Lasso Healthcare Growth (MSA) - H1924-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Lasso Healthcare Growth (MSA) - H1924-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Lasso Healthcare Growth Plus (MSA) - H1924-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Lasso Healthcare Growth Plus (MSA) - H1924-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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AARP Medicare Advantage Choice Plan 3 (PPO) - H2228-086-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage Choice Plan 3 (PPO) - H2228-086-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $6,700 Browse Formulary |
![AARP Medicare Advantage Choice Plan 3 (PPO) - H2228-086-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![AARP Medicare Advantage Choice Plan 3 (PPO) - H2228-086-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage Choice Plan 3 (PPO) - H2228-086-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
AARP Medicare Advantage Patriot (HMO) - H1944-030-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage Patriot (HMO) - H1944-030-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
![AARP Medicare Advantage Patriot (HMO) - H1944-030-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![AARP Medicare Advantage Patriot (HMO) - H1944-030-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![AARP Medicare Advantage Patriot (HMO) - H1944-030-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Aetna Medicare Advantra Credit Value (PPO) - H5522-017-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Credit Value (PPO) - H5522-017-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$250 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $7.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
| $7,550 Browse Formulary |
![Aetna Medicare Advantra Credit Value (PPO) - H5522-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Credit Value (PPO) - H5522-017-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Credit Value (PPO) - H5522-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Aetna Medicare Advantra Eagle (HMO) - H3959-041-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Eagle (HMO) - H3959-041-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 |
![Aetna Medicare Advantra Eagle (HMO) - H3959-041-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Eagle (HMO) - H3959-041-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Eagle (HMO) - H3959-041-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Aetna Medicare Advantra Silver (PPO) - H5522-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Silver (PPO) - H5522-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare Advantra Silver (PPO) - H5522-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Silver (PPO) - H5522-004-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Silver (PPO) - H5522-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Aetna Medicare PinnacleHealth Prime (HMO) - H3931-091-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare PinnacleHealth Prime (HMO) - H3931-091-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare PinnacleHealth Prime (HMO) - H3931-091-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare PinnacleHealth Prime (HMO) - H3931-091-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Aetna Medicare PinnacleHealth Prime (HMO) - H3931-091-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Aetna Medicare Value (PPO) - H5521-263-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Value (PPO) - H5521-263-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $2.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare Value (PPO) - H5521-263-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Value (PPO) - H5521-263-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Value (PPO) - H5521-263-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Allwell Medicare (HMO) - H2915-015-2
Benefit Details
![Email/View Prescription and/or Health Benefit details for Allwell Medicare (HMO) - H2915-015-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00
| $6,700 Browse Formulary |
![Allwell Medicare (HMO) - H2915-015-2 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
![Allwell Medicare (HMO) - H2915-015-2 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Allwell Medicare Boost (HMO) - H2915-012-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Allwell Medicare Boost (HMO) - H2915-012-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00
| $7,550 Browse Formulary |
![Allwell Medicare Boost (HMO) - H2915-012-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
![Allwell Medicare Boost (HMO) - H2915-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Allwell Medicare Simple (HMO) - H2915-010-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Allwell Medicare Simple (HMO) - H2915-010-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
![Allwell Medicare Simple (HMO) - H2915-010-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
![Allwell Medicare Simple (HMO) - H2915-010-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
BlueJourney Essential (HMO) - H3962-007-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for BlueJourney Essential (HMO) - H3962-007-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $6,700 Browse Formulary |
![BlueJourney Essential (HMO) - H3962-007-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Essential (HMO) - H3962-007-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Essential (HMO) - H3962-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
BlueJourney Select (PPO) - H3923-028-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for BlueJourney Select (PPO) - H3923-028-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $8.00 Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
| $6,700 Browse Formulary |
![BlueJourney Select (PPO) - H3923-028-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![BlueJourney Select (PPO) - H3923-028-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![BlueJourney Select (PPO) - H3923-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Cigna Preferred Medicare (HMO) - H3949-035-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Cigna Preferred Medicare (HMO) - H3949-035-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
| $6,900 Browse Formulary |
