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2014 Medicare Advantage Plans: SNPs,
    Health (MAs), Health & Rx Drug (MA-PDs)

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
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Choose Your Medicare Advantage Plan Preferences
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BROWARD, Florida

  Partial Plan Name(s):
 1:
 2:
ex: AARP
Only plans with MOOP ≤ $3,400   5-star rated plans   Limit search to 10 plans  
 none  
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$  max: $344

$  max: $310
Only show SNPs (All 3 Types)
OR only: Dual-Eligible  
Chronic Condition  
Institutional

$  
tip: enter 0 to show plans with a $0 Tier 1 copay
* required
There are 81 Florida 2014 Medicare Advantage plans (MAPD) meeting your criteria.

Caution: The 2014 Medicare Advantage plan information below is for research purposes.
Click here to see 2024 Medicare Advantage plans
2014 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
AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0
Benefit Details
        
Broward $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,700
AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $4.00
Non-Preferred Generic: $8.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
$6,700
Browse Formulary
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
AARP MedicareComplete Plus (HMO-POS) - H9011-019-0
Benefit Details
           
Broward $0.00 $0 Few GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
$5,500
Browse Formulary
AARP MedicareComplete Plus (HMO-POS) - H9011-019-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) AARP MedicareComplete Plus (HMO-POS) - H9011-019-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) AARP MedicareComplete Plus (HMO-POS) - H9011-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Value Plan (HMO) - H5414-019-0
Benefit Details
           
Broward $0.00 $0 Few GenericsGeneric: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$6,700
Browse Formulary
Aetna Medicare Value Plan (HMO) - H5414-019-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Value Plan (HMO) - H5414-019-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Value Plan (HMO) - H5414-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Amerivantage Classic+ Rx Plan (HMO) - H8991-028-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $4.00
Non-Preferred Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
$6,700
Browse Formulary
Amerivantage Classic+ Rx Plan (HMO) - H8991-028-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) Amerivantage Classic+ Rx Plan (HMO) - H8991-028-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Amerivantage Classic+ Rx Plan (HMO) - H8991-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
AvMed Medicare Choice (HMO) - H1016-021-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $4.00
Preferred Brand: $35.00
Non-Preferred Brand: $70.00
Specialty Tier: 33%
$5,000
Browse Formulary
AvMed Medicare Choice (HMO) - H1016-021-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AvMed Medicare Choice (HMO) - H1016-021-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) AvMed Medicare Choice (HMO) - H1016-021-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
BlueMedicare HMO LifeTime (HMO) - H1026-040-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
$4,900
Browse Formulary
BlueMedicare HMO LifeTime (HMO) - H1026-040-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) BlueMedicare HMO LifeTime (HMO) - H1026-040-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) BlueMedicare HMO LifeTime (HMO) - H1026-040-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
BlueMedicare HMO PrimeTime (HMO) - H1026-054-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $40.00
Non-Preferred Brand: $90.00
Specialty Tier: 33%
$3,400
Browse Formulary
BlueMedicare HMO PrimeTime (HMO) - H1026-054-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) BlueMedicare HMO PrimeTime (HMO) - H1026-054-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) BlueMedicare HMO PrimeTime (HMO) - H1026-054-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0
Benefit Details
           
Broward $0.00 $30 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $10.00
Non-Preferred Generic: $33.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
$6,700
Browse Formulary
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor) BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
CareDirect (HMO SNP) - H1019-032-0
Benefit Details
           
Broward $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $50.00
Specialty Tier: 33%
n/a
Browse Formulary
CareDirect (HMO SNP) - H1019-032-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CareDirect (HMO SNP) - H1019-032-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) CareDirect (HMO SNP) - H1019-032-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
CareFree PLUS (HMO) - H1019-068-0
Benefit Details
           
Broward $0.00 $0 Few Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
$5,000
Browse Formulary
CareFree PLUS (HMO) - H1019-068-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CareFree PLUS (HMO) - H1019-068-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) CareFree PLUS (HMO) - H1019-068-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
CareHeart (HMO SNP) - H1019-062-0
Benefit Details
           
