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The 2010 MA-Finder
Medicare Advantage Plan Search Tool

Just enter your preferences in the MA-Finder search criteria below and click "Search".

Search Criteria

ZIP Code:*
Selected County:*	ALLEGHENY, Pennsylvania
Partial Plan Name:	1:	2:
Other Options:	Only Plans with MOOP ≤ $3,400 Limit Search to 10 Plans
Maximum Premium:	$	max: $428
Maximum Deductible:	$	max: $310
Type of Health Coverage
Special Needs Plans (SNP) Options:	Only show SNPs -- All Three Types OR Only: Dual-Eligible Chronic Condition Institutional
Max. Co-pay Tier 1 (Generics):	$	Ex: enter 0 to show plans with a $0 Tier 1 Co-pay
Prescription Drug Coverage:
Type of Gap Coverage:
Additional Info:
Sort Results by:
*required

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Print Version

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2010 Drug Only (PDP) Plans

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Compare 2009 & 2010 Rx Plans

There are 55 Medicare Advantage Plans for 2010 meet your criteria.

Click below to access enrollment options (including download, online, and telephone).

2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips
Plan Name			County	Monthly Prem. (incl. Part C & D)	Deduct- ible	(Donut Hole) Gap Coverage	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for Part A & B Benefits
Cust. Service Rating	Member Plan Exper.	RxCost Info Rating
Geisinger Gold Reserve 3 (MSA)			Allegheny	$-1.00	No Rx Coverage		H8468 -003	This Plan does NOT include Prescription Drug coverage.	No

Advantra Elite (PPO)			Allegheny	$0.00	$0	No Gap Coverage	H5522 -007	Tier 1 - Preferred Generic: $4.00 Tier 2 - Preferred Brand: $40.00 Tier 3 - Non-Preferred Generic/Non-Preferred Brand: $69.00 Tier 4 - Specialty Drugs: 33%	No

Advantra Silver (HMO)			Allegheny	$0.00	$0	No Gap Coverage	H3959 -010	Tier 1 - Preferred Generics: $4.00 Tier 2 - Preferred Brand: $37.00 Tier 3 - Non-Preferred Generic/Non-Preferred Brand: $68.00 Tier 4 - Specialty Drugs: 33%	No

Bravo Achieve (HMO)			Allegheny	$0.00	$0	No Gap Coverage	H3949 -024	Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 33% Preferred Diabetic Drugs: $0.00	No

Bravo Classic (HMO)			Allegheny	$0.00	$0	No Gap Coverage	H3949 -002	Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 33%	No

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
FreedomBlue PPO HD Rx (PPO)			Allegheny	$0.00	$0	No Gap Coverage	H3916 -019	Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Brand: $90.00 Specialty: 33%	No

FRESENIUS MEDICAL CARE HEALTH PLAN (PFFS)			Allegheny	$0.00	No Rx Coverage		H5606 -001	This Plan does NOT include Prescription Drug coverage.	No

HumanaChoice R5826-062 (Regional PPO)			Allegheny	$0.00	No Rx Coverage		R5826 -062	This Plan does NOT include Prescription Drug coverage.	Yes

Unison Advantage Basic (HMO)			Allegheny	$0.00	No Rx Coverage		H3920 -007	This Plan does NOT include Prescription Drug coverage.	No

Unison Advantage Choice (HMO)			Allegheny	$0.00	$0	No Gap Coverage	H3920 -001	Tier 1 Preferred Generic Brand: $5.00 Tier 2 Generic Preferred Brand: $35.00 Tier 3 Non-Preferred Generic Non-Preferred Brand: $65.00 Tier 4 Specialty: 33%	No

UPMC for Life (HMO)			Allegheny	$0.00	No Rx Coverage		H3907 -002	This Plan does NOT include Prescription Drug coverage.	Yes

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
UPMC for Life PPO High Deductible with Rx (PPO)			Allegheny	$0.00	$0	No Gap Coverage	H5533 -003	Tier 1 - Generic: $5.00 Tier 2 - Preferred Brand: $32.00 Tier 3 - Non-Preferred Brand: $80.00 Tier 4 - Specialty: 33%	Yes

Humana Gold Choice H2944-102 (PFFS)			Allegheny	$20.00	No Rx Coverage		H2944 -102	This Plan does NOT include Prescription Drug coverage.	No