![Cigna Preferred Medicare (HMO) - H3949-035-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Cigna Preferred Medicare (HMO) - H3949-035-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Cigna Preferred Medicare (HMO) - H3949-035-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna True Choice Medicare (PPO) - H7849-031-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Cigna True Choice Medicare (PPO) - H7849-031-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
| $7,250 Browse Formulary |
new |
new |
new |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Community Blue Medicare HMO Signature (HMO) - H3957-042-2
Benefit Details
![Email/View Prescription and/or Health Benefit details for Community Blue Medicare HMO Signature (HMO) - H3957-042-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Community Blue Medicare HMO Signature (HMO) - H3957-042-2 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Community Blue Medicare HMO Signature (HMO) - H3957-042-2 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Community Blue Medicare HMO Signature (HMO) - H3957-042-2 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Community Blue Medicare PPO Signature (PPO) - H3916-037-2
Benefit Details
![Email/View Prescription and/or Health Benefit details for Community Blue Medicare PPO Signature (PPO) - H3916-037-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Community Blue Medicare PPO Signature (PPO) - H3916-037-2 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Community Blue Medicare PPO Signature (PPO) - H3916-037-2 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Community Blue Medicare PPO Signature (PPO) - H3916-037-2 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Geisinger Gold Classic Essential Rx (HMO) - H3954-159-17
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Essential Rx (HMO) - H3954-159-17](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Vaccines: $0.00
select insulin pay $35 copay | $7,550 Browse Formulary |
![Geisinger Gold Classic Essential Rx (HMO) - H3954-159-17 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Essential Rx (HMO) - H3954-159-17 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Essential Rx (HMO) - H3954-159-17 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Geisinger Gold Preferred Complete Rx (PPO) - H3924-060-17
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Preferred Complete Rx (PPO) - H3924-060-17](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Vaccines: $0.00
select insulin pay $35 copay | $6,700 Browse Formulary |
![Geisinger Gold Preferred Complete Rx (PPO) - H3924-060-17 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Geisinger Gold Preferred Complete Rx (PPO) - H3924-060-17 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Geisinger Gold Preferred Complete Rx (PPO) - H3924-060-17 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Health Partners Medicare Complete (HMO-POS) - H9207-012-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Health Partners Medicare Complete (HMO-POS) - H9207-012-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Health Partners Medicare Complete (HMO-POS) - H9207-012-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Health Partners Medicare Complete (HMO-POS) - H9207-012-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Health Partners Medicare Complete (HMO-POS) - H9207-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
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 H6622-035 (HMO) - H6622-035-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Plus H6622-035 (HMO) - H6622-035-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $8.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $6,700 Browse Formulary |
![Humana Gold Plus H6622-035 (HMO) - H6622-035-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus H6622-035 (HMO) - H6622-035-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus H6622-035 (HMO) - H6622-035-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Humana Honor (PPO) - H5216-221-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Honor (PPO) - H5216-221-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
![Humana Honor (PPO) - H5216-221-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Honor (PPO) - H5216-221-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Humana Honor (PPO) - H5216-221-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
HumanaChoice H5216-116 (PPO) - H5216-116-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5216-116 (PPO) - H5216-116-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,900 |
![HumanaChoice H5216-116 (PPO) - H5216-116-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5216-116 (PPO) - H5216-116-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![HumanaChoice H5216-116 (PPO) - H5216-116-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice H5525-038 (PPO) - H5525-038-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5525-038 (PPO) - H5525-038-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $17.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $6,700 Browse Formulary |
![HumanaChoice H5525-038 (PPO) - H5525-038-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-038 (PPO) - H5525-038-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-038 (PPO) - H5525-038-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
HumanaChoice R0923-001 (Regional PPO) - R0923-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice R0923-001 (Regional PPO) - R0923-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
![HumanaChoice R0923-001 (Regional PPO) - R0923-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
new |
![HumanaChoice R0923-001 (Regional PPO) - R0923-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UPMC for Life HMO No Rx (HMO) - H3907-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO No Rx (HMO) - H3907-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
![UPMC for Life HMO No Rx (HMO) - H3907-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO No Rx (HMO) - H3907-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO No Rx (HMO) - H3907-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UPMC for Life HMO Premier Rx (HMO) - H3907-052-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Premier Rx (HMO) - H3907-052-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $7,550 Browse Formulary |
![UPMC for Life HMO Premier Rx (HMO) - H3907-052-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Premier Rx (HMO) - H3907-052-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Premier Rx (HMO) - H3907-052-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Vibra Essential Advocate (PPO) - H9408-006-1
