2014 Medicare Prescription Plans in Sanilac county Michigan



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The 2018 Medicare Part D Plans in Sanilac County Michigan.



2014 Medicare Part-D Plans in Sanilac county Michigan



(Click the Plan Name for More Details)
Plan Name Type Monthly Premium Deductible Gap Full LIS Plan Rating
Return to Counties In Michigan
AARP MedicareRx Enhanced (PDP)
(S5921-163)
Enhanced $88.40 $0 Some Generics, Some Brands No
AARP MedicareRx Preferred (PDP)
(S5820-012)
Enhanced $38.80 $0 No Gap Coverage No
AARP MedicareRx Saver Plus (PDP)
(S5921-358)
Basic $22.20 $310.00 No Gap Coverage Yes
Advantage-Plus Meridian (PDP)
(S7230-001)
Basic $29.40 $310.00 No Gap Coverage YesToo New
Aetna CVS/pharmacy Prescription Drug Plan (PDP)
(S5810-047)
Basic $31.00 $310.00 No Gap Coverage Yes
Aetna Medicare Rx Premier (PDP)
(S5810-183)
Enhanced $108.40 $0 Few Generics No
Alliance Medicare RX (PDP)
(S3440-004)
Basic $67.50 $75.00 No Gap Coverage No
Cigna Medicare Rx Secure (PDP)
(S5617-221)
Basic $26.40 $310.00 No Gap Coverage Yes
Cigna Medicare Rx Secure-Max (PDP)
(S5617-183)
Enhanced $102.90 $0 Many Generics, Some Brands No
Cigna Medicare Rx Secure-Xtra (PDP)
(S5617-258)
Enhanced $71.20 $0 No Gap Coverage No
Cigna-HealthSpring Rx -Reg 13 (PDP)
(S5932-012)
Basic $31.30 $310.00 No Gap Coverage Yes
EnvisionRxPlus Silver (PDP)
(S7694-070)
Basic $32.20 $310.00 No Gap Coverage Yes
Express Scripts Medicare - Choice (PDP)
(S5660-183)
Enhanced $65.90 $0 No Gap Coverage No
Express Scripts Medicare - Value (PDP)
(S5660-115)
Basic $36.80 $310.00 No Gap Coverage No
First Health Part D Essentials (PDP)
(S5768-016)
Basic $47.10 $310.00 No Gap Coverage No
First Health Part D Premier Plus (PDP)
(S5670-072)
Enhanced $95.60 $0 Some Generics, Some Brands No
First Health Part D Value Plus (PDP)
(S5768-136)
Enhanced $42.50 $0 No Gap Coverage No
HealthMarkets Value Rx (PDP)
(S0128-014)
Basic $30.20 $310.00 No Gap Coverage YesToo New
Humana Enhanced (PDP)
(S5884-071)
Enhanced $45.60 $0 Few Brands No
Humana Preferred Rx Plan (PDP)
(S5884-136)
Basic $22.80 $310.00 No Gap Coverage Yes
Humana Walmart Rx Plan (PDP)
(S5884-159)
Enhanced $12.60 $310.00 No Gap Coverage No
MedicareRx Rewards Standard (PDP)
(S5960-119)
Basic $52.50 $310.00 No Gap Coverage No
Prescription Blue Option A (PDP)
(S5584-001)
Basic $62.80 $195.00 No Gap Coverage No
Prescription Blue Option B (PDP)
(S5584-002)
Enhanced $98.30 $0 Some Generics No
Symphonix Rite Aid Value Rx (PDP)
(S0522-018)
Basic $29.00 $310.00 No Gap Coverage YesToo New
Transamerica MedicareRx Choice (PDP)
(S9579-045)
Enhanced $51.50 $0 No Gap Coverage No
Transamerica MedicareRx Classic (PDP)
(S9579-012)
Basic $45.50 $310.00 No Gap Coverage No
United American - Enhanced (PDP)
(S5755-016)
Enhanced $57.80 $110.00 No Gap Coverage No
United American - Select (PDP)
(S5755-084)
Basic $30.00 $310.00 No Gap Coverage Yes
WellCare Classic (PDP)
(S5967-150)
Basic $16.10 $0 No Gap Coverage Yes
WellCare Extra (PDP)
(S5967-185)
Enhanced $44.60 $0 No Gap Coverage No


