AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) - H1944-030-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) - 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. | $6,700 |
![AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) - H1944-030-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS) - 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 No Rx PA-MA01 (HMO-POS) - H1944-030-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Aetna Medicare Advantra Eagle (HMO-POS) - H3959-041-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Eagle (HMO-POS) - 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. | $3,900 |
![Aetna Medicare Advantra Eagle (HMO-POS) - H3959-041-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Advantra Eagle (HMO-POS) - 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-POS) - H3959-041-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Freedom Blue PPO Valor (PPO) - H3916-043-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Freedom Blue PPO Valor (PPO) - H3916-043-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,000 |
![Freedom Blue PPO Valor (PPO) - H3916-043-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Freedom Blue PPO Valor (PPO) - H3916-043-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Freedom Blue PPO Valor (PPO) - H3916-043-0 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 Heritage (HMO) - H3954-162-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Heritage (HMO) - H3954-162-0](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 |
![Geisinger Gold Heritage (HMO) - H3954-162-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Heritage (HMO) - H3954-162-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Heritage (HMO) - H3954-162-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Humana Gold Choice H8145-055 (PFFS) - H8145-055-0
Benefits & Contact Info
![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 |
$0.00 |
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 - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Choice H8145-055 (PFFS) - H8145-055-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Choice H8145-055 (PFFS) - H8145-055-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Humana USAA Honor (PPO) - H5216-221-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Humana USAA 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 USAA Honor (PPO) - H5216-221-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana USAA Honor (PPO) - H5216-221-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana USAA Honor (PPO) - H5216-221-0 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 |
HumanaChoice H5216-116 (PPO) - H5216-116-0
Benefits & Contact Info
![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 - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5216-116 (PPO) - H5216-116-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5216-116 (PPO) - H5216-116-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
HumanaChoice R0923-001 (Regional PPO) - R0923-001-0
Benefits & Contact Info
![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. | $4,500 |
![HumanaChoice R0923-001 (Regional PPO) - R0923-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice R0923-001 (Regional PPO) - R0923-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice R0923-001 (Regional PPO) - R0923-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Wellcare Patriot Giveback (HMO) - H2915-013-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare Patriot Giveback (HMO) - H2915-013-0](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 |
![Wellcare Patriot Giveback (HMO) - H2915-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare Patriot Giveback (HMO) - H2915-013-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Wellcare Patriot Giveback (HMO) - H2915-013-0 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 from UHC PA-0004 (HMO-POS) - H1944-024-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage from UHC PA-0004 (HMO-POS) - H1944-024-0](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%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![AARP Medicare Advantage from UHC PA-0004 (HMO-POS) - H1944-024-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0004 (HMO-POS) - 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 from UHC PA-0004 (HMO-POS) - H1944-024-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
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AARP Medicare Advantage from UHC PA-0011 (PPO) - H2406-072-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage from UHC PA-0011 (PPO) - H2406-072-0](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%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![AARP Medicare Advantage from UHC PA-0011 (PPO) - H2406-072-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0011 (PPO) - H2406-072-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0011 (PPO) - H2406-072-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
AARP Medicare Advantage from UHC PA-0012 (PPO) - H2406-101-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage from UHC PA-0012 (PPO) - H2406-101-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$295 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: 28%
all covered insulin pay $35 or less | $8,300 Browse Formulary |
![AARP Medicare Advantage from UHC PA-0012 (PPO) - H2406-101-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0012 (PPO) - H2406-101-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0012 (PPO) - H2406-101-0 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 Credit Value (PPO) - H5522-017-0
Benefits & Contact Info
![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 |
$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%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Advantra Credit Value (PPO) - H5522-017-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.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 Silver (PPO) - H5522-004-0
Benefits & Contact Info
![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%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Advantra Silver (PPO) - H5522-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.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-POS) - H3931-091-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare PinnacleHealth Prime (HMO-POS) - H3931-091-0](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: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 40% Specialty Tier: 29%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare PinnacleHealth Prime (HMO-POS) - H3931-091-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare PinnacleHealth Prime (HMO-POS) - H3931-091-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare PinnacleHealth Prime (HMO-POS) - 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) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Aetna Medicare PinnacleHealth Prime (PPO) - H5522-029-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare PinnacleHealth Prime (PPO) - H5522-029-0](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: 20% Non-Preferred Drug: 50% Specialty Tier: 33%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare PinnacleHealth Prime (PPO) - H5522-029-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare PinnacleHealth Prime (PPO) - H5522-029-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare PinnacleHealth Prime (PPO) - H5522-029-0 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) |
