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 |
|||||||||
Today's Options Premier 900 (PFFS) - H3333-039-0 Benefit Details |
Coos | $58.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
-- | |||||||||||
Humana Gold Choice H2944-106 (PFFS) - H2944-106-0 Benefit Details |
Coos | $82.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25% | n/a Browse Formulary | |||||
Today's Options Premier Plus 950G (PFFS) - H3333-057-0 Benefit Details |
Coos | $104.00 | $130 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 29% | n/a Browse Formulary | |||||
-- | |||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Today's Options Premier 600 (PFFS) - H3333-164-0 Benefit Details |
Coos | $105.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
-- | |||||||||||
Today's Options Premier Plus 350A (PFFS) - H3333-166-0 Benefit Details |
Coos | $188.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
-- |
|