AARP Medicare Advantage Choice (PPO) - H3418-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage Choice (PPO) - H3418-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![AARP Medicare Advantage Choice (PPO) - H3418-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
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![AARP Medicare Advantage Choice (PPO) - H3418-004-0 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 Credit Plan (PPO) - H5521-313-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Credit Plan (PPO) - H5521-313-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$350 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Credit Plan (PPO) - H5521-313-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Credit Plan (PPO) - H5521-313-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Aetna Medicare Credit Plan (PPO) - H5521-313-0 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 Eagle Plan (PPO) - H5521-323-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Eagle Plan (PPO) - H5521-323-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,000 |
![Aetna Medicare Eagle Plan (PPO) - H5521-323-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Eagle Plan (PPO) - H5521-323-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Aetna Medicare Eagle Plan (PPO) - H5521-323-0 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 |
Aetna Medicare Elite Plan (PPO) - H5521-119-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Elite Plan (PPO) - H5521-119-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$195 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Elite Plan (PPO) - H5521-119-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Elite Plan (PPO) - H5521-119-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Aetna Medicare Elite Plan (PPO) - H5521-119-0 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 Premier Plus Plan (PPO) - H5521-382-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Premier Plus Plan (PPO) - H5521-382-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$250 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 29%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Premier Plus Plan (PPO) - H5521-382-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Premier Plus Plan (PPO) - H5521-382-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Aetna Medicare Premier Plus Plan (PPO) - H5521-382-0 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 Plan (HMO-POS) - H3312-062-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Value Plan (HMO-POS) - H3312-062-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$300 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Value Plan (HMO-POS) - H3312-062-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Value Plan (HMO-POS) - H3312-062-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Aetna Medicare Value Plan (HMO-POS) - H3312-062-0 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 |
CDPHP $0 Medicare Rx (HMO) - H3388-014-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP $0 Medicare Rx (HMO) - H3388-014-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$250 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $17.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%
all covered insulin pay $35 or less | $7,000 Browse Formulary |
![CDPHP $0 Medicare Rx (HMO) - H3388-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP $0 Medicare Rx (HMO) - H3388-014-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP $0 Medicare Rx (HMO) - H3388-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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CDPHP Care Advantage (HMO C-SNP) - H3388-018-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Care Advantage (HMO C-SNP) - H3388-018-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $17.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27% Select Care Drugs: $0.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![CDPHP Care Advantage (HMO C-SNP) - H3388-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Care Advantage (HMO C-SNP) - H3388-018-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Care Advantage (HMO C-SNP) - H3388-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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CDPHP Flex (PPO) - H5042-012-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Flex (PPO) - H5042-012-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,100 |
![CDPHP Flex (PPO) - H5042-012-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Flex (PPO) - H5042-012-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![CDPHP Flex (PPO) - H5042-012-0 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 |
CDPHP Vital Rx (PPO) - H5042-009-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Vital Rx (PPO) - H5042-009-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$300 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $17.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 26%
all covered insulin pay $35 or less | $7,500 Browse Formulary |
![CDPHP Vital Rx (PPO) - H5042-009-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Vital Rx (PPO) - H5042-009-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![CDPHP Vital Rx (PPO) - H5042-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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EmblemHealth VIP Rx Saver (HMO) - H3330-045-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for EmblemHealth VIP Rx Saver (HMO) - H3330-045-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$395 Tier 1, 2, 3 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $2.00 Generic: $15.00 Preferred Brand: $42.00 Non-Preferred Drug: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![EmblemHealth VIP Rx Saver (HMO) - H3330-045-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![EmblemHealth VIP Rx Saver (HMO) - H3330-045-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![EmblemHealth VIP Rx Saver (HMO) - H3330-045-0 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) |
Highmark Blue Shield Freedom Basic (PPO) - H5526-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Freedom Basic (PPO) - H5526-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$350 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $14.00 Preferred Brand: $42.00 Non-Preferred Drug: $94.00 Specialty Tier: 27%