Benefit Details
![Email/View Prescription and/or Health Benefit details for Vibra Essential Advocate (PPO) - H9408-006-1](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $6,700 Browse Formulary |
![Vibra Essential Advocate (PPO) - H9408-006-1 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Vibra Essential Advocate (PPO) - H9408-006-1 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Vibra Essential Advocate (PPO) - H9408-006-1 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Humana Gold Choice H8145-055 (PFFS) - H8145-055-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Choice H8145-055 (PFFS) - H8145-055-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$7.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
![Humana Gold Choice H8145-055 (PFFS) - H8145-055-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
-- |
![Humana Gold Choice H8145-055 (PFFS) - H8145-055-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H8145-052 (PFFS) - H8145-052-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Choice H8145-052 (PFFS) - H8145-052-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$8.00 |
$360 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $17.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 26%
| n/a Browse Formulary |
![Humana Gold Choice H8145-052 (PFFS) - H8145-052-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
-- |
![Humana Gold Choice H8145-052 (PFFS) - H8145-052-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Aetna Medicare Advantra Silver Plus (PPO) - H5522-013-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Silver Plus (PPO) - H5522-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$19.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare Advantra Silver Plus (PPO) - H5522-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Silver Plus (PPO) - H5522-013-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Silver Plus (PPO) - H5522-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
UPMC for Life HMO Deductible with Rx (HMO) - H3907-037-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Deductible with Rx (HMO) - H3907-037-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$22.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $7,550 Browse Formulary |
![UPMC for Life HMO Deductible with Rx (HMO) - H3907-037-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Deductible with Rx (HMO) - H3907-037-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Deductible with Rx (HMO) - H3907-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
AARP Medicare Advantage (HMO) - H1944-024-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage (HMO) - H1944-024-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$23.50 |
$130 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
select insulin pay $35 copay | $6,700 Browse Formulary |
![AARP Medicare Advantage (HMO) - H1944-024-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![AARP Medicare Advantage (HMO) - H1944-024-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![AARP Medicare Advantage (HMO) - H1944-024-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
AARP Medicare Advantage Choice Plan 1 (PPO) - H2228-035-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage Choice Plan 1 (PPO) - H2228-035-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$25.00 |
$95 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $8.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 31%
select insulin pay $35 copay | $6,700 Browse Formulary |
![AARP Medicare Advantage Choice Plan 1 (PPO) - H2228-035-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![AARP Medicare Advantage Choice Plan 1 (PPO) - H2228-035-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage Choice Plan 1 (PPO) - H2228-035-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Aetna Medicare Advantra Premier (HMO) - H3959-039-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Premier (HMO) - H3959-039-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$25.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare Advantra Premier (HMO) - H3959-039-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Premier (HMO) - H3959-039-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Premier (HMO) - H3959-039-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Geisinger Gold Classic Advantage (HMO) - H3954-156-17
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Advantage (HMO) - H3954-156-17](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$25.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
![Geisinger Gold Classic Advantage (HMO) - H3954-156-17 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Advantage (HMO) - H3954-156-17 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Advantage (HMO) - H3954-156-17 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Cigna TotalCare (HMO D-SNP) - H3949-036-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Cigna TotalCare (HMO D-SNP) - H3949-036-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Tier 1: 15% Tier 2: 15% Tier 3: 15% Tier 4: 15% Tier 5: 15%
| n/a Browse Formulary |
![Cigna TotalCare (HMO D-SNP) - H3949-036-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Cigna TotalCare (HMO D-SNP) - H3949-036-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Cigna TotalCare (HMO D-SNP) - H3949-036-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Vibra Health Plan Enhanced Complete (PPO) - H9408-005-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Vibra Health Plan Enhanced Complete (PPO) - H9408-005-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$26.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $5,800 Browse Formulary |
![Vibra Health Plan Enhanced Complete (PPO) - H9408-005-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Vibra Health Plan Enhanced Complete (PPO) - H9408-005-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Vibra Health Plan Enhanced Complete (PPO) - H9408-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
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-DE H6622-038 (HMO D-SNP) - H6622-038-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) - H6622-038-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Preferred Generic: $1.00 Generic: $19.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 25%