SecurityBlue Care (HMO)			Allegheny	$27.00	$310	No Gap Coverage	H3957 -030	Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%	No

Humana Gold Choice H2944-100 (PFFS)			Allegheny	$30.00	$0	Few Generics and Few Brand	H2944 -100	Preferred Generic: $10.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33%	No

SecurityBlue Value (HMO)			Allegheny	$30.00	No Rx Coverage		H3957 -024	This Plan does NOT include Prescription Drug coverage.	No

Bravo Select (HMO)			Allegheny	$31.00	$310	No Gap Coverage	H3949 -009	Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%	No

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
Bravo Traditions (HMO)			Allegheny	$31.00	$310	No Gap Coverage	H3949 -016	Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%	No

Gateway Health Plan Medicare Assured (HMO)			Allegheny	$32.00	$310	No Gap Coverage	H5932 -001	Tier 1: $0.00 Tier 2: $45.00 Tier 3: $94.75 Tier 4: 25%	No

Unison Advantage Plus (HMO)			Allegheny	$32.10	$310	No Gap Coverage	H3920 -003	Tier 1: 25% Tier 2: 25%	No

UPMC for Life Specialty Plan (HMO)			Allegheny	$32.10	$0	No Gap Coverage	H3907 -020	Generics: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 33%	No

Any, Any, Any MA Only (PFFS)			Allegheny	$49.00	No Rx Coverage		H5820 -028	This Plan does NOT include Prescription Drug coverage.	Yes

SecurityBlue Basic (HMO)			Allegheny	$49.00	$0	No Gap Coverage	H3957 -031	Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Brand: $90.00 Specialty: 33%	No

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
UPMC for Life HMO Rx (HMO)			Allegheny	$53.00	$0	No Gap Coverage	H3907 -029	Tier 1 - Generic: $5.00 Tier 2 - Preferred Brand: $32.00 Tier 3 - Non-Preferred Brand: $80.00 Tier 4 - Specialty: 33%	Yes

FreedomBlue PPO Select (PPO)			Allegheny	$55.00	$0	No Gap Coverage	H3916 -022	Generic: $7.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty: 33%	No

Any, Any, Any Gold (PFFS)			Allegheny	$59.00	$0	No Gap Coverage	H5820 -004	Value Generic: $4.00 Generic: $10.00 Preferred Brand: $35.00 Non Preferred Brand: $70.00 Speciality: 33%	Yes

Sterling Basic Plus (PFFS)			Allegheny	$59.00	No Rx Coverage		H5006 -018	This Plan does NOT include Prescription Drug coverage.	No

FreedomBlue PFFS Choice (PFFS)			Allegheny	$60.00	No Rx Coverage		H9793 -002	This Plan does NOT include Prescription Drug coverage.	No
	--
Humana Gold Choice H2944-076 (PFFS)			Allegheny	$61.00	$0	Few Generics and Few Brand	H2944 -076	Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33%	No

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
HumanaChoice R5826-081 (Regional PPO)			Allegheny	$67.00	$310	No Gap Coverage	R5826 -081	Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%	No

Bravo Premier (HMO)			Allegheny	$68.00	$0	No Gap Coverage	H3949 -013	Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Specialty: 33%	No

FreedomBlue PFFS Choice Plus (PFFS)			Allegheny	$71.00	$0	No Gap Coverage	H9793 -001	Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Brand: $90.00 Specialty: 33%	No
	--
Advantra Gold (PPO)			Allegheny	$81.00	$0	Many Generics	H5522 -001	Tier 1 - Preferred Generic: $6.00 Tier 2 - Preferred Brand: $38.00 Tier 3 - Non-Preferred Generic/Non-Preferred Brand: $67.00 Tier 4 - Specialty Drugs: 33%	No

CIGNA Medicare Access Plan One (PFFS)			Allegheny	$85.00	No Rx Coverage		H2762 -023	This Plan does NOT include Prescription Drug coverage.	Yes

Any, Any, Any Platinum (PFFS)			Allegheny	$89.00	$0	No Gap Coverage	H5820 -010	Value Generic: $2.00 Generic: $7.00 Preferred Brand: $30.00 Non Preferred Brand: $60.00 Speciality: 33%	Yes

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
CIGNA Medicare Access Plus RX Plan Two (PFFS)			Allegheny	$90.00	$0	No Gap Coverage	H2762 -048	Tier 1: $7.00 Tier 2: $35.00 Tier 3: $75.00 Tier 4: 33%	No

