AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO) - R0759-002-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,900 |
|
|
|
|
AARP Medicare Advantage Patriot No Rx FL-MA2 (PPO) - H2406-130-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,900 |
|
|
|
|
Aetna Medicare Eagle (PPO) - H5521-306-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
BlueMedicare Patriot (PPO) - H5434-042-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
|
|
|
|
Cigna Courage Medicare (HMO) - H5410-058-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Erickson Advantage Liberty no Rx (HMO-POS) - H5652-002-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,750 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana USAA Honor Giveback (HMO) - H1036-290-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
|
|
|
|
Humana USAA Honor Giveback (PPO) - H5216-257-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,000 |
|
|
|
|
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
|
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Wellcare Patriot Giveback (HMO) - H1032-239-0
Benefits & Contact Info
|
Collier |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
|
-- |
|
|
AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS) - H1045-059-0
Benefits & Contact Info
|
Collier |
$0.00 |
$495 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
|
|
|
|
AARP Medicare Advantage from UHC FL-0010 (HMO-POS) - H1045-034-0
Benefits & Contact Info
|
Collier |
$0.00 |
$175 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 31%
all covered insulin pay $35 or less | $2,900 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
AARP Medicare Advantage from UHC FL-0017 (PPO) - H2406-009-0
Benefits & Contact Info
|
Collier |
$0.00 |
$420 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28%
all covered insulin pay $35 or less | $5,900 Browse Formulary |
|
|
|
|
Aetna Medicare FL Explorer Premier (PPO) - H5521-438-0
Benefits & Contact Info
|
Collier |
$0.00 |
$590 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 24% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $4,700 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Aetna Medicare FL Select (HMO) - H1609-027-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 35% Specialty Tier: 33%
all covered insulin pay $35 or less | $2,900 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Aetna Medicare Premier (PPO) - H5521-272-0
Benefits & Contact Info
|
Collier |
$0.00 |
$590 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 24% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $5,500 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Aetna Medicare Premier (PPO) - H5521-033-0
Benefits & Contact Info
|
Collier |
$0.00 |
$590 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 24% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $6,750 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
BlueMedicare Classic (HMO) - H1035-019-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Drug: $93.00 Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $5,500 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
BlueMedicare Premier (HMO) - H1035-045-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: $90.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
|
Cigna Preferred Medicare (HMO) - H5410-039-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Preferred Savings Medicare (HMO) - H5410-041-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Drug: $100.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $3,900 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Erickson Advantage Liberty (HMO-POS) - H5652-008-0
Benefits & Contact Info
|
Collier |
$0.00 |
$200 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $15.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 30%
all covered insulin pay $35 or less | $6,750 Browse Formulary |
|
|
|
|
Freedom Medi-Medi Full (HMO D-SNP) - H5427-087-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Enhanced Alternative (EA) | Preferred Generic: 24% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $500 Browse Formulary |
|
|
|
|
Freedom Platinum Plan Rx (HMO) - H5427-098-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $2,600 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Freedom Platinum Rewards Plan Rx (HMO) - H5427-105-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Freedom VIP Savings (HMO C-SNP) - H5427-082-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: $80.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Freedom VIP Savings COPD (HMO C-SNP) - H5427-083-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: $80.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Full Access Giveback H5216-393 (PPO) - H5216-393-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: 33% Specialty Tier: 28%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
|
|
|
|
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) - H1036-311-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Drug: 50% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $3,300 Browse Formulary |
|
|
|
|
Humana Gold Plus Giveback H1036-278 (HMO) - H1036-278-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: $80.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $4,400 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Plus H1036-217 (HMO) - H1036-217-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Drug: 48% Specialty Tier: 33%
all covered insulin pay $35 or less | $4,150 Browse Formulary |
|
|
|
|
Humana Gold Plus Lung (HMO C-SNP) - H1036-310-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Drug: 50% Specialty Tier: 33% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $3,300 Browse Formulary |
|
|
|
|
Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP) - H1036-285-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP) - H1036-314-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: 25% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,400 Browse Formulary |
|
|
|
|
HumanaChoice Florida Giveback H5216-452 (PPO) - H5216-452-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $30.00 Non-Preferred Drug: 35% Specialty Tier: 25%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
|
|
|
|
HumanaChoice Florida H5216-072 (PPO) - H5216-072-0
Benefits & Contact Info
|
Collier |
$0.00 |
$250 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $2.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 38% Specialty Tier: 30%
all covered insulin pay $35 or less | $6,100 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice Florida H5216-304 (PPO) - H5216-304-0
Benefits & Contact Info
|
Collier |
$0.00 |
$300 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: 35% Specialty Tier: 29%
all covered insulin pay $35 or less | $4,700 Browse Formulary |
|
|
|
|
Optimum Diamond Rewards (HMO C-SNP) - H5594-034-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Drug: $85.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00
all covered insulin pay $35 or less | $6,800 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Optimum Diamond Rewards COPD (HMO C-SNP) - H5594-035-0
Benefits & Contact Info
|
Collier |
$0.00 |
