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| Plan Name | Contract ID/Plan ID | Star Rating | Monthly Premium | Deductible | Gap Coverage? | CoPay/Coinsurance Amts for 30-day Supply | Details |
|---|---|---|---|---|---|---|---|
| Care Improvement Plus Medicare Advantage (PPO) | H0084 / 001 | 2.5 out of 5 stars | $0.00 | $0 | No | Generic-$6.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Care Improvement Plus Gold Rx (PPO SNP) | H0084 / 004 | 2.5 out of 5 stars | $0.00 | $0 | No | Generic-$6.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Care Improvement Plus Copper RX (PPO SNP) | H0084 / 027 | 2.5 out of 5 stars | $0.00 | $0 | No | Generic-$6.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Humana Gold Plus H4510-018 (HMO) | H4510 / 018 | 3.5 out of 5 stars | $0.00 | $125.00 | Yes | Preferred Generic-$7.00 Non-Preferred Generic-$12.00 Preferred Brand-$40.00 Non-Preferred Brand-$85.00 Specialty Tier-30% |
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| Aetna Medicare Premier Plan (HMO) | H4523 / 005 | 3.5 out of 5 stars | $0.00 | $0 | Yes | Preferred Generic-$7.00 Non-Preferred Generic-$33.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| HealthSpring Preferred (HMO) | H4528 / 001 | 2.5 out of 5 stars | $0.00 | $0 | Yes | Preferred Generic-$0 Non-Preferred Generic-$4.00 Preferred Brand-$35.00 Non-Preferred Brand-$70.00 Specialty Tier-33% |
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| HealthSpring Achieve (HMO SNP) | H4528 / 014 | 2.5 out of 5 stars | $0.00 | $0 | No | Preferred Generic-$3.00 Non-Preferred Generic-$8.00 Preferred Brand-$35.00 Non-Preferred Brand-$70.00 Specialty Tier-33% Select Diabetic Drugs-$5.00 |
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| AARP MedicareComplete SecureHorizons (HMO) | H4590 / 012 | 3.5 out of 5 stars | $0.00 | $0 | Yes | Preferred Generic-$0 Non-Preferred Generic-$6.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Universal Hassle-Free (PPO) | H5096 / 001 | Plan too new to be measured | $0.00 | $0 | No | Preferred Generic-$3.00 Non-Preferred Generic-$10.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| TexanPlus Classic (HMO) | H5656 / 001 | 3 out of 5 stars | $0.00 | $0 | Yes | Preferred Generic-$2.00 Non-Preferred Generic-$7.00 Preferred Brand-$40.00 Non-Preferred Brand-$80.00 Specialty Tier-33% |
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| Care N' Care Health Plan III (PPO) | H6328 / 003 | 4 out of 5 stars | $0.00 | $0 | Yes | Preferred Generic-$2.00 Non-Preferred Generic-$15.00 Preferred Brand-$40.00 Non-Preferred Brand-$70.00 Specialty Tier-33% |
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| Universal Member First (HMO) | H6642 / 001 | 2 out of 5 stars | $0.00 | $0 | No | Preferred Generic-$0 Non-Preferred Generic-$0 Preferred Brand-$15.00 Non-Preferred Brand-$60.00 Specialty Tier-33% |
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| Universal Healthy Living (HMO SNP) | H6642 / 007 | 2 out of 5 stars | $0.00 | $0 | Yes | Preferred Generic-$0 Non-Preferred Generic-$5.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Care Improvement Plus Gold Rx (Regional PPO SNP) | R6801 / 009 | 3 out of 5 stars | $0.00 | $0 | No | Generic-$8.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Care Improvement Plus Medicare Advantage (Regional PPO) | R6801 / 012 | 3 out of 5 stars | $0.00 | $0 | No | Generic-$8.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Care Improvement Plus Copper RX (Regional PPO SNP) | R6801 / 022 | 3 out of 5 stars | $0.00 | $0 | No | Generic-$8.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| UnitedHealthcare Dual Complete (HMO SNP) | H4590 / 020 | 3.5 out of 5 stars | $22.60 | $325.00 | No | Tier 1-15% Tier 2-15% Tier 3-15% Tier 4-15% Tier 5-15% |
