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The 2017 Medicare Part D Plans in Trujillo Alto County Puerto Rico.
2014 Medicare Part-D Plans in Trujillo Alto county Puerto Rico
(Click the Plan Name for More Details)
| Plan Name | Type | Monthly Premium | Deductible | Gap | Full LIS | Plan Rating |
| Return to Counties In Puerto Rico | ||||||
| AARP MedicareRx Preferred (PDP) (S5820-037) |
Basic | $40.70 | $0 | No Gap Coverage | No | |
| Express Scripts Medicare - Choice (PDP) (S5660-205) |
Enhanced | $57.00 | $0 | No Gap Coverage | No | |
| Express Scripts Medicare - Value (PDP) (S5660-137) |
Basic | $51.90 | $310.00 | No Gap Coverage | No | |
| Humana Enhanced (PDP) (S2874-001) |
Enhanced | $31.80 | $0 | Few Brands | No | |
| Humana Preferred Rx Plan (PDP) (S2874-004) |
Basic | $3.30 | $310.00 | No Gap Coverage | No | |
| PharmaPlus (PDP) (S5840-001) |
Basic | $14.60 | $310.00 | No Gap Coverage | No | |
| PharmaPremium (PDP) (S5840-002) |
Enhanced | $73.60 | $0 | All Generics | No | |
| PICA Alante (PDP) (S5775-002) |
Basic | $24.00 | $299.00 | No Gap Coverage | No | |
| PICA Primero (PDP) (S5775-001) |
Enhanced | $80.00 | $0 | No Gap Coverage | No | |
| Triple-S FarmaMed (PDP) (S5907-001) |
Basic | $62.00 | $310.00 | No Gap Coverage | No | |
| Triple-S FarmaMed Plus (PDP) (S5907-002) |
Enhanced | $88.70 | $0 | All Generics | No |
Medicare Advantage Plans in Trujillo Alto county Puerto Rico
| Plan Name | Type | Premium C+D | Part D Deductible |
Drug Benefit Type | Gap | Max Out of Pocket | Overall Rating |
| AHM Basic (HMO) (H5774-003) |
Local HMO * | $0 | $3,000 | ||||
| AHM Classic (HMO) (H5774-008) |
Local HMO | $0 | $0 | Enhanced | All Generics | $3,400 | |
| AHM Opal (HMO-POS) (H5774-014) |
Local HMO | $33.00 | $0 | Enhanced | All Generics | $3,400 | |
| AHM Standard (HMO) (H5774-005) |
Local HMO | $0 | $0 | Enhanced | All Generics | $3,000 | |
| Apollo - Constellation Health (HMO) (H8266-001) |
Local HMO | $0 | $0 | Enhanced | Many Generics, Few Brands | $3,400 | Too New |
| Dorado (HMO) (H4004-025) |
Local HMO * | $30.00 | $3,250 | ||||
| Elite Dorado (HMO-POS) (H4004-015) |
Local HMO | $34.50 | $0 | Enhanced | Some Generics | $3,250 | |
| First Care+Plus (HMO) (H5887-001) |
Local HMO | $0 | $0 | Enhanced | All Generics | $6,700 | |
| First+Plus Advantage (PPO) (H4011-001) |
Local PPO * | $0 | $6,700 | ||||
| First+Plus Advantage Plus (PPO) (H4011-003) |
Local PPO | $0 | $0 | Enhanced | All Generics | $6,700 | |
| First+Plus Smart Premium (HMO) (H5887-012) |
Local HMO | $0 | $0 | Enhanced | All Generics | $6,700 | |
| First+Plus Smart Value (HMO) (H5887-013) |
Local HMO | $0 | $0 | Enhanced | All Generics | $6,700 | |
| Humana Gold Plus H4007-012 (HMO) (H4007-012) |
Local HMO | $0 | $310.00 | Enhanced | Few Generics, Few Brands | $3,500 | |
| Humana Gold Plus H4007-013 (HMO) (H4007-013) |
Local HMO | $0 | $0 | Enhanced | Few Generics | $5,000 | |
| HumanaChoice H2029-001 (PPO) (H2029-001) |
Local PPO | $45.00 | $0 | Enhanced | Some Generics, Few Brands | $6,700 | |
| HumanaChoice H2029-002 (PPO) (H2029-002) |
Local PPO | $103.00 | $0 | Enhanced | Some Generics, Few Brands | $3,400 | |
| MCS Classicare Advanced Health (HMO-POS) (H4006-008) |
Local HMO | $79.00 | $0 | Enhanced | Many Generics | $3,400 | |
| MCS Classicare B-Max (HMO) (H4006-025) |
Local HMO | $0 | $310.00 | Basic | No Gap Coverage | $6,700 | |
| MCS Classicare Essential (HMO-POS) (H5577-008) |
Local HMO | $0 | $0 | Enhanced | Many Generics | $3,400 | |
| MCS Classicare InteliCare (HMO) (H5577-005) |
Local HMO | $0 | $0 | Enhanced | Many Generics | $3,400 | |
| MCS Classicare MA (HMO) (H4006-001) |
Local HMO * | $0 | $3,400 | ||||