all covered insulin pay $35 or less | $8,300 Browse Formulary |
![Highmark Blue Shield Freedom Basic (PPO) - H5526-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Freedom Basic (PPO) - H5526-022-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Freedom Basic (PPO) - H5526-022-0 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 |
Highmark Blue Shield Freedom Nation (PPO) - H5526-021-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Freedom Nation (PPO) - H5526-021-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$175 Tier 1, 2 and 3 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $42.00 Non-Preferred Drug: $94.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Highmark Blue Shield Freedom Nation (PPO) - H5526-021-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Freedom Nation (PPO) - H5526-021-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Freedom Nation (PPO) - H5526-021-0 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) |
Highmark Blue Shield Freedom Valor (PPO) - H5526-024-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Freedom Valor (PPO) - H5526-024-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
![Highmark Blue Shield Freedom Valor (PPO) - H5526-024-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Freedom Valor (PPO) - H5526-024-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Freedom Valor (PPO) - H5526-024-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Highmark Blue Shield Freedom Value (HMO) - H3384-063-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Freedom Value (HMO) - H3384-063-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$295 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Drug: $94.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Highmark Blue Shield Freedom Value (HMO) - H3384-063-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Freedom Value (HMO) - H3384-063-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Freedom Value (HMO) - H3384-063-0 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 H3533-006 (HMO) - H3533-006-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Plus H3533-006 (HMO) - H3533-006-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$300 Tier 1, 2 and 3 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $6,500 Browse Formulary |
![Humana Gold Plus H3533-006 (HMO) - H3533-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Plus H3533-006 (HMO) - H3533-006-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus H3533-006 (HMO) - H3533-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Humana Honor (PPO) - H5970-016-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Honor (PPO) - H5970-016-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
![Humana Honor (PPO) - H5970-016-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Honor (PPO) - H5970-016-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Honor (PPO) - H5970-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
HumanaChoice H5970-015 (PPO) - H5970-015-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5970-015 (PPO) - H5970-015-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$250 Tier 1, 2 and 3 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 29%
all covered insulin pay $35 or less | $4,900 Browse Formulary |
![HumanaChoice H5970-015 (PPO) - H5970-015-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5970-015 (PPO) - H5970-015-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5970-015 (PPO) - H5970-015-0 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 H5970-018 (PPO) - H5970-018-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5970-018 (PPO) - H5970-018-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$310 Tier 1, 2 and 3 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $4,800 Browse Formulary |
![HumanaChoice H5970-018 (PPO) - H5970-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5970-018 (PPO) - H5970-018-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5970-018 (PPO) - H5970-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
MediGold Cash Back No Premium (HMO) - H9827-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MediGold Cash Back No Premium (HMO) - H9827-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$275 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $7,300 Browse Formulary |
![MediGold Cash Back No Premium (HMO) - H9827-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
new |
|
MediGold Cash Back No Premium MA Only (HMO) - H9827-003-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MediGold Cash Back No Premium MA Only (HMO) - H9827-003-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,800 |
![MediGold Cash Back No Premium MA Only (HMO) - H9827-003-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
MediGold No Premium (HMO) - H9827-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MediGold No Premium (HMO) - H9827-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$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%
all covered insulin pay $35 or less | $6,200 Browse Formulary |
![MediGold No Premium (HMO) - H9827-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
new |
|
MVP Medicare Preferred Gold without Part D (HMO-POS) - H3305-020-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare Preferred Gold without Part D (HMO-POS) - H3305-020-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
![MVP Medicare Preferred Gold without Part D (HMO-POS) - H3305-020-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare Preferred Gold without Part D (HMO-POS) - H3305-020-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP Medicare Preferred Gold without Part D (HMO-POS) - H3305-020-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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MVP Medicare WellSelect with Part D (PPO) - H9615-008-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare WellSelect with Part D (PPO) - H9615-008-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$300 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: 25% Specialty Tier: 27%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![MVP Medicare WellSelect with Part D (PPO) - H9615-008-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare WellSelect with Part D (PPO) - H9615-008-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare WellSelect with Part D (PPO) - H9615-008-0 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 |