Aetna Medicare Silver Back (PPO) - H5522-022-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Silver Back (PPO) - H5522-022-0](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%
all covered insulin pay $35 or less | $6,351 Browse Formulary |
![Aetna Medicare Silver Back (PPO) - H5522-022-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Silver Back (PPO) - H5522-022-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Silver Back (PPO) - H5522-022-0 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) |
Aetna Medicare Value (PPO) - H5521-263-0
Benefits & Contact Info
![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: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 50% Specialty Tier: 33%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Value (PPO) - H5521-263-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Value (PPO) - H5521-263-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Aetna Medicare Value (PPO) - H5521-263-0 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 Essential (HMO) - H3962-007-0
Benefits & Contact Info
![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: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,500 Browse Formulary |
![BlueJourney Essential (HMO) - H3962-007-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![BlueJourney Essential (HMO) - H3962-007-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![BlueJourney Essential (HMO) - H3962-007-0 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) |
Capital Blue Cross Select (PPO) - H3923-028-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Capital Blue Cross 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: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $7,000 Browse Formulary |
![Capital Blue Cross Select (PPO) - H3923-028-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Capital Blue Cross Select (PPO) - H3923-028-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Capital Blue Cross Select (PPO) - H3923-028-0 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) |
Capital Blue Cross Value (PPO) - H3923-033-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Capital Blue Cross Value (PPO) - H3923-033-0](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: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $8,500 Browse Formulary |
![Capital Blue Cross Value (PPO) - H3923-033-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Capital Blue Cross Value (PPO) - H3923-033-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Capital Blue Cross Value (PPO) - H3923-033-0 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 Preferred Medicare (HMO) - H3949-035-0
Benefits & Contact Info
![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: $4.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $7,200 Browse Formulary |
![Cigna Preferred Medicare (HMO) - H3949-035-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Cigna Preferred Medicare (HMO) - H3949-035-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Cigna Preferred Medicare (HMO) - H3949-035-0 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) |
Cigna True Choice Savings Medicare (PPO) - H7849-031-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Cigna True Choice Savings 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: $4.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,900 Browse Formulary |
![Cigna True Choice Savings Medicare (PPO) - H7849-031-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Cigna True Choice Savings Medicare (PPO) - H7849-031-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Cigna True Choice Savings Medicare (PPO) - H7849-031-0 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) |
Community Blue Medicare HMO Signature (HMO) - H3957-042-2
Benefits & Contact Info
![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: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,500 Browse Formulary |
![Community Blue Medicare HMO Signature (HMO) - H3957-042-2 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Community Blue Medicare HMO Signature (HMO) - H3957-042-2 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Community Blue Medicare HMO Signature (HMO) - H3957-042-2 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 |
Community Blue Medicare PPO Signature (PPO) - H3916-037-2
Benefits & Contact Info
![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%
all covered insulin pay $35 or less | $7,950 Browse Formulary |
![Community Blue Medicare PPO Signature (PPO) - H3916-037-2 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |
Geisinger Gold Classic 360 Rx (HMO) - H3954-160-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic 360 Rx (HMO) - H3954-160-0](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 Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $8,000 Browse Formulary |
![Geisinger Gold Classic 360 Rx (HMO) - H3954-160-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Classic 360 Rx (HMO) - H3954-160-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Classic 360 Rx (HMO) - H3954-160-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Geisinger Gold Classic Essential Rx (HMO) - H3954-161-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Essential Rx (HMO) - H3954-161-0](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 Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Geisinger Gold Classic Essential Rx (HMO) - H3954-161-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Classic Essential Rx (HMO) - H3954-161-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Classic Essential Rx (HMO) - H3954-161-0 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 Preferred Complete Rx (PPO) - H3924-065-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Preferred Complete Rx (PPO) - H3924-065-0](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 Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $8,000 Browse Formulary |
![Geisinger Gold Preferred Complete Rx (PPO) - H3924-065-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Preferred Complete Rx (PPO) - H3924-065-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Preferred Complete Rx (PPO) - H3924-065-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-23
