2013 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 Prime Choice H9503-006 (PPO) - H9503-006-0 Benefit Details |
Washoe | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $6,200 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 | ||||||
Senior Care Plus: Value Rx Plan (HMO) - H2960-012-0 Benefit Details |
Washoe | $0.00 | $0 | Many Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $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) - H2931-004-0 Benefit Details |
Washoe | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic: $0.00 Non-Preferred Generic: $8.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,900 Browse Formulary | |||||
Senior Care Plus: Value Rx Enhanced Plan (HMO) - H2960-004-0 Benefit Details |
Washoe | $26.50 | $0 | Many Generics | Preferred Generic: $3.00 Non-Preferred Generic: $8.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $3,000 Browse Formulary | |||||
Humana Prime Choice H9503-003 (PPO) - H9503-003-0 Benefit Details |
Washoe | $64.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 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 | |||||||||
Anthem Medicare Preferred Standard (PPO) - H2997-007-0 Benefit Details |
Washoe | $83.00 | $95 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00 Non-Preferred Generic: $9.00 Preferred Brand: $44.00 Non-Preferred Brand: $95.00 Injectable Drugs: $95.00 Specialty Tier: 33% | $5,700 Browse Formulary | |||||
Senior Care Plus: Value Rx Select (HMO) - H2960-018-0 Benefit Details |
Washoe | $110.00 | $0 | Many Generics | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $3,000 Browse Formulary | |||||
Senior Care Plus: Value Rx Premier Plan (HMO) - H2960-010-0 Benefit Details |
Washoe | $170.00 | $0 | Many Generics, Some Brands | Preferred Generic: $2.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $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 | $205.00 | $0 | Many Generics, Some Brands | Preferred Generic: $2.00 Non-Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $2,000 Browse Formulary | |||||
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