Broward $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $50.00
Specialty Tier: 33%
n/a
Browse Formulary
CareHeart (HMO SNP) - H1019-062-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CareHeart (HMO SNP) - H1019-062-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) CareHeart (HMO SNP) - H1019-062-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
CareOne (HMO) - H1019-001-0
Benefit Details
           
Broward $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $50.00
Specialty Tier: 33%
$3,400
Browse Formulary
CareOne (HMO) - H1019-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CareOne (HMO) - H1019-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) CareOne (HMO) - H1019-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Clear Skies (HMO SNP) - H4199-015-0
Sanctioned Plan
           
Broward $0.00 $0 All GenericsGeneric: $0.00
Preferred Brand: $10.00
Non-Preferred Brand: $40.00
Specialty Tier: 33%
n/a
Browse Formulary
Clear Skies (HMO SNP) - H4199-015-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Clear Skies (HMO SNP) - H4199-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Coventry Summit Ideal (HMO) - H5850-003-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Preferred Brand: $15.00
Non-Preferred Brand: $45.00
Specialty Tier: 33%
$5,300
Browse Formulary
Coventry Summit Ideal (HMO) - H5850-003-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Coventry Summit Ideal (HMO) - H5850-003-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Coventry Summit Ideal (HMO) - H5850-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Coventry Vista Ideal (HMO) - H1013-021-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Brand: $75.00
Specialty Tier: 33%
$6,700
Browse Formulary
Coventry Vista Ideal (HMO) - H1013-021-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Coventry Vista Ideal (HMO) - H1013-021-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Coventry Vista Ideal (HMO) - H1013-021-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Day Break (HMO) - H4199-013-0
Sanctioned Plan
           
Broward $0.00 $0 All GenericsGeneric: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $60.00
Specialty Tier: 33%
$3,400
Browse Formulary
Day Break (HMO) - H4199-013-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Day Break (HMO) - H4199-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Day Light (HMO) - H4199-014-0
Sanctioned Plan
        
Broward $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$3,400
Day Light (HMO) - H4199-014-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Day Light (HMO) - H4199-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Freedom Medicare Plan Rx (HMO) - H5427-060-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
$3,400
Browse Formulary
Freedom Medicare Plan Rx (HMO) - H5427-060-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Freedom Medicare Plan Rx (HMO) - H5427-060-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Freedom Medicare Plan Rx (HMO) - H5427-060-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Freedom VIP Savings (HMO SNP) - H5427-082-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
n/a
Browse Formulary
Freedom VIP Savings (HMO SNP) - H5427-082-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Freedom VIP Savings (HMO SNP) - H5427-082-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Freedom VIP Savings (HMO SNP) - H5427-082-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Freedom VIP Savings COPD (HMO SNP) - H5427-083-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
n/a
Browse Formulary
Freedom VIP Savings COPD (HMO SNP) - H5427-083-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Freedom VIP Savings COPD (HMO SNP) - H5427-083-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Freedom VIP Savings COPD (HMO SNP) - H5427-083-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Healthy Advantage Plan (HMO) - H5431-009-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: 25%
Non-Preferred Brand: 33%
Specialty Tier: 33%
Tier 6: $0.00
$3,400
Browse Formulary
-- -- Healthy Advantage Plan (HMO) - H5431-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Humana Gold Plus H1036-053A (HMO) - H1036-053-0
Benefit Details
        
Broward $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$3,400
Humana Gold Plus H1036-053A (HMO) - H1036-053-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus H1036-053A (HMO) - H1036-053-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus H1036-053A (HMO) - H1036-053-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Humana Gold Plus H1036-065C (HMO) - H1036-065-0
Benefit Details
           