Today's Options Value (PFFS)			Allegheny	$90.00	No Rx Coverage		H3333 -146	This Plan does NOT include Prescription Drug coverage.	Yes

Sterling Option I (PFFS)			Allegheny	$94.00	No Rx Coverage		H5006 -014	This Plan does NOT include Prescription Drug coverage.	No

HumanaChoice R5826-002 (Regional PPO)			Allegheny	$95.00	$0	Few Generics and Few Brand	R5826 -002	Preferred Generic: $10.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $85.00 Specialty: 33%	No

Advantra Gold (HMO)			Allegheny	$96.00	$0	Many Generics	H3959 -001	Tier 1 - Preferred Generics: $6.00 Tier 2 - Preferred Brand: $38.00 Tier 3 - Non-Preferred Generic/Non-Preferred Brand: $68.00 Tier 4 - Specialty Drugs: 33%	No

Today's Options Value powered by CCRx (PFFS)			Allegheny	$104.00	$310	No Gap Coverage	H3333 -147	Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%	Yes

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
Sterling Option II (PFFS)			Allegheny	$107.00	$225	No Gap Coverage	H5006 -017	Generic: $10.00 Brand: $34.00 Specialty: 25%	No

SecurityBlue Standard (HMO)			Allegheny	$119.00	$0	No Gap Coverage	H3957 -003	Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33%	No

Sterling Option IV (PFFS)			Allegheny	$120.00	$225	No Gap Coverage	H5006 -016	Generic: $10.00 Brand: $36.00 Specialty: 25%	No

Today's Options Premier (PFFS)			Allegheny	$134.00	No Rx Coverage		H3333 -144	This Plan does NOT include Prescription Drug coverage.	Yes

CIGNA Medicare Access Plan Three (PFFS)			Allegheny	$140.00	No Rx Coverage		H2762 -027	This Plan does NOT include Prescription Drug coverage.	Yes

UPMC for Life HMO Rx Enhanced (HMO)			Allegheny	$141.00	$0	No Gap Coverage	H3907 -006	Tier 1 - Generic: $5.00 Tier 2 - Preferred Brand: $32.00 Tier 3 - Non-Preferred Brand: $80.00 Tier 4 - Specialty: 33%	Yes

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
FreedomBlue PPO Classic (PPO)			Allegheny	$167.00	$0	No Gap Coverage	H3916 -001	Generic: $7.00 Preferred Brand: $42.00 Non-Preferred Brand: $80.00 Specialty: 33%	No

Today's Options Premier powered by CCRx (PFFS)			Allegheny	$175.00	$0	All Generics	H3333 -145	Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty: 33%	Yes

SecurityBlue Deluxe (HMO)			Allegheny	$183.00	$0	Many Generics	H3957 -020	Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33%	No

UPMC for Life PPO Rx Enhanced (PPO)			Allegheny	$211.50	$0	Many Generics	H5533 -002	Tier 1 - Generic: $5.00 Tier 2 - Preferred Brand: $30.00 Tier 3 - Non-Preferred Brand: $85.00 Tier 4 - Specialty: 33%	Yes

FreedomBlue PPO Platinum (PPO)			Allegheny	$218.00	$0	Many Generics	H3916 -026	Generic: $6.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty: 33%	No

HumanaChoice R5826-062 (Regional PPO)			Statewide	$0.00	No Rx Coverage		R5826 -062	This Plan does NOT include Prescription Drug coverage.	Yes

Plan Name			Monthly Prem.	Deduct- ible	Gap Coverage	County	Plan ID	Cost-Sharing Copay/ Coinsurance	MOOP <= $3,400 for A & B
Service	Exper.	CostInfo
HumanaChoice R5826-081 (Regional PPO)			Statewide	$67.00	$310	No Gap Coverage	R5826 -081	Tier 1: 25% Tier 2: 25% Tier 3: 25% Tier 4: 25%	No

HumanaChoice R5826-002 (Regional PPO)			Statewide	$95.00	$0	Few Generics and Few Brand	R5826 -002	Preferred Generic: $10.00 Non-Preferred Generic/Preferred Brand: $42.00 Non-Preferred Brand: $85.00 Specialty: 33%	No

A few notes to help with the understanding of the 2010 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.

