2012 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
Arcadian Community Care - Plus (HMO) - H7179-002-0 Benefit Details |
St. Landry | $0.00 | $0 | Many Generics | Tier 1: tbd | $4,950 Browse Formulary | |||||
-- | |||||||||||
HumanaChoice R5826-068 (Regional PPO) - R5826-068-0 Benefit Details |
St. Landry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
-- | |||||||||||
WellCare Dividend (HMO-POS) - H1903-024-0 Benefit Details |
St. Landry | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $4.00 Tier 2: $39.00 Tier 3: $75.00 Tier 4: 33% | $6,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
WellCare Value (HMO-POS) - H1903-022-0 Benefit Details |
St. Landry | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $3.00 Tier 2: $35.00 Tier 3: $60.00 Tier 4: 33% | $4,000 Browse Formulary | |||||
WindsorSterling Silver Connect Plan (PFFS) - H3410-002-11 Benefit Details |
St. Landry | $25.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 | ||||||
-- | -- | ||||||||||
WindsorSterling Emerald Connect Plan (PFFS) - H3410-004-11 Benefit Details |
St. Landry | $28.50 | $150 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $5.00 Tier 2: $10.00 Tier 3: $33.00 Tier 4: $87.00 Tier 5: 29% | $6,700 Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Arcadian Community Care - Dual Plus (HMO SNP) - H7179-013-0 Benefit Details |
St. Landry | $ 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 | |||||
-- | |||||||||||
WellCare Access (HMO SNP) - H1903-011-0 Benefit Details |
St. Landry | $ 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: $0.00 Tier 2: $45.00 Tier 3: $95.00 Tier 4: 25% | n/a Browse Formulary | |||||
Humana Reader's Digest Healthy Living Plan (PPO) - H7002-002-0 Benefit Details |
St. Landry | $37.00 | $0 | Few Generics, Few Brands | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $83.00 Tier 4: 33% | $3,900 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-078 (Regional PPO) - R5826-078-0 Benefit Details |
St. Landry | $40.00 | $320 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% | $5,900 Browse Formulary | |||||
-- | |||||||||||
WindsorSterling Gold Connect Plan (PFFS) - H3410-003-11 Benefit Details |
St. Landry | $55.00 | $50 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $5.00 Tier 2: $15.00 Tier 3: $34.00 Tier 4: $84.00 Tier 5: 30% | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
HumanaChoice R5826-011 (Regional PPO) - R5826-011-0 Benefit Details |
St. Landry | $67.00 | $0 | Few Generics, Few Brands | Tier 1: $6.00 Tier 2: $40.00 Tier 3: $80.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
-- |
|