Broward $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $50.00
Specialty Tier: 33%
$3,400
Browse Formulary
Humana Gold Plus H1036-065C (HMO) - H1036-065-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus H1036-065C (HMO) - H1036-065-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus H1036-065C (HMO) - H1036-065-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Humana Gold Plus H1036-224 (HMO) - H1036-224-0
Benefit Details
           
Broward $0.00 $0 Few Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
$6,700
Browse Formulary
Humana Gold Plus H1036-224 (HMO) - H1036-224-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus H1036-224 (HMO) - H1036-224-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus H1036-224 (HMO) - H1036-224-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Humana Gold Plus SNP-CVD/CHF H1036-186 (HMO SNP) - H1036-186-0
Benefit Details
           
Broward $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $50.00
Specialty Tier: 33%
n/a
Browse Formulary
Humana Gold Plus SNP-CVD/CHF H1036-186 (HMO SNP) - H1036-186-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus SNP-CVD/CHF H1036-186 (HMO SNP) - H1036-186-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus SNP-CVD/CHF H1036-186 (HMO SNP) - H1036-186-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Humana Gold Plus SNP-DB H1036-121C (HMO SNP) - H1036-121-0
Benefit Details
           
Broward $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $50.00
Specialty Tier: 33%
n/a
Browse Formulary
Humana Gold Plus SNP-DB H1036-121C (HMO SNP) - H1036-121-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus SNP-DB H1036-121C (HMO SNP) - H1036-121-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus SNP-DB H1036-121C (HMO SNP) - H1036-121-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0
Benefit Details
        
Broward $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,000
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0
Benefit Details
           
Broward $0.00 $150 Few Generics,
Few Brands
Preferred Generic: $6.00
Non-Preferred Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 29%
$5,900
Browse Formulary
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Medica HealthCare Plans MedicareMax (HMO) - H5420-003-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Brand: $89.00
Specialty Tier: 33%
$4,500
Browse Formulary
Medica HealthCare Plans MedicareMax (HMO) - H5420-003-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Medica HealthCare Plans MedicareMax (HMO) - H5420-003-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Medica HealthCare Plans MedicareMax (HMO) - H5420-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Optimum Gold Rewards Plan (HMO-POS) - H5594-001-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Brand: $80.00
Specialty Tier: 33%
$3,400
Browse Formulary
Optimum Gold Rewards Plan (HMO-POS) - H5594-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Optimum Gold Rewards Plan (HMO-POS) - H5594-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Optimum Gold Rewards Plan (HMO-POS) - H5594-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Optimum Platinum Plan (HMO-POS) - H5594-002-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Preferred Brand: $5.00
Non-Preferred Brand: $69.00
Specialty Tier: 33%
$3,400
Browse Formulary
Optimum Platinum Plan (HMO-POS) - H5594-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Optimum Platinum Plan (HMO-POS) - H5594-002-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Optimum Platinum Plan (HMO-POS) - H5594-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
PHP (HMO SNP) - H3132-001-0
Benefit Details
           
Broward $0.00 $310 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
n/a
Browse Formulary
-- PHP (HMO SNP) - H3132-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) PHP (HMO SNP) - H3132-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Preferred Choice Broward (HMO) - H1045-005-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $40.00
Specialty Tier: 33%
$3,400
Browse Formulary
-- Preferred Choice Broward (HMO) - H1045-005-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Preferred Choice Broward (HMO) - H1045-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
PUP EASY (HMO) - H5696-041-0
Sanctioned Plan
           