| n/a Browse Formulary |
![Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) - H6622-038-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) - H6622-038-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP) - H6622-038-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 35% Specialty Tier: 29%
| n/a Browse Formulary |
![Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
HumanaChoice H5525-006 (PPO) - H5525-006-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5525-006 (PPO) - H5525-006-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$28.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $15.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $6,700 Browse Formulary |
![HumanaChoice H5525-006 (PPO) - H5525-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-006 (PPO) - H5525-006-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-006 (PPO) - H5525-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna True Choice Plus Medicare (PPO) - H7849-032-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Cigna True Choice Plus Medicare (PPO) - H7849-032-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$29.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
| $6,150 Browse Formulary |
new |
new |
new |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Allwell Medicare Complement (HMO) - H2915-011-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Allwell Medicare Complement (HMO) - H2915-011-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$29.50 |
$445 Tier 1 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: $42.00 Non-Preferred Drug: 50% Specialty Tier: 25%
| $7,550 Browse Formulary |
![Allwell Medicare Complement (HMO) - H2915-011-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
![Allwell Medicare Complement (HMO) - H2915-011-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UnitedHealthcare Dual Complete (HMO D-SNP) - H3113-009-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Dual Complete (HMO D-SNP) - H3113-009-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Tier 1: $0.00 Tier 2: $0.00 Tier 3: $0.00 Tier 4: $0.00 Tier 5: $0.00
| n/a Browse Formulary |
![UnitedHealthcare Dual Complete (HMO D-SNP) - H3113-009-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Dual Complete (HMO D-SNP) - H3113-009-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Dual Complete (HMO D-SNP) - H3113-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Allwell Dual Medicare (HMO D-SNP) - H2915-007-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Allwell Dual Medicare (HMO D-SNP) - H2915-007-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Preferred Generic: $0.00 Generic: $6.00 Preferred Brand: $47.00 Non-Preferred Drug: 48% Specialty Tier: 25%
| n/a Browse Formulary |
![Allwell Dual Medicare (HMO D-SNP) - H2915-007-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
![Allwell Dual Medicare (HMO D-SNP) - H2915-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Community Blue Medicare PPO Distinct (PPO) - H3916-034-3
Benefit Details
![Email/View Prescription and/or Health Benefit details for Community Blue Medicare PPO Distinct (PPO) - H3916-034-3](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$35.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $6,500 Browse Formulary |
![Community Blue Medicare PPO Distinct (PPO) - H3916-034-3 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Community Blue Medicare PPO Distinct (PPO) - H3916-034-3 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Community Blue Medicare PPO Distinct (PPO) - H3916-034-3 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) - H0710-017-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) - H0710-017-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$37.20 |
$445 |
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 |
![UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) - H0710-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) - H0710-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Generic: $5.00 Brand: 25%
| n/a Browse Formulary |
![AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Gateway Health Medicare Assured Diamond (HMO D-SNP) - H5932-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Gateway Health Medicare Assured Diamond (HMO D-SNP) - H5932-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Preferred Generic: $0.00 Generic: $19.00 Preferred Brand: $38.00 Non-Preferred Drug: 49% Specialty Tier: 25%
| n/a Browse Formulary |
![Gateway Health Medicare Assured Diamond (HMO D-SNP) - H5932-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Gateway Health Medicare Assured Diamond (HMO D-SNP) - H5932-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Gateway Health Medicare Assured Diamond (HMO D-SNP) - H5932-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Gateway Health Medicare Assured Ruby (HMO D-SNP) - H5932-009-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Gateway Health Medicare Assured Ruby (HMO D-SNP) - H5932-009-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Preferred Generic: $0.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: 50% Specialty Tier: 25%
| n/a Browse Formulary |
![Gateway Health Medicare Assured Ruby (HMO D-SNP) - H5932-009-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Gateway Health Medicare Assured Ruby (HMO D-SNP) - H5932-009-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Gateway Health Medicare Assured Ruby (HMO D-SNP) - H5932-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Tier 1: 15%
| n/a Browse Formulary |
![Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Health Partners Medicare Prime (HMO-POS) - H9207-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Health Partners Medicare Prime (HMO-POS) - H9207-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$37.50 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Health Partners Medicare Prime (HMO-POS) - H9207-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Health Partners Medicare Prime (HMO-POS) - H9207-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Health Partners Medicare Prime (HMO-POS) - H9207-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Health Partners Medicare Special (HMO D-SNP) - H9207-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Health Partners Medicare Special (HMO D-SNP) - H9207-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Tier 1: $0.00
| n/a Browse Formulary |
