2012 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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Tufts Medicare Preferred HMO Basic (HMO) - H2256-027-2 Benefit Details |
Barnstable | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
AARP MedicareComplete Choice (Regional PPO) - R7444-001-0 Benefit Details |
Barnstable | $20.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $5.00 Tier 2: $8.00 Tier 3: $45.00 Tier 4: $95.00 Tier 5: 33% | $6,700 Browse Formulary | |||||
Tufts Medicare Preferred HMO Basic Rx (HMO) - H2256-026-2 Benefit Details |
Barnstable | $27.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $10.00 Tier 2: $43.00 Tier 3: $93.00 Tier 4: 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 | |||||||||
Tufts Medicare Preferred HMO Value (HMO) - H2256-019-7 Benefit Details |
Barnstable | $72.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Medicare HMO Blue ValueRx (HMO) - H2261-019-0 Benefit Details |
Barnstable | $87.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $7.00 Tier 2: $14.00 Tier 3: $40.00 Tier 4: $80.00 Tier 5: 29% | $3,400 Browse Formulary | |||||
Tufts Medicare Preferred HMO Value Rx (HMO) - H2256-018-7 Benefit Details |
Barnstable | $99.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $10.00 Tier 2: $43.00 Tier 3: $93.00 Tier 4: 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 | |||||||||
Tufts Medicare Preferred HMO Prime (HMO) - H2256-016-7 Benefit Details |
Barnstable | $112.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Medicare PPO Blue PlusRx (PPO) - H2230-002-0 Benefit Details |
Barnstable | $134.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $7.00 Tier 2: $14.00 Tier 3: $40.00 Tier 4: $80.00 Tier 5: 29% | $3,400 Browse Formulary | |||||
Tufts Medicare Preferred HMO Prime Rx (HMO) - H2256-015-7 Benefit Details |
Barnstable | $139.90 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $10.00 Tier 2: $43.00 Tier 3: $93.00 Tier 4: 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 | |||||||||
Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - H2256-001-7 Benefit Details |
Barnstable | $170.40 | $0 | Many Generics | Tier 1: $8.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
Medicare HMO Blue PlusRx (HMO) - H2261-005-0 Benefit Details |
Barnstable | $181.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $7.00 Tier 2: $14.00 Tier 3: $40.00 Tier 4: $80.00 Tier 5: 29% | $3,400 Browse Formulary | |||||
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