Broward $0.00 $0 Many GenericsGeneric: $0.00
Preferred Brand: $10.00
Non-Preferred Brand: $45.00
Specialty Tier: 33%
$3,400
Browse Formulary
PUP EASY (HMO) - H5696-041-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) PUP EASY (HMO) - H5696-041-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) PUP EASY (HMO) - H5696-041-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
PUP REWARDS (HMO) - H5696-028-0
Sanctioned Plan
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $90.00
Specialty Tier: 33%
$4,600
Browse Formulary
PUP REWARDS (HMO) - H5696-028-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) PUP REWARDS (HMO) - H5696-028-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) PUP REWARDS (HMO) - H5696-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Simply Clear (HMO SNP) - H5471-025-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountGeneric: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Simply Clear (HMO SNP) - H5471-025-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Clear (HMO SNP) - H5471-025-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Simply Extra (HMO) - H5471-016-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $75.00
Specialty Tier: 33%
$3,400
Browse Formulary
Simply Extra (HMO) - H5471-016-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Extra (HMO) - H5471-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Simply Level (HMO SNP) - H5471-019-0
Benefit Details
           
Broward $0.00 $0 Many Generics,
Few Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $5.00
Non-Preferred Brand: $30.00
Specialty Tier: 33%
n/a
Browse Formulary
Simply Level (HMO SNP) - H5471-019-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Level (HMO SNP) - H5471-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Simply More (HMO) - H5471-014-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $5.00
Non-Preferred Brand: $30.00
Specialty Tier: 33%
$3,400
Browse Formulary
Simply More (HMO) - H5471-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply More (HMO) - H5471-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Simply Options (HMO-POS) - H5471-015-0
Benefit Details
           
Broward $0.00 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $20.00
Non-Preferred Brand: $40.00
Specialty Tier: 33%
$3,400
Browse Formulary
Simply Options (HMO-POS) - H5471-015-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Options (HMO-POS) - H5471-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
SunPlus Advantage Plan (HMO) - H5431-002-0
Benefit Details
           
Broward $0.00 $0 All Generics,
All Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $0.00
Specialty Tier: 25%
Supplemental Brand and Generic Drugs: $0.00
$3,400
Browse Formulary
-- -- SunPlus Advantage Plan (HMO) - H5431-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
SunPlus Diabetes Special Needs Plan (HMO SNP) - H5431-008-0
Benefit Details
           
Broward $0.00 $0 All Generics,
All Brands
Preferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $0.00
Specialty Tier: 25%
Tier 6: $0.00
n/a
Browse Formulary
-- -- SunPlus Diabetes Special Needs Plan (HMO SNP) - H5431-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Sunrise (HMO) - H4199-012-0
Sanctioned Plan
           
Broward $0.00 $0 All GenericsGeneric: $0.00
Preferred Brand: $10.00
Non-Preferred Brand: $40.00
Specialty Tier: 33%
$3,400
Browse Formulary
Sunrise (HMO) - H4199-012-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Sunrise (HMO) - H4199-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
WellCare Advance (HMO) - H1032-037-0
Benefit Details
        
Broward $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,700
WellCare Advance (HMO) - H1032-037-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Advance (HMO) - H1032-037-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Advance (HMO) - H1032-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
WellCare Dividend (HMO) - H1032-179-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Non-Preferred Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Brand: $75.00
Specialty Tier: 33%
$6,700
Browse Formulary
WellCare Dividend (HMO) - H1032-179-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Dividend (HMO) - H1032-179-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Dividend (HMO) - H1032-179-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
WellCare Essential (HMO-POS) - H1032-133-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Brand: $79.00
Specialty Tier: 33%
$6,700
Browse Formulary
WellCare Essential (HMO-POS) - H1032-133-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Essential (HMO-POS) - H1032-133-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Essential (HMO-POS) - H1032-133-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
WellCare Value (HMO) - H1032-073-0
Benefit Details
           
Broward $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Brand: $79.00
Specialty Tier: 33%
$6,700
Browse Formulary
WellCare Value (HMO) - H1032-073-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Value (HMO) - H1032-073-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Value (HMO) - H1032-073-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Humana Gold Plus SNP-I H1036-185 (HMO SNP) - H1036-185-0
Benefit Details
           