UnitedHealthcare Medicare Advantage Patriot (Regional PPO) - R5342-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Medicare Advantage Patriot (Regional PPO) - R5342-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
![UnitedHealthcare Medicare Advantage Patriot (Regional PPO) - R5342-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Medicare Advantage Patriot (Regional PPO) - R5342-002-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UnitedHealthcare Medicare Advantage Patriot (Regional PPO) - R5342-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Wellcare Advantage No Premium (PFFS) - H2816-038-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Advantage No Premium (PFFS) - H2816-038-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
![Wellcare Advantage No Premium (PFFS) - H2816-038-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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![Wellcare Advantage No Premium (PFFS) - H2816-038-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Wellcare Fidelis No Premium (HMO) - H5599-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Fidelis No Premium (HMO) - H5599-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $15.00 Preferred Brand: $37.00 Non-Preferred Drug: 48% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Wellcare Fidelis No Premium (HMO) - H5599-004-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis No Premium (HMO) - H5599-004-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis No Premium (HMO) - H5599-004-0 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 |
Wellcare Giveback Open (PPO) - H2775-111-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Giveback Open (PPO) - H2775-111-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$325 Tier 1, 2 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Drug: 48% Specialty Tier: 27% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Wellcare Giveback Open (PPO) - H2775-111-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Giveback Open (PPO) - H2775-111-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare Giveback Open (PPO) - H2775-111-0 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) |
Wellcare No Premium (HMO) - H4868-019-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare No Premium (HMO) - H4868-019-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Drug: 48% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $8,300 Browse Formulary |
![Wellcare No Premium (HMO) - H4868-019-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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![Wellcare No Premium (HMO) - H4868-019-0 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) |
Wellcare No Premium Open (PPO) - H2775-106-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare No Premium Open (PPO) - H2775-106-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Drug: 48% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![Wellcare No Premium Open (PPO) - H2775-106-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare No Premium Open (PPO) - H2775-106-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare No Premium Open (PPO) - H2775-106-0 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 |
Wellcare Patriot No Premium (HMO) - H4868-003-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Patriot No Premium (HMO) - H4868-003-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
![Wellcare Patriot No Premium (HMO) - H4868-003-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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![Wellcare Patriot No Premium (HMO) - H4868-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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Wellcare Assist Open (PPO) - H2775-113-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Assist Open (PPO) - H2775-113-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$8.70 |
$505 Tier 1 and 6 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: 46% Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![Wellcare Assist Open (PPO) - H2775-113-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Assist Open (PPO) - H2775-113-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare Assist Open (PPO) - H2775-113-0 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) |
HumanaChoice H5970-001 (PPO) - H5970-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5970-001 (PPO) - H5970-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$15.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,500 Browse Formulary |
![HumanaChoice H5970-001 (PPO) - H5970-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5970-001 (PPO) - H5970-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5970-001 (PPO) - H5970-001-0 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 |
UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) - R5342-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) - R5342-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$16.00 |
$200 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 29%
all covered insulin pay $35 or less | $7,200 Browse Formulary |
![UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) - R5342-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) - R5342-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) - R5342-001-0 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 Assure Plan (HMO D-SNP) - H3312-070-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Assure Plan (HMO D-SNP) - H3312-070-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Aetna Medicare Assure Plan (HMO D-SNP) - H3312-070-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Assure Plan (HMO D-SNP) - H3312-070-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Aetna Medicare Assure Plan (HMO D-SNP) - H3312-070-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Wellcare Fidelis Assist (HMO-POS) - H5599-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Fidelis Assist (HMO-POS) - H5599-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$17.30 |
$505 Tier 1, 2 and 6 exempt |