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| Care N' Care Health Plan II (PPO) | H6328 / 002 | 4 out of 5 stars | $29.00 | $0 | Yes | Preferred Generic-$0 Non-Preferred Generic-$12.00 Preferred Brand-$36.00 Non-Preferred Brand-$68.00 Specialty Tier-33% |
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| UnitedHealthcare Nursing Home Plan (HMO SNP) | H4590 / 038 | 3.5 out of 5 stars | $29.10 | $325.00 | No | Tier 1-25% Tier 2-25% Tier 3-25% Tier 4-25% Tier 5-25% |
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| Advantage by Superior HealthPlan (HMO SNP) | H5294 / 001 | 2.5 out of 5 stars | $30.00 | $325.00 | No | Generic-$0 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Injectable Drugs-$95.00 |
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| Molina Medicare Options Plus (HMO SNP) | H7678 / 001 | Not enough data available | $30.90 | $325.00 | Yes | Generic-$0 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-25% |
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| Humana Gold Plus SNP-DE H4510-023 (HMO SNP) | H4510 / 023 | 3.5 out of 5 stars | $31.70 | $325.00 | No | Tier 1-NA Tier 2-NA Tier 3-NA Tier 4-NA |
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| Care Improvement Plus Dual Advantage (PPO SNP) | H0084 / 005 | 2.5 out of 5 stars | $31.80 | $325.00 | No | Tier 1-NA Tier 2-NA Tier 3-NA Tier 4-NA |
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| Care Improvement Plus Chrome RX (PPO SNP) | H0084 / 026 | 2.5 out of 5 stars | $31.80 | $325.00 | No | Tier 1-25% Tier 2-25% Tier 3-25% Tier 4-25% |
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| Care Improvement Plus Silver Rx (PPO SNP) | H0084 / 003 | 2.5 out of 5 stars | $31.80 | $325.00 | No | Tier 1-25% Tier 2-25% Tier 3-25% Tier 4-25% |
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| HealthSpring TotalCare (HMO SNP) | H4528 / 002 | 2.5 out of 5 stars | $31.80 | $325.00 | No | Tier 1-15% |
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| Universal Trust (HMO SNP) | H6642 / 008 | 2 out of 5 stars | $31.80 | $325.00 | No | Tier 1-15% Tier 2-15% Tier 3-15% Tier 4-15% Tier 5-15% |
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| Care Improvement Plus Chrome RX (Regional PPO SNP) | R6801 / 021 | 3 out of 5 stars | $31.80 | $325.00 | No | Tier 1-25% Tier 2-25% Tier 3-25% Tier 4-25% |
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| Care Improvement Plus Dual Advantage (Regional PPO SNP) | R6801 / 011 | 3 out of 5 stars | $31.80 | $325.00 | No | Tier 1-NA Tier 2-NA Tier 3-NA Tier 4-NA |
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| Care Improvement Plus Silver Rx (Regional PPO SNP) | R6801 / 008 | 3 out of 5 stars | $31.80 | $325.00 | No | Tier 1-25% Tier 2-25% Tier 3-25% Tier 4-25% |
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| Today's Options Advantage Plus 650B (PPO) | H5378 / 016 | 2.5 out of 5 stars | $32.00 | $0 | No | Preferred Generic-$5.00 Non-Preferred Generic-$12.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-29% |
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| Universal Any, Any, Any (PFFS) | H8098 / 001 | 2 out of 5 stars | $34.00 | $0 | No | Preferred Generic-$6.00 Non-Preferred Generic-$15.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| HealthSpring Preferred (PPO) | H7787 / 001 | 3 out of 5 stars | $35.00 | $0 | No | Preferred Generic-$0 Non-Preferred Generic-$4.00 Preferred Brand-$30.00 Non-Preferred Brand-$60.00 Specialty Tier-33% |
