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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2013 AARP MedicareComplete Choice (PPO) | $0.00 | $3,975 | $0 | No additional gap coverage, only the Donut Hole Discount | H2001 -001 -0 | $3.00 | $5.00 | $45.00 | $45.00 | 3,825 2013 Formulary | ||
2014 AARP MedicareComplete Choice (PPO) | $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 | |||
2013 Aetna Medicare Value Plan (HMO) | $0.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H3597 -001 -0 | $6.00 | $33.00 | $45.00 | $45.00 | 3,323 2013 Formulary | ||
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 400 (PPO) | $0.00 | $4,400 | No Rx Coverage | H2775 -094 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Today's Options Advantage 800 (PPO) | $0.00 | $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 400 (PFFS) | $0.00 | $4,400 | No Rx Coverage | H2816 -007 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Today's Options Premier 400 (PFFS) | $0.00 | $4,400 | No Rx Coverage | This plan does NOT include Prescription Drug coverage. | ||||||||
-- This plan not offered in 2013 -- |
H8432 -001 -0 | |||||||||||
new | new | new | ||||||||||
2014 Anthem MediBlue Select (HMO) | $9.00 | $3,800 | $100 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $10.00 | $40.00 | $40.00 | 2,880 2014 Formulary | |||
2013 Today's Options Advantage Plus 450B (PPO) | $26.00 | $4,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H2775 -088 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | ||
2014 Today's Options Advantage Plus 850B (PPO) | $36.00 | $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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2013 Today's Options Premier Plus 450B (PFFS) | $26.00 | $4,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H2816 -019 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 4,885 2013 Formulary | ||
2014 Today's Options Premier Plus 850B (PFFS) | $37.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $45.00 | $45.00 | 2,885 2014 Formulary | |||
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 Premier 100 (PFFS) | $20.00 | n/a | No Rx Coverage | H2816 -001 -0 | This plan does NOT include Prescription Drug coverage. | |||||||
2014 Today's Options Premier 100 (PFFS) | $40.00 | n/a | 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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-- This plan not offered in 2013 -- |
H1660 -005 -0 | |||||||||||
new | new | new | ||||||||||
2014 Stride (HMO) | $53.00 | $3,200 | $0 | Many Generics | $3.00 | $10.00 | 25% | 25% | 5,215 2014 Formulary | |||
2013 Aetna Medicare Standard Plan (HMO) | $56.00 | $3,400 | $0 | Some Generics | H3597 -002 -0 | $6.00 | $33.00 | $45.00 | $45.00 | 3,323 2013 Formulary | ||
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 Advantage Plus 150A (PPO) | $68.00 | $3,400 | $0 | No additional gap coverage, only the Donut Hole Discount | H2775 -082 -0 | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | ||
2014 Today's Options Advantage Plus 350A (PPO) | $90.00 | $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 Today's Options Premier Plus 150A (PFFS) | $77.00 | n/a | $0 | No additional gap coverage, only the Donut Hole Discount | H2816 -013 -0 | $2.00 | $7.00 | $40.00 | $40.00 | 4,885 2013 Formulary | ||
2014 Today's Options Premier Plus 350A (PFFS) | $92.00 | 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 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 | ||
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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 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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