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-23](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: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-23 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-23 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Preferred Enhanced Rx (PPO) - H3924-062-23 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Humana Gold Choice H8145-052 (PFFS) - H8145-052-0
Benefits & Contact Info
![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 |
$0.00 |
$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: 27%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Humana Gold Choice H8145-052 (PFFS) - H8145-052-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Choice H8145-052 (PFFS) - H8145-052-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Choice H8145-052 (PFFS) - H8145-052-0 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
Benefits & Contact Info
![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 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $8,200 Browse Formulary |
![Humana Gold Plus H6622-035 (HMO) - H6622-035-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.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 - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Humana USAA Honor with Rx (PPO) - H5525-059-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Humana USAA Honor with Rx (PPO) - H5525-059-0](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: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 29%
all covered insulin pay $35 or less | $7,850 Browse Formulary |
![Humana USAA Honor with Rx (PPO) - H5525-059-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana USAA Honor with Rx (PPO) - H5525-059-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana USAA Honor with Rx (PPO) - H5525-059-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
HumanaChoice H5525-051 (PPO) - H5525-051-1
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5525-051 (PPO) - H5525-051-1](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: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $7,800 Browse Formulary |
![HumanaChoice H5525-051 (PPO) - H5525-051-1 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-051 (PPO) - H5525-051-1 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-051 (PPO) - H5525-051-1 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 |
HumanaChoice H5525-058 (PPO) - H5525-058-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5525-058 (PPO) - H5525-058-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$505 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: 25%
all covered insulin pay $35 or less | $7,000 Browse Formulary |
![HumanaChoice H5525-058 (PPO) - H5525-058-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-058 (PPO) - H5525-058-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-058 (PPO) - H5525-058-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
HumanaChoice H5525-060 (PPO) - H5525-060-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5525-060 (PPO) - H5525-060-0](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%
all covered insulin pay $35 or less | $8,050 Browse Formulary |
![HumanaChoice H5525-060 (PPO) - H5525-060-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-060 (PPO) - H5525-060-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-060 (PPO) - H5525-060-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Jefferson Health Plans Complete (HMO-POS) - H9207-012-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Jefferson Health Plans Complete (HMO-POS) - H9207-012-0](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% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $4,000 Browse Formulary |
![Jefferson Health Plans Complete (HMO-POS) - H9207-012-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
-- |
![Jefferson Health Plans 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 |
Jefferson Health Plans Flex (PPO) - H1619-001-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Jefferson Health Plans Flex (PPO) - H1619-001-0](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% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,000 Browse Formulary |
new |
new |
new |
|
UPMC for Life HMO No Rx (HMO) - H3907-002-0
Benefits & Contact Info
![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. | $5,000 |
![UPMC for Life HMO No Rx (HMO) - H3907-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |
|
UPMC for Life HMO Premier Rx (HMO) - H3907-052-0
Benefits & Contact Info
![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: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![UPMC for Life HMO Premier Rx (HMO) - H3907-052-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |
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 PPO Premier Rx (PPO) - H5533-011-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UPMC for Life PPO Premier Rx (PPO) - H5533-011-0](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%
all covered insulin pay $35 or less | $5,900 Browse Formulary |
![UPMC for Life PPO Premier Rx (PPO) - H5533-011-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life PPO Premier Rx (PPO) - H5533-011-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UPMC for Life PPO Premier Rx (PPO) - H5533-011-0 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 PPO Salute (PPO) - H5533-012-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UPMC for Life PPO Salute (PPO) - H5533-012-0](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 |
![UPMC for Life PPO Salute (PPO) - H5533-012-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life PPO Salute (PPO) - H5533-012-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UPMC for Life PPO Salute (PPO) - H5533-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Wellcare Giveback Open (PPO) - H2128-004-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare Giveback Open (PPO) - H2128-004-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$545 Tier 1, 2 and 6 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $42.00 Non-Preferred Drug: 49% Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Wellcare Giveback Open (PPO) - H2128-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare Giveback Open (PPO) - H2128-004-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare Giveback Open (PPO) - H2128-004-0 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) |
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Wellcare No Premium (HMO) - H2915-016-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare No Premium (HMO) - H2915-016-0](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: $42.00 Non-Preferred Drug: 48% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,000 Browse Formulary |
![Wellcare No Premium (HMO) - H2915-016-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare No Premium (HMO) - H2915-016-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Wellcare No Premium (HMO) - H2915-016-0 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) |