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| Erickson Advantage Freedom (HMO-POS) | H5652 / 006 | 4.5 out of 5 stars | $48.00 | $0 | No | Preferred Generic-$5.00 Non-Preferred Generic-$9.00 Preferred Brand-$45.00 Non-Preferred Brand-$85.00 Specialty Tier-33% |
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| Aetna Medicare Value Plan (PPO) | H4524 / 007 | 3.5 out of 5 stars | $56.00 | $0 | No | Preferred Generic-$7.00 Non-Preferred Generic-$33.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-33% |
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| Humana Prime Choice H4520-006 (PPO) | H4520 / 006 | 3 out of 5 stars | $57.00 | $0 | Yes | Preferred Generic-$7.00 Non-Preferred Generic-$12.00 Preferred Brand-$42.00 Non-Preferred Brand-$83.00 Specialty Tier-33% |
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| HumanaChoice R5826-012 (Regional PPO) | R5826 / 012 | 3.5 out of 5 stars | $59.00 | $125.00 | No | Preferred Generic-$7.00 Non-Preferred Generic-$12.00 Preferred Brand-$45.00 Non-Preferred Brand-$89.00 Specialty Tier-30% |
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| Today's Options Premier Plus 650B (PFFS) | H6169 / 036 | 2.5 out of 5 stars | $66.00 | $0 | No | Preferred Generic-$5.00 Non-Preferred Generic-$12.00 Preferred Brand-$45.00 Non-Preferred Brand-$95.00 Specialty Tier-29% |
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| Blue Medicare Advantage (PPO) | H1666 / 002 | Plan too new to be measured | $69.90 | $325.00 | No | Preferred Generic-$3.00 Non-Preferred Generic-$10.00 Preferred Brand-$43.00 Non-Preferred Brand-$95.00 Specialty Tier-25% |
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| Care N' Care Health Plan I (PPO) | H6328 / 001 | 4 out of 5 stars | $75.00 | $0 | Yes | Preferred Generic-$0 Non-Preferred Generic-$10.00 Preferred Brand-$33.00 Non-Preferred Brand-$65.00 Specialty Tier-33% |
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| Humana Gold Choice H8145-084 (PFFS) | H8145 / 084 | 3.5 out of 5 stars | $87.00 | $0 | Yes | Preferred Generic-$6.00 Non-Preferred Generic-$12.00 Preferred Brand-$39.00 Non-Preferred Brand-$80.00 Specialty Tier-33% |
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| Today's Options Advantage Plus 350A (PPO) | H5378 / 010 | 2.5 out of 5 stars | $107.00 | $0 | No | Preferred Generic-$2.00 Non-Preferred Generic-$7.00 Preferred Brand-$40.00 Non-Preferred Brand-$80.00 Specialty Tier-33% |
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| Today's Options Premier Plus 350A (PFFS) | H6169 / 057 | 2.5 out of 5 stars | $122.00 | $0 | No | Preferred Generic-$2.00 Non-Preferred Generic-$7.00 Preferred Brand-$40.00 Non-Preferred Brand-$80.00 Specialty Tier-33% |
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| Erickson Advantage Signature with Drugs (HMO-POS) | H5652 / 001 | 4.5 out of 5 stars | $176.00 | $0 | No | Preferred Generic-$4.00 Non-Preferred Generic-$7.00 Preferred Brand-$40.00 Non-Preferred Brand-$80.00 Specialty Tier-33% |
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| Erickson Advantage Champion (HMO-POS SNP) | H5652 / 004 | 4.5 out of 5 stars | $176.00 | $0 | No | Preferred Generic-$0 Non-Preferred Generic-$4.00 Preferred Brand-$40.00 Non-Preferred Brand-$80.00 Specialty Tier-33% |
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