$0 |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Drug: $85.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,800 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Optimum Emerald Full (HMO D-SNP) - H5594-017-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Enhanced Alternative (EA) | Preferred Generic: 24% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $500 Browse Formulary |
|
|
|
|
Simply Freedom (PPO) - H9469-007-0
Benefits & Contact Info
|
Collier |
$0.00 |
$125 Tier 1, 2 and 6 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Drug: 25% Specialty Tier: 31% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $5,000 Browse Formulary |
|
new |
|
Higher cost-sharing at standard network pharmacies. Details:
|
UHC Complete Care FL-14 (HMO-POS C-SNP) - H1045-048-2
Benefits & Contact Info
|
Collier |
$0.00 |
$175 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 31%
all covered insulin pay $35 or less | $2,900 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Wellcare Giveback (HMO) - H1032-198-0
Benefits & Contact Info
|
Collier |
$0.00 |
$420 Tier 1, 2 and 6 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 42% Specialty Tier: 28% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $5,000 Browse Formulary |
|
-- |
|
Higher cost-sharing at standard network pharmacies. Details:
|
Wellcare Simple (HMO) - H1032-199-0
Benefits & Contact Info
|
Collier |
$0.00 |
$420 Tier 1, 2 and 6 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 40% Specialty Tier: 28% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $2,900 Browse Formulary |
|
-- |
|
Higher cost-sharing at standard network pharmacies. Details:
|
Aetna Medicare FL Dual Select (HMO D-SNP) - H1609-056-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $4,150 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Freedom Medi-Medi Partial (HMO D-SNP) - H5427-078-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Enhanced Alternative (EA) | Preferred Generic: 24% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $500 Browse Formulary |
|
|
|
|
UHC Dual Complete FL-D002 (HMO-POS D-SNP) - H1045-039-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
|
|
|
|
Cigna TotalCare (HMO D-SNP) - H5410-055-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $4,500 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Wellcare Dual Access (HMO D-SNP) - H1032-124-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
|
-- |
|
|
Cigna TotalCare Plus (HMO D-SNP) - H5410-047-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $1,500 Browse Formulary |
|
|
|
|
Wellcare Dual Liberty (HMO D-SNP) - H1032-175-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
|
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Optimum Emerald Partial (HMO D-SNP) - H5594-016-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Enhanced Alternative (EA) | Preferred Generic: 24% Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 25% Supplemental Drugs: $0.00
all covered insulin pay $35 or less | $500 Browse Formulary |
|
|
|
|
HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP) - H5216-394-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $4,900 Browse Formulary |
|
|
|
|
UHC Dual Complete FL-D003 (PPO D-SNP) - H1889-002-2
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UHC Dual Complete FL-D005 (Regional PPO D-SNP) - R0759-003-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
|
|
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UHC Dual Complete FL-Y001 (HMO-POS D-SNP) - H2509-001-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
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new |
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UHC Dual Complete FL-Y4 (PPO D-SNP) - H1889-026-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UHC Dual Complete FL-Y5 (HMO-POS D-SNP) - H2509-003-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $9,350 Browse Formulary |
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new |
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UHC Nursing Home Plan FL-F001 (PPO I-SNP) - H0710-010-0
Benefits & Contact Info
|
Collier |
$20.30 |
$590 |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $4,000 Browse Formulary |
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Wellcare Dual Reserve (HMO D-SNP) - H1032-202-0
Benefits & Contact Info
|
Collier |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
Defined Standard (DS) | Tier 1: 25%
all covered insulin pay $35 or less | $1,500 Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
AARP Medicare Advantage from UHC FL-0031 (Regional PPO) - R0759-001-0
Benefits & Contact Info
|
Collier |
$23.00 |
$570 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $8.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 26%
all covered insulin pay $35 or less | $7,900 Browse Formulary |
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HumanaChoice R5826-074 (Regional PPO) - R5826-074-0
Benefits & Contact Info
|
Collier |
$23.00 |
$395 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $6.00 Generic: $20.00 Preferred Brand: $47.00 Non-Preferred Drug: 48% Specialty Tier: 28%
all covered insulin pay $35 or less | $7,550 Browse Formulary |
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BlueMedicare Select (PPO) - H5434-045-0
Benefits & Contact Info
|
Collier |
$28.00 |
$590 Tier 1, 2 and 6 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: 21% Non-Preferred Drug: 25% Specialty Tier: 25% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $6,750 Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Erickson Advantage Freedom (HMO-POS) - H5652-006-0
Benefits & Contact Info
|
Collier |
$67.00 |
$100 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 31%
all covered insulin pay $35 or less | $4,300 Browse Formulary |
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BlueMedicare Select (PPO) - H5434-002-0
Benefits & Contact Info
|
Collier |
$112.90 |
$290 Tier 6 exempt |
Enhanced Alternative (EA) | Preferred Generic: $3.00 Generic: $10.00 Preferred Brand: 25% Non-Preferred Drug: 25% Specialty Tier: 28% Select Care Drugs: $0.00
all covered insulin pay $35 or less | $5,900 Browse Formulary |
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Erickson Advantage Signature (HMO-POS) - H5652-001-0
Benefits & Contact Info
|
Collier |
$162.00 |
$0 |
Enhanced Alternative (EA) | 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 | $2,400 Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible | Drug Benefit Detail | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Erickson Advantage Champion (HMO-POS C-SNP) - H5652-004-0
Benefits & Contact Info
|
Collier |
$167.00 |
$0 |
Enhanced Alternative (EA) | 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 | $3,400 Browse Formulary |
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HumanaChoice R5826-005 (Regional PPO) - R5826-005-0
Benefits & Contact Info
|
Collier |
$172.00 |
$100 Tier 1 and 2 exempt |
Enhanced Alternative (EA) | Preferred Generic: $5.00 Generic: $15.00 Preferred Brand: $47.00 Non-Preferred Drug: 50% Specialty Tier: 31%
all covered insulin pay $35 or less | $6,700 Browse Formulary |
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