Wellcare No Premium Open (PPO) - H2128-002-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare No Premium Open (PPO) - H2128-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$0.00 |
$160 Tier 1, 2 and 6 exempt |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Drug: 43% Specialty Tier: 30% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![Wellcare No Premium Open (PPO) - H2128-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare No Premium Open (PPO) - H2128-002-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Wellcare No Premium Open (PPO) - H2128-002-0 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) |
Aetna Medicare Value Plus (PPO) - H5522-013-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Value Plus (PPO) - H5522-013-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$14.60 |
$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%
all covered insulin pay $35 or less | $6,900 Browse Formulary |
![Aetna Medicare Value Plus (PPO) - H5522-013-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Value 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 Value 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) |
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 Deductible Rx (HMO) - H3907-037-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Deductible Rx (HMO) - H3907-037-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$20.80 |
$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%
all covered insulin pay $35 or less | $6,000 Browse Formulary |
![UPMC for Life HMO Deductible Rx (HMO) - H3907-037-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life HMO Deductible 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 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) |
Aetna Medicare Advantra Premier (HMO-POS) - H3959-039-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Advantra Premier (HMO-POS) - H3959-039-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$21.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 20% Non-Preferred Drug: 50% Specialty Tier: 33%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Advantra Premier (HMO-POS) - H3959-039-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Advantra Premier (HMO-POS) - 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-POS) - 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) |
Wellcare Assist (HMO) - H2915-011-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare Assist (HMO) - H2915-011-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$21.30 |
$435 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: 48% Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Wellcare Assist (HMO) - H2915-011-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare Assist (HMO) - H2915-011-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Wellcare Assist (HMO) - H2915-011-0 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 |
Capital Blue Cross Enhanced (PPO) - H3923-035-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Capital Blue Cross Enhanced (PPO) - H3923-035-0](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: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,000 Browse Formulary |
![Capital Blue Cross Enhanced (PPO) - H3923-035-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Capital Blue Cross Enhanced (PPO) - H3923-035-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Capital Blue Cross Enhanced (PPO) - H3923-035-0 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) |
Geisinger Gold Value Rx (HMO) - H3954-163-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Value Rx (HMO) - H3954-163-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$23.00 |
$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% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $8,850 Browse Formulary |
![Geisinger Gold Value Rx (HMO) - H3954-163-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Value Rx (HMO) - H3954-163-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Value Rx (HMO) - H3954-163-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UPMC for Life PPO Rx Choice (PPO) - H5533-009-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UPMC for Life PPO Rx Choice (PPO) - H5533-009-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$23.00 |
$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%
all covered insulin pay $35 or less | $4,900 Browse Formulary |
![UPMC for Life PPO Rx Choice (PPO) - H5533-009-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life PPO Rx Choice (PPO) - H5533-009-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UPMC for Life PPO Rx Choice (PPO) - H5533-009-0 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 from UHC PA-0007 (PPO) - H2406-046-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage from UHC PA-0007 (PPO) - H2406-046-0](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%
all covered insulin pay $35 or less | $5,900 Browse Formulary |
![AARP Medicare Advantage from UHC PA-0007 (PPO) - H2406-046-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0007 (PPO) - H2406-046-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0007 (PPO) - H2406-046-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
HumanaChoice H5525-017 (PPO) - H5525-017-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for HumanaChoice H5525-017 (PPO) - H5525-017-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$26.00 |
$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%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
![HumanaChoice H5525-017 (PPO) - H5525-017-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-017 (PPO) - H5525-017-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-017 (PPO) - H5525-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Community Blue Medicare PPO Distinct (PPO) - H3916-034-3
Benefits & Contact Info
![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 |
$27.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $42.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $5,500 Browse Formulary |
![Community Blue Medicare PPO Distinct (PPO) - H3916-034-3 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |
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 Open (PPO D-SNP) - H2128-005-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare Dual Access Open (PPO D-SNP) - H2128-005-0](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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Dual Access Open (PPO D-SNP) - H2128-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare Dual Access Open (PPO D-SNP) - H2128-005-0 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) - H2128-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UHC Dual Complete PA-V001 (HMO-POS D-SNP) - H3113-014-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UHC Dual Complete PA-V001 (HMO-POS D-SNP) - H3113-014-0](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%
