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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Anthem Medicare Preferred Core (PPO) - H2997-003-0 Benefit Details |
Washoe | $0.00 | $250 | Many Generics | Tier 1: $0.00 Tier 2: $45.00 Tier 3: $95.00 Tier 4: 33% Tier 5: 33% Tier 6: $0.00 | $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 | Tier 1: $6.00 Tier 2: $15.00 Tier 3: $45.00 Tier 4: $85.00 Tier 5: 33% | $6,700 Browse Formulary | |||||
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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 | ||||||
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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 | |||||||||
HumanaChoice H9503-005 (PPO) - H9503-005-0 Benefit Details |
Washoe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
HumanaChoice H9503-006 (PPO) - H9503-006-0 Benefit Details |
Washoe | $0.00 | $0 | Few Generics, Few Brands | Tier 1: $7.00 Tier 2: $40.00 Tier 3: $80.00 Tier 4: 33% | $6,000 Browse Formulary | |||||
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 | ||||||
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 Plan (HMO) - H2960-012-0 Benefit Details |
Washoe | $0.00 | $0 | All Generics | Tier 1: $4.00 Tier 2: $10.00 Tier 3: $40.00 Tier 4: $70.00 Tier 5: 33% Tier 6: $20.00 | $3,250 Browse Formulary | |||||
Senior Dimensions Greater Nevada (HMO) - H2931-004-0 Benefit Details |
Washoe | $0.00 | $0 | Many Generics, Few Brands | Tier 1: tbd | $4,600 Browse Formulary | |||||
Sierra Nevada Spectrum (Regional PPO) - R5674-001-0 Benefit Details |
Washoe | $0.00 | $0 | Many Generics, Few Brands | Tier 1: tbd | $4,500 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 | |||||||||
Universal Hassle-Free (PPO) - H5096-001-0 Benefit Details |
Washoe | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $6.00 Tier 2: $15.00 Tier 3: $45.00 Tier 4: $85.00 Tier 5: 33% | $6,700 Browse Formulary | |||||
new | new | new | |||||||||
Universal Hassle-Free MA Only (PPO) - H5096-002-0 Benefit Details |
Washoe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
new | new | new | |||||||||
Senior Care Plus: Value Rx Enhanced Plan (HMO) - H2960-004-0 Benefit Details |
Washoe | $22.00 | $0 | All Generics | Tier 1: $3.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: $70.00 Tier 5: 33% Tier 6: $20.00 | $3,000 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 H9503-003 (PPO) - H9503-003-0 Benefit Details |
Washoe | $61.00 | $0 | Few Generics, Few Brands | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $80.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
Senior Care Plus: Value Rx Select (HMO) - H2960-018-0 Benefit Details |
Washoe | $77.00 | $0 | All Generics | Tier 1: $2.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: $70.00 Tier 5: 33% Tier 6: $15.00 | $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 | Tier 1: $2.00 Tier 2: $4.00 Tier 3: $35.00 Tier 4: $65.00 Tier 5: 33% Tier 6: $15.00 | $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 | Tier 1: $2.00 Tier 2: $4.00 Tier 3: $30.00 Tier 4: $60.00 Tier 5: 33% Tier 6: $15.00 | $2,000 Browse Formulary | |||||
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