Plan Name: This is the official plan name from CMS. The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor. (updated: November 2008)

Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

This category includes measures of how drug plans rate on the following areas:
- Time on Hold When Customer and Pharmacist Calls Drug Plan.
- Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
- Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
- Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

This category includes measures of how drug plans rate on the following areas:
- Drug Plan Provides Information or Help When Members Need It.
- Members’ Overall Rating of Drug Plan.
- Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

This category includes measures of how drug plans rate on the following areas:
- Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
- Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
- Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
- Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
- Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

County: Medicare Advantage Plans are only available in specific county and in some cases on in part of a county. This field will note the county where the plan is available or in some cases, "Statewide" if the plan is available in every county. (Search Tip: You must enter your 5 digit ZIP Code in the criteria field to begin your search. We will determine your county from your ZIP code and only show appropriate plans.)
Monthly Premium: This is the amount you must pay each month to use the plan. For the Medicare Advantage Plans shown above, this premium includes Medicare Part C AND Part D (if the plan has prescription drug coverage). This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)
Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.)

Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3610 in drug costs (the Donut Hole). Many provider’s plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following:
- No Rx Cov.: This plan does not include prescription drug coverage. You are 100% responsible for your medication costs. If you would like to see ONLY those plans that do include some type of prescription coverage, please select ":Show only plans WITH Drug Coverage" in the "Prescription Drug Coverage" selector above (this is the default setting);
- No Gap Coverage: you must pay the $3610;
- All Generics, All Brand: All formulary generics and all formulary Brand drugs are covered through the donut hole. This gap coverage option is availalbe in many counties in MN (HealthPartners Freedom Plan III EnhancedRx (Cost Plan)), a few counties in CA (Advantage I MAPD (HMO), CareMore Value Plus (HMO), Central Health Medicare Plan (HMO)), and in Dade county, FL (Medica HealthCare Plans MedicareMax(PSO));
- All Generics, Some Brand: All formulary generics and a some (10% to 65%) of formulary Brands are covered through the donut hole;
- All Generics, Few Brand: All formulary generics and a few (less than 10%) of formulary Brands are covered through the donut hole;
- All Generics: All formulary generics and no Brands are covered through the donut hole. You must pay for Brand Drugs up to $3610;
- Many Generics, Many Brand: Many formulary generics (65% to 100%) and a many (65% to 100%) formulary Brands are covered through the donut hole;
- Many Generics, Some Brand: Many formulary generics (65% to 100%) and a some (10% to 65%) formulary Brands are covered through the donut hole;
- Many Generics, Few Brand: Many formulary generics (65% to 100%) and a few (less than 10%) formulary Brands are covered through the donut hole;
- Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3610;
- Some Generics, Few Brand: Some formulary generics (10% to 65%) and a few (less than 10%) formulary Brands are covered through the donut hole;
- Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3610;
- Few Generics, Few Brand: Less than 10% of formulary generics and a few (less than 10%) formulary Brands are covered through the donut hole;
- Few Generics: Less than 10% of formulary generics and no Brands are covered through the donut hole. You must pay for Brand Drugs up to $3610;
Plan ID: This is the unique id for this particular plan.

Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on which tier the drug is in. Plans can form their own tiers, so you should contact the plan or reference it’s summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)

MOOP ≤ $3,400 for Part A & B Benefits - MOOP is the Maximum Out-of-Pocket limit set by the Medicare Advantage Plan. Yes means that the Medicare Advantage plan does limit the beneficiaries yearly maximum out of pocket cost-sharing expenditure (co-payments / co-insurance) for Medicare Parts A & B (NOT Part D - prescription drug cost-sharing) to $3,400. No means that the Medicare Advantage plan does NOT limit the beneficiaries yearly maximum out of pocket cost-sharing expenditure (co-payments / co-insurance) for Medicare Parts A & B (NOT Part D - prescription drug cost-sharing) to $3,400.
Health Plan Type - This the organization type for the Medicare Advantage Plan. This could be Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), etc. (Search Tip: If you would like to limit your search to a specific type of Medicare Advantage Plans, please select the health plan type in the "Type of Health Coverage" field.);
SNP Eligibility Requirements - Special Needs Plans (SNPs) have an eligibility requirement whereas all other Medicare Advantage plans do not. (Search Tip: If you would like to limit your search to specific types of Special Needs Medicare Advantage Plans, please check the appropriate boxes in the "Special Needs Plans (SNP) Options" field.)

(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.

Last updated on: 10/22/2009

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