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% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Wellcare Fidelis Assist (HMO-POS) - H5599-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis Assist (HMO-POS) - H5599-002-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis Assist (HMO-POS) - H5599-002-0 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 |
Wellcare Dual Access (HMO D-SNP) - H4868-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Dual Access (HMO D-SNP) - H4868-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Dual Access (HMO D-SNP) - H4868-004-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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![Wellcare Dual Access (HMO D-SNP) - H4868-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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Aetna Medicare Discover Value Plan (PPO) - H5521-383-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Discover Value Plan (PPO) - H5521-383-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$23.00 |
$250 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 29%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Discover Value Plan (PPO) - H5521-383-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Discover Value Plan (PPO) - H5521-383-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Aetna Medicare Discover Value Plan (PPO) - H5521-383-0 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) |
Wellcare Fidelis Dual Access (HMO D-SNP) - H5599-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Fidelis Dual Access (HMO D-SNP) - H5599-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Fidelis Dual Access (HMO D-SNP) - H5599-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis Dual Access (HMO D-SNP) - H5599-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis Dual Access (HMO D-SNP) - H5599-001-0 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 H3533-013 (HMO) - H3533-013-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Plus H3533-013 (HMO) - H3533-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$25.00 |
$275 Tier 1, 2 and 3 exempt |
Yes, some additional gap coverage. | Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $6,000 Browse Formulary |
![Humana Gold Plus H3533-013 (HMO) - H3533-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Plus H3533-013 (HMO) - H3533-013-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus H3533-013 (HMO) - H3533-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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Wellcare Fidelis Dual Plus (HMO D-SNP) - H5599-008-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Fidelis Dual Plus (HMO D-SNP) - H5599-008-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Fidelis Dual Plus (HMO D-SNP) - H5599-008-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis Dual Plus (HMO D-SNP) - H5599-008-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Fidelis Dual Plus (HMO D-SNP) - H5599-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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MediGold Plus (HMO) - H9827-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MediGold Plus (HMO) - H9827-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$29.00 |
$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%
all covered insulin pay $35 or less | $5,500 Browse Formulary |
![MediGold Plus (HMO) - H9827-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
CDPHP Dual Advantage (HMO D-SNP) - H3388-019-0
Sanctioned Plan
![Email/View Prescription and/or Health Benefit details for CDPHP Dual Advantage (HMO D-SNP) - H3388-019-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: tbd
all covered insulin pay $35 or less | n/a Browse Formulary |
![CDPHP Dual Advantage (HMO D-SNP) - H3388-019-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Dual Advantage (HMO D-SNP) - H3388-019-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Dual Advantage (HMO D-SNP) - H3388-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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CDPHP Basic RX (HMO) - H3388-013-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Basic RX (HMO) - H3388-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$31.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Drug: $97.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![CDPHP Basic RX (HMO) - H3388-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Basic RX (HMO) - H3388-013-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Basic RX (HMO) - H3388-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
HumanaChoice SNP-DE H5970-020 (PPO D-SNP) - H5970-020-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for HumanaChoice SNP-DE H5970-020 (PPO D-SNP) - H5970-020-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![HumanaChoice SNP-DE H5970-020 (PPO D-SNP) - H5970-020-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice SNP-DE H5970-020 (PPO D-SNP) - H5970-020-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice SNP-DE H5970-020 (PPO D-SNP) - H5970-020-0 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 Plus SNP-DE H3533-002 (HMO D-SNP) - H3533-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) - H3533-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) - H3533-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) - H3533-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP) - H3533-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP) - H3387-015-1
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP) - H3387-015-1](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP) - H3387-015-1 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP) - H3387-015-1 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UnitedHealthcare Dual Complete Plan 2 (HMO-POS D-SNP) - H3387-015-1 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Aetna Medicare Premier Plan (PPO) - H5521-110-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Premier Plan (PPO) - H5521-110-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$37.00 |
$195 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Premier Plan (PPO) - H5521-110-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Premier Plan (PPO) - H5521-110-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Aetna Medicare Premier Plan (PPO) - H5521-110-0 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 |
EmblemHealth VIP Dual (HMO D-SNP) - H3330-042-3
Benefit Details