all covered insulin pay $35 or less | n/a Browse Formulary |
![UHC Dual Complete PA-V001 (HMO-POS D-SNP) - H3113-014-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UHC Dual Complete PA-V001 (HMO-POS D-SNP) - H3113-014-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UHC Dual Complete PA-V001 (HMO-POS D-SNP) - H3113-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UHC Nursing Home Plan EX-F002 (PPO I-SNP) - H0710-017-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UHC Nursing Home Plan EX-F002 (PPO I-SNP) - H0710-017-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$32.20 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![UHC Nursing Home Plan EX-F002 (PPO I-SNP) - H0710-017-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
-- |
![UHC Nursing Home Plan EX-F002 (PPO I-SNP) - H0710-017-0 Medicare Part D Plan Drug Pricing and Patient Safety - 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 |
Geisinger Gold Classic Complete Rx (HMO) - H3954-158-13
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Complete Rx (HMO) - H3954-158-13](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$34.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $4,900 Browse Formulary |
![Geisinger Gold Classic Complete Rx (HMO) - H3954-158-13 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Classic Complete Rx (HMO) - H3954-158-13 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Classic Complete Rx (HMO) - H3954-158-13 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) - H3907-057-4
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UPMC for Life HMO Rx Choice (HMO) - H3907-057-4](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$36.00 |
$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%
all covered insulin pay $35 or less | $4,500 Browse Formulary |
![UPMC for Life HMO Rx Choice (HMO) - H3907-057-4 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![UPMC for Life HMO Rx Choice (HMO) - H3907-057-4 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) - H3907-057-4 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 Silver (HMO-POS) - H3931-070-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Silver (HMO-POS) - H3931-070-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$37.00 |
$250 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: 20% Non-Preferred Drug: 50% Specialty Tier: 29%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Silver (HMO-POS) - H3931-070-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Silver (HMO-POS) - H3931-070-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Silver (HMO-POS) - 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 |
HumanaChoice H5525-006 (PPO) - H5525-006-0
Benefits & Contact Info
![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 |
$38.00 |
$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%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![HumanaChoice H5525-006 (PPO) - H5525-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5525-006 (PPO) - H5525-006-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5525-006 (PPO) - H5525-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0
Benefits & Contact Info
![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 | Tier 1: $0.00 Tier 2: $0.00 Tier 3: $0.00 Tier 4: $0.00 Tier 5: $0.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![Aetna Medicare Advantra Cares (HMO D-SNP) - H3959-036-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.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) |
|
Cigna TotalCare Plus (HMO D-SNP) - H3949-009-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Cigna TotalCare Plus (HMO D-SNP) - H3949-009-0](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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Cigna TotalCare Plus (HMO D-SNP) - H3949-009-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Cigna TotalCare Plus (HMO D-SNP) - H3949-009-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Cigna TotalCare Plus (HMO D-SNP) - H3949-009-0 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 |
Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) - H6622-078-1
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) - H6622-078-1](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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) - H6622-078-1 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) - H6622-078-1 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) - H6622-078-1 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Aetna Medicare Longevity Plan (HMO I-SNP) - H3959-066-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Aetna Medicare Longevity Plan (HMO I-SNP) - H3959-066-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$39.00 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25% Tier 5: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Aetna Medicare Longevity Plan (HMO I-SNP) - H3959-066-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Longevity Plan (HMO I-SNP) - H3959-066-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Aetna Medicare Longevity Plan (HMO I-SNP) - H3959-066-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UHC Dual Complete PA-S002 (HMO-POS D-SNP) - H3113-009-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UHC Dual Complete PA-S002 (HMO-POS 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
all covered insulin pay $35 or less | n/a Browse Formulary |
![UHC Dual Complete PA-S002 (HMO-POS D-SNP) - H3113-009-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UHC Dual Complete PA-S002 (HMO-POS D-SNP) - H3113-009-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UHC Dual Complete PA-S002 (HMO-POS 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 |
AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0
Benefits & Contact Info
![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 | Tier 1: $0.00
all covered insulin pay $35 or less | 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 - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![AmeriHealth Caritas VIP Care (HMO D-SNP) - H4227-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0
Benefits & Contact Info
![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%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Secure Rx (HMO D-SNP) - H3954-097-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.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) |
|
Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) - H5932-001-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Highmark Wholecare 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: $4.00 Generic: $13.00 Preferred Brand: $38.00 Non-Preferred Drug: 40% Specialty Tier: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) - H5932-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) - H5932-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) - H5932-001-0 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 |
Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) - H5932-009-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Highmark Wholecare 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: $4.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: 46% Specialty Tier: 25%
all covered insulin pay $35 or less | n/a Browse Formulary |
![Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) - H5932-009-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) - H5932-009-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Highmark Wholecare Medicare Assured Ruby (HMO D-SNP) - H5932-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Jefferson Health Plans Prime (HMO-POS) - H9207-002-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Jefferson Health Plans Prime (HMO-POS) - H9207-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$40.20 |
$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 Care Drugs: $0.00
all covered insulin pay $35 or less | $7,900 Browse Formulary |
![Jefferson Health Plans Prime (HMO-POS) - H9207-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
-- |
![Jefferson Health Plans Prime (HMO-POS) - H9207-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
Jefferson Health Plans Special (HMO D-SNP) - H9207-004-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Jefferson Health Plans 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
all covered insulin pay $35 or less | n/a Browse Formulary |
![Jefferson Health Plans Special (HMO D-SNP) - H9207-004-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
-- |
![Jefferson Health Plans 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 |
UHC Dual Complete PA-S001 (PPO D-SNP) - H1889-007-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for UHC Dual Complete PA-S001 (PPO D-SNP) - H1889-007-0](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 | Tier 1: $0.00 Tier 2: $0.00 Tier 3: $0.00 Tier 4: $0.00 Tier 5: $0.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![UHC Dual Complete PA-S001 (PPO D-SNP) - H1889-007-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![UHC Dual Complete PA-S001 (PPO D-SNP) - H1889-007-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![UHC Dual Complete PA-S001 (PPO D-SNP) - H1889-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
UPMC for Life Complete Care (HMO D-SNP) - H4279-001-0
Benefits & Contact Info
![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: $15.00 Preferred Brand: $35.00 Non-Preferred Drug: 49% Specialty Tier: 25%
all covered insulin pay $35 or less | 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) |
Wellcare Dual Access (HMO D-SNP) - H2915-007-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Wellcare Dual Access (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 | Tier 1: $0.00
all covered insulin pay $35 or less | n/a Browse Formulary |
![Wellcare Dual Access (HMO D-SNP) - H2915-007-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Wellcare Dual Access (HMO D-SNP) - H2915-007-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Wellcare Dual Access (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) |
|
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 from UHC PA-0008 (PPO) - H2406-047-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for AARP Medicare Advantage from UHC PA-0008 (PPO) - H2406-047-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$44.00 |
$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%
all covered insulin pay $35 or less | $5,500 Browse Formulary |
![AARP Medicare Advantage from UHC PA-0008 (PPO) - H2406-047-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0008 (PPO) - H2406-047-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![AARP Medicare Advantage from UHC PA-0008 (PPO) - H2406-047-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
Community Blue Medicare PPO Premier (PPO) - H3916-045-2
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Community Blue Medicare PPO Premier (PPO) - H3916-045-2](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$46.00 |
$0 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $42.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,900 Browse Formulary |
![Community Blue Medicare PPO Premier (PPO) - H3916-045-2 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Community Blue Medicare PPO Premier (PPO) - H3916-045-2 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Community Blue Medicare PPO Premier (PPO) - H3916-045-2 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) |
HumanaChoice R0923-002 (Regional PPO) - R0923-002-0
Benefits & Contact Info
![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 |
$46.00 |
$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%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
![HumanaChoice R0923-002 (Regional PPO) - R0923-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice R0923-002 (Regional PPO) - R0923-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice R0923-002 (Regional PPO) - R0923-002-0 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 |
Jefferson Health Plans Flex Plus (PPO) - H1619-002-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Jefferson Health Plans Flex Plus (PPO) - H1619-002-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$49.00 |
$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 Care Drugs: $0.00
all covered insulin pay $35 or less | $5,900 Browse Formulary |
new |
new |
new |
|
Freedom Blue PPO ValueRx (PPO) - H3916-018-0
Benefits & Contact Info
![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 |
$58.00 |
$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%
all covered insulin pay $35 or less | $5,500 Browse Formulary |
![Freedom Blue PPO ValueRx (PPO) - H3916-018-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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 PPO Rx Enhanced (PPO) - H5533-008-0
Benefits & Contact Info
![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 |
$58.00 |
$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%
all covered insulin pay $35 or less | $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 - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.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 |
BlueJourney Classic (PPO) - H3923-013-0
Benefits & Contact Info
![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 |
$60.00 |
$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%
all covered insulin pay $35 or less | $7,500 Browse Formulary |
![BlueJourney Classic (PPO) - H3923-013-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![BlueJourney Classic (PPO) - H3923-013-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Classic (PPO) - H3923-013-0 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) |