| MCS Classicare Premium Health (HMO) (H4006-007) |
Local HMO | $0 | $0 | Enhanced | Many Generics | $3,400 | |
| Medicare y Mucho Mas - BASICO EXTRA (HMO) (H4003-024) |
Local HMO | $0 | $310.00 | Basic | No Gap Coverage | $3,250 | |
| Medicare y Mucho Mas - ELITE (HMO-POS) (H4003-001) |
Local HMO | $33.50 | $0 | Enhanced | Some Generics | $3,250 | |
| Medicare y Mucho Mas - ELITE EXTRA (HMO-POS) (H4003-025) |
Local HMO | $76.30 | $0 | Enhanced | Some Generics | $3,250 | |
| Medicare y Mucho Mas - ELITE ULTRA (HMO-POS) (H4003-027) |
Local HMO | $0 | $0 | Enhanced | Some Generics | $3,250 | |
| Medicare y Mucho Mas - Original (HMO) (H4003-018) |
Local HMO * | $30.00 | $3,250 | ||||
| Medicare y Mucho Mas - Unico (HMO) (H4003-019) |
Local HMO | $25.00 | $0 | Enhanced | Some Generics | $3,250 | |
| Medicare y Mucho Mas - UNICO EXTRA (HMO) (H4003-015) |
Local HMO | $0 | $0 | Enhanced | Some Generics | $3,250 | |
| Olympus - Constellation Health (PPO) (H4876-001) |
Local PPO | $51.00 | $0 | Enhanced | Many Generics, Few Brands | $3,400 | Too New |
| PMC Max (HMO) (H4004-050) |
Local HMO | $10.00 | $0 | Enhanced | Some Generics | $3,250 | |
| PMC Max - EXTRA (HMO-POS) (H4004-053) |
Local HMO | $0 | $0 | Enhanced | Some Generics | $3,250 | |
| Triple-S Medicare Optimo (PPO) (H4005-001) |
Local PPO * | $0 | $6,700 | ||||
| Triple-S Medicare Optimo Plus (PPO) (H4005-004) |
Local PPO | $73.00 | $0 | Enhanced | All Generics | $6,700 | |
| Triple-S Medicare Optimo Premier (HMO) (H5732-001) |
Local HMO | $27.00 | $0 | Enhanced | All Generics | $6,700 | |
| Triple-S Medicare Optimo Select (HMO) (HMO) (H4012-008) |
Local HMO | $0 | $0 | Enhanced | All Generics | $6,700 |
Medicare Special Needs Plans in Trujillo Alto county Puerto Rico
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| AHM Classic Plus (HMO SNP) (H5774- 009) |
Local HMO | $0 | $0 | All Generics | Chronic or Disabling Condition | |
| AHM Platino Plus (HMO SNP) (H5774- 019) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Alpha - Constellation Health (HMO SNP) (H3054- 002) |
Local HMO | $62.00 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | Too New |
| First+Plus Complete (HMO SNP) (H5887- 007) |
Local HMO | $0 | $0 | All Generics | Chronic or Disabling Condition | |
| First+Plus Platino (HMO SNP) (H5887- 010) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Genesis - Constellation Health (HMO SNP) (H3054- 001) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | Too New |
| Humana Gold Plus SNP-DE H4007-005 (HMO SNP) (H4007- 005) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H4007-016 (HMO SNP) (H4007- 016) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino Ideal (HMO SNP) (H5577- 002) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino M (H5577- 009) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| MCS Classicare Platino Superior (HMO SNP) (H5577- 010) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Medicare y Mucho Mas - DIAMANTE CHOICE (HMO SNP) (H4003- 017) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Medicare y Mucho Mas - DIAMANTE EXTRA (HMO SNP) (H4003- 021) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Medicare y Mucho Mas - SUPREMO (HMO SNP) (H4003- 009) |
Local HMO | $34.00 | $0 | Some Generics | Chronic or Disabling Condition | |
| Premier Preferred (HMO SNP) (H4004- 048) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Triple-S Medicare Selecto with Medicare Platino (HMO SNP) (H4012- 003) |
Local HMO | $0 | $310.00 | No Gap Coverage | Dual-Eligible |
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 TypeEnhanced 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.
GAPCoverage 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