![Email/View Prescription and/or Health Benefit details for EmblemHealth VIP Dual (HMO D-SNP) - H3330-042-3](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: $15.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 25% Select Care Drugs: $5.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![EmblemHealth VIP Dual (HMO D-SNP) - H3330-042-3 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![EmblemHealth VIP Dual (HMO D-SNP) - H3330-042-3 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![EmblemHealth VIP Dual (HMO D-SNP) - H3330-042-3 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Empire MediBlue Dual Advantage (HMO D-SNP) - H8432-039-2
Benefit Details
![Email/View Prescription and/or Health Benefit details for Empire MediBlue Dual Advantage (HMO D-SNP) - H8432-039-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: $10.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $95.00 Specialty Tier: 25% Select Care Drugs: $10.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![Empire MediBlue Dual Advantage (HMO D-SNP) - H8432-039-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Empire MediBlue Dual Advantage (HMO D-SNP) - H8432-039-2 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Empire MediBlue Dual Advantage (HMO D-SNP) - H8432-039-2 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) |
Hamaspik Medicare Select (HMO D-SNP) - H0034-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Hamaspik Medicare Select (HMO D-SNP) - H0034-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Hamaspik Medicare Select (HMO D-SNP) - H0034-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
-- |
![Hamaspik Medicare Select (HMO D-SNP) - H0034-001-0 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 |
MVP DualAccess (HMO D-SNP) - H3305-033-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP DualAccess (HMO D-SNP) - H3305-033-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$-1.00 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
all covered insulin pay $35 or less | n/a Browse Formulary |
![MVP DualAccess (HMO D-SNP) - H3305-033-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP DualAccess (HMO D-SNP) - H3305-033-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP DualAccess (HMO D-SNP) - H3305-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
MVP DualAccess Complete (HMO D-SNP) - H3305-034-0
Sanctioned Plan
![Email/View Prescription and/or Health Benefit details for MVP DualAccess Complete (HMO D-SNP) - H3305-034-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: tbd
all covered insulin pay $35 or less | n/a Browse Formulary |
![MVP DualAccess Complete (HMO D-SNP) - H3305-034-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP DualAccess Complete (HMO D-SNP) - H3305-034-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP DualAccess Complete (HMO D-SNP) - H3305-034-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
MVP DualAccess Plus (HMO D-SNP) - H3305-035-0
Sanctioned Plan
![Email/View Prescription and/or Health Benefit details for MVP DualAccess Plus (HMO D-SNP) - H3305-035-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: tbd
all covered insulin pay $35 or less | n/a Browse Formulary |
![MVP DualAccess Plus (HMO D-SNP) - H3305-035-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP DualAccess Plus (HMO D-SNP) - H3305-035-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP DualAccess Plus (HMO D-SNP) - H3305-035-0 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 |
Nascentia Dual Advantage (HMO D-SNP) - H9066-003-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Nascentia Dual Advantage (HMO D-SNP) - H9066-003-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Nascentia Dual Advantage (HMO D-SNP) - H9066-003-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
-- |
|
Nascentia Medicaid Advantage Plus (HMO D-SNP) - H9066-001-0
Sanctioned Plan
![Email/View Prescription and/or Health Benefit details for Nascentia Medicaid Advantage Plus (HMO D-SNP) - H9066-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: tbd
all covered insulin pay $35 or less | n/a Browse Formulary |
![Nascentia Medicaid Advantage Plus (HMO D-SNP) - H9066-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
-- |
|
Nascentia Skilled Nursing Facility (HMO I-SNP) - H9066-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Nascentia Skilled Nursing Facility (HMO I-SNP) - H9066-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$38.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Nascentia Skilled Nursing Facility (HMO I-SNP) - H9066-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
-- |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-060-1
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-060-1](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-060-1 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-060-1 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-060-1 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) - H3379-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) - H3379-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$38.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) - H3379-022-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) - H3379-022-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UnitedHealthcare Nursing Home Plan (HMO-POS I-SNP) - H3379-022-0 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 |
UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) - H2292-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) - H2292-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$38.90 |
$505 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) - H2292-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP) - H2292-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
VNS Health Total (HMO D-SNP) - H5549-003-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for VNS Health Total (HMO D-SNP) - H5549-003-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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: $8.00 Generic: $20.00 Preferred Brand: 20% Non-Preferred Brand: 35% Specialty Tier: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![VNS Health Total (HMO D-SNP) - H5549-003-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![VNS Health Total (HMO D-SNP) - H5549-003-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![VNS Health Total (HMO D-SNP) - H5549-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