Broward $7.70 $310 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
Humana Gold Plus SNP-I H1036-185 (HMO SNP) - H1036-185-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus SNP-I H1036-185 (HMO SNP) - H1036-185-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus SNP-I H1036-185 (HMO SNP) - H1036-185-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Humana Gold Plus SNP-DE H1036-103A (HMO SNP) - H1036-103-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
Humana Gold Plus SNP-DE H1036-103A (HMO SNP) - H1036-103-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus SNP-DE H1036-103A (HMO SNP) - H1036-103-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus SNP-DE H1036-103A (HMO SNP) - H1036-103-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Liberty (HMO SNP) - H1032-124-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $4.00
Preferred Brand: $35.00
Non-Preferred Brand: $88.00
Specialty Tier: 25%
n/a
Browse Formulary
WellCare Liberty (HMO SNP) - H1032-124-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Liberty (HMO SNP) - H1032-124-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Liberty (HMO SNP) - H1032-124-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
PUP EXTRA (HMO SNP) - H5696-021-0
Sanctioned Plan
           
Broward $0.00 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 DiscountGeneric: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $0.00
Specialty Tier: 25%
n/a
Browse Formulary
PUP EXTRA (HMO SNP) - H5696-021-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) PUP EXTRA (HMO SNP) - H5696-021-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) PUP EXTRA (HMO SNP) - H5696-021-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Access (HMO SNP) - H1032-175-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $7.00
Preferred Brand: $35.00
Non-Preferred Brand: $84.00
Specialty Tier: 25%
n/a
Browse Formulary
WellCare Access (HMO SNP) - H1032-175-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Access (HMO SNP) - H1032-175-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Access (HMO SNP) - H1032-175-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Humana Gold Plus SNP-DE H1036-162 (HMO SNP) - H1036-162-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
Humana Gold Plus SNP-DE H1036-162 (HMO SNP) - H1036-162-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus SNP-DE H1036-162 (HMO SNP) - H1036-162-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus SNP-DE H1036-162 (HMO SNP) - H1036-162-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
WellCare Select (HMO SNP) - H1032-061-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $4.00
Preferred Brand: $35.00
Non-Preferred Brand: $88.00
Specialty Tier: 25%
n/a
Browse Formulary
WellCare Select (HMO SNP) - H1032-061-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) WellCare Select (HMO SNP) - H1032-061-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) WellCare Select (HMO SNP) - H1032-061-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
CareNeeds PLUS (HMO SNP) - H1019-047-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
CareNeeds PLUS (HMO SNP) - H1019-047-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CareNeeds PLUS (HMO SNP) - H1019-047-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) CareNeeds PLUS (HMO SNP) - H1019-047-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
CareNeeds (HMO SNP) - H1019-023-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
CareNeeds (HMO SNP) - H1019-023-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CareNeeds (HMO SNP) - H1019-023-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) CareNeeds (HMO SNP) - H1019-023-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Coventry Summit Maximum (HMO SNP) - H5850-002-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many GenericsPreferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $76.00
Specialty Tier: 33%
n/a
Browse Formulary
Coventry Summit Maximum (HMO SNP) - H5850-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Coventry Summit Maximum (HMO SNP) - H5850-002-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Coventry Summit Maximum (HMO SNP) - H5850-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
UnitedHealthcare Nursing Home Plan (PPO SNP) - H5417-001-0
Benefit Details
           
Broward $19.80 $310 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
Tier 2: 25%
Tier 3: 25%
Tier 4: 25%
Tier 5: 25%
n/a
Browse Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP) - H5417-001-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) -- UnitedHealthcare Nursing Home Plan (PPO SNP) - H5417-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP) - H5420-006-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many GenericsPreferred Generic: $0.00
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP) - H5420-006-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP) - H5420-006-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Medica HealthCare Plans MedicareMax Plus (HMO-POS SNP) - H5420-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Advantage by Sunshine Health (HMO SNP) - H5190-003-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many GenericsGeneric: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Injectable Drugs: $95.00
n/a
Browse Formulary
-- -- --  
Preferred Medicare Assist (HMO-POS SNP) - H1045-012-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many GenericsPreferred Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
-- Preferred Medicare Assist (HMO-POS SNP) - H1045-012-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Preferred Medicare Assist (HMO-POS SNP) - H1045-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
UnitedHealthcare Dual Complete RP (Regional PPO SNP) - R5287-003-0
Benefit Details
           