Medicare Advantage Plans in Sanilac county Michigan

Plan Name Type Premium C+D Part D
Deductible
Drug Benefit Type Gap Max Out of Pocket Overall Rating
BCN Advantage HMO-POS Basic (HMO-POS)
(H5883-004)
Local HMO $0 $310.00 Basic No Gap Coverage $4,200
BCN Advantage HMO-POS Classic (HMO-POS)
(H5883-002)
Local HMO $113.00 $0 Enhanced Some Generics $3,400
BCN Advantage HMO-POS Elements (HMO-POS)
(H5883-001)
Local HMO * $38.00 $3,600
BCN Advantage HMO-POS Prestige (HMO-POS)
(H5883-003)
Local HMO $241.00 $0 Enhanced Some Generics $3,200
HealthPlus MedicarePlus AdvantageHMO-POS Option 0 (HMO-POS)
(H2354-015)
Local HMO $0 $310.00 Basic No Gap Coverage $6,700
HealthPlus MedicarePlus AdvantageHMO-POS Option 1 (HMO-POS)
(H2354-001)
Local HMO $98.00 $0 Enhanced No Gap Coverage $3,400
HealthPlus MedicarePlus AdvantageHMO-POS Option 2 (HMO-POS)
(H2354-013)
Local HMO $150.00 $0 Enhanced Many Generics $3,400
HealthPlus MedicarePlus AdvantagePPO Basic (PPO)
(H1595-003)
Local PPO $48.00 $310.00 Basic No Gap Coverage $6,500
HealthPlus MedicarePlus AdvantagePPO Enhanced (PPO)
(H1595-002)
Local PPO $176.00 $0 Enhanced No Gap Coverage $3,400
HumanaChoice R5826-006 P (Regional PPO)
(R5826-006)
Regional PPO $90.00 $310.00 Basic No Gap Coverage $6,700
HumanaChoice R5826-053 P (Regional PPO)
(R5826-053)
Regional PPO * $0 $4,500
McLarenAdvantage (HMO)
(H0141-002)
Local HMO $128.00 $0 Enhanced No Gap Coverage $3,300 NA
Medicare Plus Blue PPO Assure (PPO)
(H9572-003)
Local PPO $268.00 $0 Enhanced Some Generics $3,400
Medicare Plus Blue PPO Essential (PPO)
(H9572-004)
Local PPO $17.50 $310.00 Basic No Gap Coverage $6,400
Medicare Plus Blue PPO Signature (PPO)
(H9572-001)
Local PPO $155.00 $0 Enhanced No Gap Coverage $4,400
Medicare Plus Blue PPO Vitality (PPO)
(H9572-002)
Local PPO $94.00 $310.00 Basic No Gap Coverage $5,400
PriorityMedicare (HMO-POS)
(H2320-016)
Local HMO $134.50 $0 Enhanced No Gap Coverage $3,400
PriorityMedicare Merit (PPO)
(H4875-016)
Local PPO $68.50 $0 Enhanced No Gap Coverage $4,500
PriorityMedicare Select (PPO)
(H4875-017)
Local PPO $146.50 $0 Enhanced No Gap Coverage $3,400
PriorityMedicare Value (HMO-POS)
(H2320-018)
Local HMO $56.00 $0 Enhanced No Gap Coverage $4,500


Medicare Special Needs Plans in Sanilac county Michigan

Plan Name Type Consolidated Premium C+D Part D
Deductible
Gap Special Needs Type Overall Rating
HealthPlus MedicarePlus Advantage D-SNP (HMO SNP)
(H2354- 016)
Local HMO $32.50 $310.00 No Gap Coverage Dual-Eligible
McLarenAdvantage (HMO SNP)
(H0141- 001)
Local HMO $32.50 $310.00 No Gap Coverage Dual-EligibleNA


Source: CMS.

Plans as of September 3, 2013.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescrition Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

* Plan Type Indicates plan does not offer Part D drug coverage.

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type

Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.

GAP

Coverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.

Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:

  • All: 100% of formulary drugs are covered through the gap
  • Many: 65% to 100% of formulary drugs are covered through the gap
  • Some: 10% to 65 % of formulary drugs are covered through the gap
  • Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
  • No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
  • All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

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