChoice H9503-003 (PPO) - H9503-003-0 Benefit Details |
Washoe | $61.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Sierra VillageHealth (HMO SNP) - H2931-015-0 Benefit Details |
Washoe | $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 | |||||
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 Platinum (PFFS) - H8098-009-0 Benefit Details |
Washoe | $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 | |||||||||
Senior Care Plus: Value Rx Select (HMO) - H2960-018-0 Benefit Details |
Washoe | $70.00 | $0 | All Generics | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $6.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Senior Care Plus: Value Rx Premier Plan (HMO) - H2960-010-0 Benefit Details |
Washoe | $140.00 | $0 | All Generics and Some Brands | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
Senior Care Plus: Freedom Rx Premier Plan (PPO) - H2906-003-0 Benefit Details |
Washoe | $185.00 | $0 | All Generics and Some Brands | Preferred Generic Drugs: $2.00 Non-Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $60.00 Specialty Tier Drugs: 33% | $2,000 Browse Formulary | |||||
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