Freedom Blue PPO Basic (PPO) - H3916-012-0
Benefits & Contact Info
![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 |
$64.00 |
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 - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |
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BlueJourney Value (HMO) - H3962-004-0
Benefits & Contact Info
![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 |
$65.00 |
$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%
all covered insulin pay $35 or less | $5,500 Browse Formulary |
![BlueJourney Value (HMO) - H3962-004-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![BlueJourney Value (HMO) - H3962-004-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![BlueJourney Value (HMO) - H3962-004-0 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 |
Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0
Benefits & Contact Info
![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 |
$67.00 |
$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%
all covered insulin pay $35 or less | $5,900 Browse Formulary |
![Aetna Medicare Advantra Premier Plus (PPO) - H5522-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.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) |
Humana Gold Choice H8145-163 (PFFS) - H8145-163-0
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Humana Gold Choice H8145-163 (PFFS) - H8145-163-0](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$75.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
![Humana Gold Choice H8145-163 (PFFS) - H8145-163-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Choice H8145-163 (PFFS) - H8145-163-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Humana Gold Choice H8145-163 (PFFS) - H8145-163-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
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Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-22
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-22](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$79.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $4,000 Browse Formulary |
![Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-22 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-22 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Preferred Advantage Rx (PPO) - H3924-059-22 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 Rx (HMO) - H3907-029-0
Benefits & Contact Info
![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: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,500 Browse Formulary |
![UPMC for Life HMO Rx (HMO) - H3907-029-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |
BlueJourney Premier (HMO) - H3962-001-0
Benefits & Contact Info
![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 |
$117.00 |
$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%
all covered insulin pay $35 or less | $3,700 Browse Formulary |
![BlueJourney Premier (HMO) - H3962-001-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![BlueJourney Premier (HMO) - H3962-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![BlueJourney Premier (HMO) - H3962-001-0 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 H5216-120 (PPO) - H5216-120-0
Benefits & Contact Info
![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 |
$123.00 |
$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%
all covered insulin pay $35 or less | $7,600 Browse Formulary |
![HumanaChoice H5216-120 (PPO) - H5216-120-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![HumanaChoice H5216-120 (PPO) - H5216-120-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![HumanaChoice H5216-120 (PPO) - H5216-120-0 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 |
Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-23
Benefits & Contact Info
![Email/View Prescription and/or Health Benefit details for Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-23](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif) |
Dauphin |
$129.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $3.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% Vaccines ($0 cost sharing): $0.00
all covered insulin pay $35 or less | $3,450 Browse Formulary |
![Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-23 Medicare Part D Plan Customer Service Rating - 1 Stars (Poor)](https://q1medicare.com/pics/1star.gif) |
![Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-23 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Geisinger Gold Classic Advantage Rx (HMO) - H3954-157-23 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 Gold Plan (PPO) - H5521-122-0
Benefits & Contact Info
![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 |
$145.00 |
$250 Tier 1 and 2 exempt |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: 20% Non-Preferred Drug: 50% Specialty Tier: 29%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![Aetna Medicare Gold Plan (PPO) - H5521-122-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Aetna Medicare Gold Plan (PPO) - H5521-122-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Aetna Medicare Gold Plan (PPO) - H5521-122-0 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
Benefits & Contact Info
![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 |
$164.00 |
$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%
all covered insulin pay $35 or less | $5,000 Browse Formulary |
![Freedom Blue PPO Standard (PPO) - H3916-015-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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 |
BlueJourney Prime (PPO) - H3923-017-0
Benefits & Contact Info
![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 |
$177.00 |
$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%
all covered insulin pay $35 or less | $5,000 Browse Formulary |
![BlueJourney Prime (PPO) - H3923-017-0 Medicare Part D Plan Customer Service Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![BlueJourney Prime (PPO) - H3923-017-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![BlueJourney Prime (PPO) - H3923-017-0 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) |
Freedom Blue PPO Deluxe (PPO) - H3916-005-0
Benefits & Contact Info
![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 |
$278.00 |
$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%
all covered insulin pay $35 or less | $4,500 Browse Formulary |
![Freedom Blue PPO Deluxe (PPO) - H3916-005-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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
Benefits & Contact Info
![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 |
$295.00 |
$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%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
![UPMC for Life HMO Rx Enhanced (HMO) - H3907-006-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.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) |