2013 / 2014 Medicare Advantage Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Part A&B Maximum Out-Of |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Formulary Drugs | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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-- This plan not offered in 2013 -- |
H5322 -023 -0 | |||||||||||
new | new | new | ||||||||||
2014 AARP MedicareComplete Plus (HMO-POS) | $0.00 | $5,500 | $0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $8.00 | $45.00 | $45.00 | 3,604 2014 Formulary | |||
-- This plan not offered in 2013 -- |
H3597 -001 -0 | |||||||||||
2014 Aetna Medicare Value Plan (HMO) | $0.00 | $5,900 | $0 | Few Generics | $6.00 | $45.00 | $95.00 | $95.00 | 3,134 2014 Formulary | |||
2013 Humana Gold Plus H5619-001 (HMO) | $0.00 | $4,950 | $0 | Few Generics, Few Brands |
H5619 -001 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 3,906 2013 Formulary | ||
2014 Humana Gold Plus H5619-001 (HMO) | $0.00 | $6,700 | $0 | Few Generics, Few Brands | $8.00 | $18.00 | $45.00 | $45.00 | 3,711 2014 Formulary | |||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Martin's Point Generations Prime (HMO-POS) | $0.00 | $3,200 | $0 | No additional gap coverage, only the Donut Hole Discount | H5591 -004 -0 | $0.00 | $6.00 | $40.00 | $40.00 | 2,952 2013 Formulary | ||
2014 Martin's Point Generations Advantage Prime (HMO-POS) | $0.00 | $3,200 | $0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $40.00 | $40.00 | 2,896 2014 Formulary | |||
2013 Martin's Point Generations Advantage Value (HMO) | $0.00 | $3,400 | No Rx Coverage | H5591 -003 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Martin's Point Generations Advantage Value (HMO) | $0.00 | $3,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Today's Options Advantage 600 (PPO) | $20.00 | $6,700 | No Rx Coverage | H2775 -096 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Today's Options Advantage 900 (PPO) | $20.00 | $6,700 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Today's Options Premier 600 (PFFS) | $30.00 | n/a | No Rx Coverage | H2816 -009 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Today's Options Premier 900 (PFFS) | $30.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Martin's Point Generations Advantage Select (PPO) | $39.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H1365 -001 -0 | $0.00 | $6.00 | $40.00 | $40.00 | 2,952 2013 Formulary | ||
2014 Martin's Point Generations Advantage Select (PPO) | $39.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $40.00 | $40.00 | 2,896 2014 Formulary | |||
2013 Today's Options Advantage Plus 650B (PPO) | $51.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | H2775 -084 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | ||
2014 Today's Options Advantage Plus 950B (PPO) | $56.00 | $6,700 | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $45.00 | $45.00 | 2,885 2014 Formulary | |||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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-- This plan not offered in 2013 -- |
H3597 -002 -0 | |||||||||||
2014 Aetna Medicare Standard Plan (HMO) | $58.00 | $3,400 | $0 | Few Generics | $6.00 | $45.00 | $95.00 | $95.00 | 3,134 2014 Formulary | |||
2013 Today's Options Premier 200 (PFFS) | $70.00 | n/a | No Rx Coverage | H2816 -025 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Today's Options Premier 200 (PFFS) | $70.00 | n/a | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
2013 Today's Options Premier Plus 650B (PFFS) | $71.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H2816 -021 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | ||
2014 Today's Options Premier Plus 950B (PFFS) | $76.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $45.00 | $45.00 | 2,885 2014 Formulary | |||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Anthem Medicare Preferred Premier (PPO) | $95.00 | $6,000 | $100 | No additional gap coverage, only the Donut Hole Discount | H6786 -001 -0 | $5.00 | $10.00 | $39.00 | $39.00 | 2,838 2013 Formulary | ||
-- | -- | -- | ||||||||||
2014 Anthem Medicare Preferred Premier (PPO) | $96.00 | $6,000 | $175 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $18.00 | $40.00 | $40.00 | 2,880 2014 Formulary | |||
2013 Today's Options Premier Plus 250A (PFFS) | $107.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H2816 -027 -0 | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | ||
2014 Today's Options Premier Plus 350A (PFFS) | $112.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $7.00 | $40.00 | $40.00 | 2,885 2014 Formulary | |||
2013 Today's Options Advantage Plus 250A (PPO) | $116.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H2775 -098 -0 | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | ||
2014 Today's Options Advantage Plus 350A (PPO) | $121.00 | $3,250 | $0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $7.00 | $40.00 | $40.00 | 2,885 2014 Formulary | |||
Plan Name | Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Drugs | |||||
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Humana Gold Plus SNP-DE H5619-003 (HMO SNP) | $33.30 | n/a | $325 | n/a | H5619 -003 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,906 2013 Formulary | ||
-- This plan not offered in 2014 -- |
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