Broward $0.00 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 DiscountTier 1: 15%
Tier 2: 15%
Tier 3: 15%
Tier 4: 15%
Tier 5: 15%
n/a
Browse Formulary
UnitedHealthcare Dual Complete RP (Regional PPO SNP) - R5287-003-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) UnitedHealthcare Dual Complete RP (Regional PPO SNP) - R5287-003-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) UnitedHealthcare Dual Complete RP (Regional PPO SNP) - R5287-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Molina Medicare Options Plus (HMO SNP) - H8130-001-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many Generics,
Few Brands
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
Molina Medicare Options Plus (HMO SNP) - H8130-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Molina Medicare Options Plus (HMO SNP) - H8130-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Amerivantage Specialty + Rx (HMO SNP) - H8991-017-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Some GenericsPreferred Generic: $0.00
Non-Preferred Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Amerivantage Specialty + Rx (HMO SNP) - H8991-017-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) Amerivantage Specialty + Rx (HMO SNP) - H8991-017-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Amerivantage Specialty + Rx (HMO SNP) - H8991-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Coventry Vista Maximum Choice (HMO SNP) - H1076-011-0
Benefit Details
           
Broward $0.00 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 DiscountPreferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $76.00
Specialty Tier: 33%
n/a
Browse Formulary
Coventry Vista Maximum Choice (HMO SNP) - H1076-011-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Coventry Vista Maximum Choice (HMO SNP) - H1076-011-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Coventry Vista Maximum Choice (HMO SNP) - H1076-011-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Freedom Medi-Medi Full (HMO SNP) - H5427-087-0
Benefit Details
           
Broward $0.00 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 DiscountTier 1: 0%
n/a
Browse Formulary
Freedom Medi-Medi Full (HMO SNP) - H5427-087-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Freedom Medi-Medi Full (HMO SNP) - H5427-087-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Freedom Medi-Medi Full (HMO SNP) - H5427-087-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Freedom Medi-Medi Partial (HMO SNP) - H5427-078-0
Benefit Details
           
Broward $0.00 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 DiscountTier 1: 15%
n/a
Browse Formulary
Freedom Medi-Medi Partial (HMO SNP) - H5427-078-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Freedom Medi-Medi Partial (HMO SNP) - H5427-078-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Freedom Medi-Medi Partial (HMO SNP) - H5427-078-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
MediMax (HMO) - H5431-006-0
Benefit Details
           
Broward $22.10 $310 Call plan for detailsPreferred Generic: 25%
Non-Preferred Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Supplemental Brand and Generic Drugs: $0.00
$3,400
Browse Formulary
-- -- MediMax (HMO) - H5431-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Optimum Emerald Full (HMO SNP) - H5594-017-0
Benefit Details
           
Broward $0.00 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 DiscountTier 1: 0%
n/a
Browse Formulary
Optimum Emerald Full (HMO SNP) - H5594-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Optimum Emerald Full (HMO SNP) - H5594-017-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Optimum Emerald Full (HMO SNP) - H5594-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Optimum Emerald Partial (HMO SNP) - H5594-016-0
Benefit Details
           
Broward $0.00 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 DiscountTier 1: 15%
n/a
Browse Formulary
Optimum Emerald Partial (HMO SNP) - H5594-016-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Optimum Emerald Partial (HMO SNP) - H5594-016-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Optimum Emerald Partial (HMO SNP) - H5594-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Simply Care (HMO SNP) - H5471-017-0
Benefit Details
           
Broward $22.10 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $10.00
Non-Preferred Brand: $25.00
Specialty Tier: 33%
n/a
Browse Formulary
Simply Care (HMO SNP) - H5471-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Care (HMO SNP) - H5471-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Simply Comfort (HMO SNP) - H5471-018-0
Benefit Details
           