|
Wellcare Dual Access Open (PPO D-SNP) - H2775-112-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Dual Access Open (PPO D-SNP) - H2775-112-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Dual Access Open (PPO D-SNP) - H2775-112-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Dual Access Open (PPO D-SNP) - H2775-112-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare Dual Access Open (PPO D-SNP) - H2775-112-0 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 |
CDPHP Flex Rx (PPO) - H5042-011-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Flex Rx (PPO) - H5042-011-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$39.40 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $14.00 Preferred Brand: $44.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,100 Browse Formulary |
![CDPHP Flex Rx (PPO) - H5042-011-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Flex Rx (PPO) - H5042-011-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![CDPHP Flex Rx (PPO) - H5042-011-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
CDPHP Choice (HMO) - H3388-001-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Choice (HMO) - H3388-001-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$39.90 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,100 |
![CDPHP Choice (HMO) - H3388-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Choice (HMO) - H3388-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Choice (HMO) - H3388-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
MVP Medicare Secure with Part D (HMO-POS) - H3305-032-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare Secure with Part D (HMO-POS) - H3305-032-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$40.00 |
$150 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 25% Specialty Tier: 30%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![MVP Medicare Secure with Part D (HMO-POS) - H3305-032-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare Secure with Part D (HMO-POS) - H3305-032-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP Medicare Secure with Part D (HMO-POS) - H3305-032-0 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 |
Empire MediBlue Plus (HMO) - H8432-038-2
Benefit Details
![Email/View Prescription and/or Health Benefit details for Empire MediBlue Plus (HMO) - H8432-038-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$42.00 |
$325 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $37.00 Non-Preferred Drug: $95.00 Specialty Tier: 27%
all covered insulin pay $35 or less | $5,000 Browse Formulary |
![Empire MediBlue Plus (HMO) - H8432-038-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Empire MediBlue Plus (HMO) - H8432-038-2 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Empire MediBlue Plus (HMO) - H8432-038-2 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) |
UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) - R5342-005-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) - R5342-005-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$44.00 |
$100 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $14.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 31%
all covered insulin pay $35 or less | $6,900 Browse Formulary |
![UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) - R5342-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) - R5342-005-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO) - R5342-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
MVP Medicare Patriot Plan with Part D (PPO) - H9615-018-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare Patriot Plan with Part D (PPO) - H9615-018-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$45.00 |
$250 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Drug: 25% Specialty Tier: 27%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![MVP Medicare Patriot Plan with Part D (PPO) - H9615-018-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare Patriot Plan with Part D (PPO) - H9615-018-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare Patriot Plan with Part D (PPO) - H9615-018-0 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 |
Wellcare Premium Enhanced (PFFS) - H2816-019-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Premium Enhanced (PFFS) - H2816-019-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$53.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Drug: 48% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Premium Enhanced (PFFS) - H2816-019-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
-- |
![Wellcare Premium Enhanced (PFFS) - H2816-019-0 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) |
Highmark Blue Shield Freedom Plus (HMO) - H3384-059-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Freedom Plus (HMO) - H3384-059-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$55.00 |
$275 Tier 1 and 2 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $8.00 Preferred Brand: $42.00 Non-Preferred Drug: $94.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![Highmark Blue Shield Freedom Plus (HMO) - H3384-059-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Freedom Plus (HMO) - H3384-059-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Freedom Plus (HMO) - H3384-059-0 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) |
CDPHP Value Rx (HMO) - H3388-004-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Value Rx (HMO) - H3388-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$58.30 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $13.00 Preferred Brand: $42.00 Non-Preferred Drug: $93.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,400 Browse Formulary |
![CDPHP Value Rx (HMO) - H3388-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Value Rx (HMO) - H3388-004-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Value Rx (HMO) - H3388-004-0 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 |
Wellcare Advantage Premium Enhanced (PFFS) - H2816-037-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Advantage Premium Enhanced (PFFS) - H2816-037-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$60.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
![Wellcare Advantage Premium Enhanced (PFFS) - H2816-037-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