![Health Partners Medicare Special (HMO D-SNP) - H9207-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Health Partners Medicare Special (HMO D-SNP) - H9207-004-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Health Partners Medicare Special (HMO D-SNP) - H9207-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UPMC for Life Complete Care (HMO D-SNP) - H4279-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life Complete Care (HMO D-SNP) - H4279-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$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 Discount | Preferred Generic: $5.00 Generic: $10.00 Preferred Brand: $18.00 Non-Preferred Drug: 49% Specialty Tier: 25%
| n/a Browse Formulary |
![UPMC for Life Complete Care (HMO D-SNP) - H4279-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life Complete Care (HMO D-SNP) - H4279-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UPMC for Life Complete Care (HMO D-SNP) - H4279-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Geisinger Gold Classic Complete Rx (HMO) - H3954-158-17
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Complete Rx (HMO) - H3954-158-17](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$38.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Vaccines: $0.00
select insulin pay $35 copay | $4,900 Browse Formulary |
![Geisinger Gold Classic Complete Rx (HMO) - H3954-158-17 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Complete Rx (HMO) - H3954-158-17 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Complete Rx (HMO) - H3954-158-17 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UPMC for Life HMO Rx Choice (HMO) - H3907-049-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Rx Choice (HMO) - H3907-049-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$40.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $7,550 Browse Formulary |
![UPMC for Life HMO Rx Choice (HMO) - H3907-049-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Rx Choice (HMO) - H3907-049-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Rx Choice (HMO) - H3907-049-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-22
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-22](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$45.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Vaccines: $0.00
select insulin pay $35 copay | $6,700 Browse Formulary |
![Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-22 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-22 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-22 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$47.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $37.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
| $4,900 Browse Formulary |
![Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
BlueJourney Classic (PPO) - H3923-013-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for BlueJourney Classic (PPO) - H3923-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$49.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $6,700 Browse Formulary |
![BlueJourney Classic (PPO) - H3923-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![BlueJourney Classic (PPO) - H3923-013-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![BlueJourney Classic (PPO) - H3923-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
BlueJourney Value (HMO) - H3962-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for BlueJourney Value (HMO) - H3962-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$51.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $4,500 Browse Formulary |
![BlueJourney Value (HMO) - H3962-004-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Value (HMO) - H3962-004-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Value (HMO) - H3962-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
AARP Medicare Advantage Choice Plan 2 (PPO) - H2228-036-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage Choice Plan 2 (PPO) - H2228-036-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$58.00 |
$150 Tier 1, 2 and 3 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $8.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
select insulin pay $35 copay | $5,900 Browse Formulary |
![AARP Medicare Advantage Choice Plan 2 (PPO) - H2228-036-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![AARP Medicare Advantage Choice Plan 2 (PPO) - H2228-036-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage Choice Plan 2 (PPO) - H2228-036-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UPMC for Life PPO Rx Enhanced (PPO) - H5533-008-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life PPO Rx Enhanced (PPO) - H5533-008-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$60.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $7,550 Browse Formulary |
![UPMC for Life PPO Rx Enhanced (PPO) - H5533-008-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life PPO Rx Enhanced (PPO) - H5533-008-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life PPO Rx Enhanced (PPO) - H5533-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R0923-002 (Regional PPO) - R0923-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice R0923-002 (Regional PPO) - R0923-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$63.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
| $6,700 Browse Formulary |
![HumanaChoice R0923-002 (Regional PPO) - R0923-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
new |
![HumanaChoice R0923-002 (Regional PPO) - R0923-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Freedom Blue PPO Basic (PPO) - H3916-012-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Freedom Blue PPO Basic (PPO) - H3916-012-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$66.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,900 |
![Freedom Blue PPO Basic (PPO) - H3916-012-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Freedom Blue PPO Basic (PPO) - H3916-012-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Freedom Blue PPO Basic (PPO) - H3916-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Aetna Medicare Silver (HMO) - H3931-070-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Silver (HMO) - H3931-070-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$69.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare Silver (HMO) - H3931-070-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Silver (HMO) - H3931-070-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Aetna Medicare Silver (HMO) - H3931-070-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Freedom Blue PPO ValueRx (PPO) - H3916-018-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Freedom Blue PPO ValueRx (PPO) - H3916-018-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$70.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $13.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