Broward $22.10 $0 Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $10.00
Non-Preferred Brand: $25.00
Specialty Tier: 33%
n/a
Browse Formulary
Simply Comfort (HMO SNP) - H5471-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Comfort (HMO SNP) - H5471-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Simply Complete (HMO SNP) - H5471-013-0
Benefit Details
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many GenericsPreferred Generic: $0.00
Non-Preferred Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Brand: $75.00
Specialty Tier: 25%
n/a
Browse Formulary
Simply Complete (HMO SNP) - H5471-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Simply Complete (HMO SNP) - H5471-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Touch Institutional Special Needs Plan (HMO SNP) - H8991-029-0
Benefit Details
           
Broward $22.10 $310 Some GenericsPreferred Generic: $0.00
Non-Preferred Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Touch Institutional Special Needs Plan (HMO SNP) - H8991-029-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average) Touch Institutional Special Needs Plan (HMO SNP) - H8991-029-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Touch Institutional Special Needs Plan (HMO SNP) - H8991-029-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Sunny Days (HMO SNP) - H4199-016-0
Sanctioned Plan
           
Broward $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. All GenericsGeneric: $0.00
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Sunny Days (HMO SNP) - H4199-016-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Sunny Days (HMO SNP) - H4199-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Aetna Medicare Premier Plan (PPO) - H5521-033-0
Benefit Details
           
Broward $35.00 $310 No additional gap coverage, only the Donut Hole DiscountGeneric: $4.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
Select Care Drugs: $0.00
$6,700
Browse Formulary
Aetna Medicare Premier Plan (PPO) - H5521-033-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Aetna Medicare Premier Plan (PPO) - H5521-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
HumanaChoice H5415-056 (PPO) - H5415-056-0
Benefit Details
           
Broward $45.00 $0 Few Generics,
Few Brands
Preferred Generic: $5.00
Non-Preferred Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $85.00
Specialty Tier: 33%
$5,000
Browse Formulary
HumanaChoice H5415-056 (PPO) - H5415-056-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) HumanaChoice H5415-056 (PPO) - H5415-056-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) HumanaChoice H5415-056 (PPO) - H5415-056-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0
Benefit Details
           
Broward $92.00 $0 Few Generics,
Few Brands
Preferred Generic: $3.00
Non-Preferred Generic: $8.00
Preferred Brand: $40.00
Non-Preferred Brand: $85.00
Specialty Tier: 33%
$5,700
Browse Formulary
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Humana Gold Choice H8145-061 (PFFS) - H8145-061-0
Benefit Details
           
Broward $103.00 $0 Few Generics,
Few Brands
Preferred Generic: $6.00
Non-Preferred Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 33%
n/a
Browse Formulary
Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
BlueMedicare PPO (PPO) - H5434-002-0
Benefit Details
           
Broward $127.00 $0 Many GenericsPreferred Generic: $2.00
Non-Preferred Generic: $5.00
Preferred Brand: $30.00
Non-Preferred Brand: $75.00
Specialty Tier: 33%
$3,200
Browse Formulary
BlueMedicare PPO (PPO) - H5434-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) BlueMedicare PPO (PPO) - H5434-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) BlueMedicare PPO (PPO) - H5434-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  



Chart Legend:

Below are a few notes to help with the understanding of the 2014 Medicare Advantage Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.



A few notes to help with the understanding of the 2014 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

    This category includes measures of how drug plans rate on the following areas:
    • Time on Hold When Customer and Pharmacist Calls Drug Plan.
    • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
    • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
    • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

  • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

    This category includes measures of how drug plans rate on the following areas:
    • Drug Plan Provides Information or Help When Members Need It.
    • Members’ Overall Rating of Drug Plan.
    • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

  • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

    This category includes measures of how drug plans rate on the following areas:
    • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
    • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
    • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
    • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
    • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

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  • County: Medicare Advantage Plans are only available in specific county and in some cases on in part of a county. This field will note the county where the plan is available or in some cases, "Statewide" if the plan is available in every county. (Search Tip: You must enter your 5 digit ZIP Code in the criteria field to begin your search. We will determine your county from your ZIP code and only show appropriate plans.)