-- |
![Wellcare Advantage Premium Enhanced (PFFS) - H2816-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) - R5342-006-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) - R5342-006-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$82.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) - R5342-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) - R5342-006-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) - R5342-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Empire MediBlue Access (PPO) - H3342-023-2
Benefit Details
![Email/View Prescription and/or Health Benefit details for Empire MediBlue Access (PPO) - H3342-023-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$90.00 |
$310 Tier 1, 2 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $10.00 Preferred Brand: $38.00 Non-Preferred Drug: $88.00 Specialty Tier: 28% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $6,200 Browse Formulary |
![Empire MediBlue Access (PPO) - H3342-023-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![Empire MediBlue Access (PPO) - H3342-023-2 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 |
MVP Medicare Secure Plus with Part D (HMO-POS) - H3305-022-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare Secure Plus with Part D (HMO-POS) - H3305-022-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$90.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $15.00 Preferred Brand: $45.00 Non-Preferred Drug: 25% Specialty Tier: 33%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![MVP Medicare Secure Plus with Part D (HMO-POS) - H3305-022-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare Secure Plus with Part D (HMO-POS) - H3305-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP Medicare Secure Plus with Part D (HMO-POS) - H3305-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Wellcare Premium Ultra Open (PPO) - H2775-105-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Premium Ultra Open (PPO) - H2775-105-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$115.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Drug: 43% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $3,400 Browse Formulary |
![Wellcare Premium Ultra Open (PPO) - H2775-105-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Wellcare Premium Ultra Open (PPO) - H2775-105-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare Premium Ultra Open (PPO) - H2775-105-0 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) |
Highmark Blue Shield Senior Blue 652 (HMO) - H3384-013-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Senior Blue 652 (HMO) - H3384-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$122.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Drug: $94.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![Highmark Blue Shield Senior Blue 652 (HMO) - H3384-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Senior Blue 652 (HMO) - H3384-013-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Senior Blue 652 (HMO) - H3384-013-0 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 |
MVP Medicare WellSelect Plus with Part D (PPO) - H9615-007-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare WellSelect Plus with Part D (PPO) - H9615-007-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$125.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Drug: 25% Specialty Tier: 33%
all covered insulin pay $35 or less | $6,500 Browse Formulary |
![MVP Medicare WellSelect Plus with Part D (PPO) - H9615-007-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare WellSelect Plus with Part D (PPO) - H9615-007-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare WellSelect Plus with Part D (PPO) - H9615-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
CDPHP Choice Rx (HMO) - H3388-002-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for CDPHP Choice Rx (HMO) - H3388-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$128.50 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: $40.00 Non-Preferred Drug: $90.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,100 Browse Formulary |
![CDPHP Choice Rx (HMO) - H3388-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Choice Rx (HMO) - H3388-002-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![CDPHP Choice Rx (HMO) - H3388-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
MVP Medicare Preferred Gold with Part D (HMO-POS) - H3305-021-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for MVP Medicare Preferred Gold with Part D (HMO-POS) - H3305-021-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$140.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $35.00 Non-Preferred Drug: 26% Specialty Tier: 33%
all covered insulin pay $35 or less | $5,800 Browse Formulary |
![MVP Medicare Preferred Gold with Part D (HMO-POS) - H3305-021-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![MVP Medicare Preferred Gold with Part D (HMO-POS) - H3305-021-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![MVP Medicare Preferred Gold with Part D (HMO-POS) - H3305-021-0 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 |
Wellcare Premium Ultra (PFFS) - H2816-013-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Wellcare Premium Ultra (PFFS) - H2816-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$155.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Drug: 48% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Premium Ultra (PFFS) - H2816-013-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
-- |
![Wellcare Premium Ultra (PFFS) - H2816-013-0 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) |
Highmark Blue Shield Forever Blue 770 (PPO) - H5526-018-0
Benefit Details
![Email/View Prescription and/or Health Benefit details for Highmark Blue Shield Forever Blue 770 (PPO) - H5526-018-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Albany |
$199.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Drug: $94.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![Highmark Blue Shield Forever Blue 770 (PPO) - H5526-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Blue Shield Forever Blue 770 (PPO) - H5526-018-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Highmark Blue Shield Forever Blue 770 (PPO) - H5526-018-0 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) |