| $5,500 Browse Formulary |
![Freedom Blue PPO ValueRx (PPO) - H3916-018-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Freedom Blue PPO ValueRx (PPO) - H3916-018-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Freedom Blue PPO ValueRx (PPO) - H3916-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
UPMC for Life HMO Rx (HMO) - H3907-029-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Rx (HMO) - H3907-029-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$81.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $7,550 Browse Formulary |
![UPMC for Life HMO Rx (HMO) - H3907-029-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Rx (HMO) - H3907-029-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Rx (HMO) - H3907-029-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-17
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-17](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$85.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Vaccines: $0.00
select insulin pay $35 copay | $4,000 Browse Formulary |
![Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-17 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-17 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-17 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
BlueJourney Premier (HMO) - H3962-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for BlueJourney Premier (HMO) - H3962-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$106.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $3,400 Browse Formulary |
![BlueJourney Premier (HMO) - H3962-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Premier (HMO) - H3962-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Premier (HMO) - H3962-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
HumanaChoice H5216-120 (PPO) - H5216-120-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5216-120 (PPO) - H5216-120-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$127.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Generic: $15.00 Preferred Brand: $47.00 Non-Preferred Drug: $97.00 Specialty Tier: 33%
| $6,700 Browse Formulary |
![HumanaChoice H5216-120 (PPO) - H5216-120-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5216-120 (PPO) - H5216-120-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![HumanaChoice H5216-120 (PPO) - H5216-120-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-17
Benefit Details
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-17](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$150.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Vaccines: $0.00
select insulin pay $35 copay | $3,450 Browse Formulary |
![Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-17 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-17 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-17 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Aetna Medicare Gold Plan (PPO) - H5521-122-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Gold Plan (PPO) - H5521-122-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$169.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $2.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
| $7,550 Browse Formulary |
![Aetna Medicare Gold Plan (PPO) - H5521-122-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Gold Plan (PPO) - H5521-122-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Gold Plan (PPO) - H5521-122-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
BlueJourney Prime (PPO) - H3923-017-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for BlueJourney Prime (PPO) - H3923-017-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$171.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
select insulin pay $5 copay | $4,000 Browse Formulary |
![BlueJourney Prime (PPO) - H3923-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![BlueJourney Prime (PPO) - H3923-017-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![BlueJourney Prime (PPO) - H3923-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Freedom Blue PPO Standard (PPO) - H3916-015-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Freedom Blue PPO Standard (PPO) - H3916-015-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$175.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $13.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
| $5,000 Browse Formulary |
![Freedom Blue PPO Standard (PPO) - H3916-015-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Freedom Blue PPO Standard (PPO) - H3916-015-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Freedom Blue PPO Standard (PPO) - H3916-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Freedom Blue PPO Deluxe (PPO) - H3916-005-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Freedom Blue PPO Deluxe (PPO) - H3916-005-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$289.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $13.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
| $4,500 Browse Formulary |
![Freedom Blue PPO Deluxe (PPO) - H3916-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Freedom Blue PPO Deluxe (PPO) - H3916-005-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Freedom Blue PPO Deluxe (PPO) - H3916-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |
UPMC for Life HMO Rx Enhanced (HMO) - H3907-006-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Rx Enhanced (HMO) - H3907-006-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$302.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
select insulin pay $35 copay | $7,550 Browse Formulary |
![UPMC for Life HMO Rx Enhanced (HMO) - H3907-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Rx Enhanced (HMO) - H3907-006-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UPMC for Life HMO Rx Enhanced (HMO) - H3907-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
Higher cost-sharing at standard network pharmacies. Details:
![Review drug cost-sharing for all pharmacies and tiers](https://q1medicare.com/pics/ContentPics/RxCostSharingDetails.gif) |