  • Monthly Premium: This is the amount you must pay each month to use the plan. For the Medicare Advantage Plans shown above, this premium includes Medicare Part C AND Part D (if the plan has prescription drug coverage). This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

  • Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)


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  • Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3605 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2014, ALL formulary generics will have at least a 28% discount and ALL brand drugs will have at least a 52.5% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Rx Cov.: This plan does not include prescription drug coverage. You are 100% responsible for your medication costs. If you would like to see ONLY those plans that do include some type of prescription coverage, please select ":Show only plans WITH Drug Coverage" in the "Prescription Drug Coverage" selector above (this is the default setting);
    • No Gap Coverage: you must pay the $3605;
    • All Generics and All Brands: All formulary generics and all formulary Brand drugs are covered through the donut hole. This gap coverage option is available in Los Angeles and Orange counties in CA on the CareMore Value Plus (HMO) plan and in Dade county, FL on the Medica HealthCare Plans MedicareMax(PSO) plan;
    • All Generics and Some Brands: All formulary generics and a some (10% to 65%) of formulary Brands are covered through the donut hole; Plans available in Riverside, CA, Many counties in LA, and Washoe, NV.
    • All Generics and Few Brands: All formulary generics and a few (less than 10%) of formulary Brands are covered through the donut hole; Plans available in Los Angeles, Orange and San Bernadino, CA and many counties in NY.
    • All Generics: All formulary generics and no Brands are covered through the donut hole. You must pay for Brand Drugs up to $3605;
    • Many Generics and Some Brands: Many formulary generics (65% to 100%) and a some (10% to 65%) formulary Brands are covered through the donut hole;
    • Many Generics and Few Brands: Many formulary generics (65% to 100%) and a few (less than 10%) formulary Brands are covered through the donut hole;
    • Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;
    • Some Generics and Few Brands: Some formulary generics (10% to 65%) and a few (less than 10%) formulary Brands are covered through the donut hole;
    • Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3605;
    • Few Generics and Few Brands: Less than 10% of formulary generics and a few (less than 10%) formulary Brands are covered through the donut hole;
    • Few Generics: Less than 10% of formulary generics and no Brands are covered through the donut hole. You must pay for Brand Drugs up to $3605;

  • Plan ID: This is the unique id for this particular plan.

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  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

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Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
  • Members in This County (December 2014 figures) - This is the total number of members in this plan's service area (a "plan" is a specific contract ID and plan ID, for example H1234-001) Generally speaking, this service area is a county, but could include multiple counties. We are showing the latest Medicare Advantage plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare.

  • MOOP for Part A & B Benefits - MOOP is the Maximum Out-of-Pocket limit set by the Medicare Advantage Plan. The figure shown is the beneficiaries yearly maximum out of pocket cost-sharing expenditure (co-payments / co-insurance) for Medicare Parts A & B (NOT Part D - prescription drug cost-sharing) . N/A That this plan does not actually offer health cost-sharing benefits. Example: a Medicare Savings Account (MSA).
  • Health Plan Type - This the organization type for the Medicare Advantage Plan. This could be Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), etc. (Search Tip: If you would like to limit your search to a specific type of Medicare Advantage Plans, please select the health plan type in the "Type of Health Coverage" field.);
  • SNP Eligibility Requirements - Special Needs Plans (SNPs) have an eligibility requirement whereas all other Medicare Advantage plans do not. (Search Tip: If you would like to limit your search to specific types of Special Needs Medicare Advantage Plans, please check the appropriate boxes in the "Special Needs Plans (SNP) Options" field.)


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(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.





Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.