2015 Medicare Prescription Plans in Adams county Colorado



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The 2019 Medicare Part D Plans in Adams County Colorado.



2015 Medicare Part-D Plans in Adams county Colorado

There are 29 Medicare Part-D Plans available in Adams County from 14 different health insurance providers. You can choose from 8 prescription drug plans offering additional gap coverage. The plan with the lowest monthly premium is $15 and the highest monthly premium is $131. The highest rated PDP available in Adams County received a 4 overall star rating from CMS and the lowest rated plan is 2.5 stars.

(Click the Plan Name for More Details)

Plan Name Type Monthly
Premium
Deductible Gap  Full LIS Plan Rating Formulary
Return to Counties In Colorado
AARP MedicareRx Preferred (PDP)
(S5820-026)
Enhanced $61.10 $0 No NoBrowse
Formulary
AARP MedicareRx Saver Plus (PDP)
(S5921-372)
Basic $27.00 $320.00 No YesBrowse
Formulary
Aetna Medicare Rx Premier (PDP)
(S5810-197)
Enhanced $131.40 $0 Yes NoBrowse
Formulary
Aetna Medicare Rx Saver (PDP)
(S5810-061)
Basic $22.00 $320.00 No YesBrowse
Formulary
Anthem Blue MedicareRx Plus (PDP)
(S5596-060)
Enhanced $81.00 $0 Yes NoBrowse
Formulary
Anthem Blue MedicareRx Premier (PDP)
(S5596-061)
Enhanced $126.00 $0 Yes NoBrowse
Formulary
Anthem Blue MedicareRx Standard (PDP)
(S5596-059)
Basic $37.40 $320.00 No NoBrowse
Formulary
Cigna-HealthSpring Rx Secure (PDP)
(S5617-133)
Basic $48.00 $320.00 No NoBrowse
Formulary
Cigna-HealthSpring Rx Secure-Max (PDP)
(S5617-239)
Enhanced $127.10 $0 Yes NoBrowse
Formulary
Cigna-HealthSpring Rx Secure-Xtra (PDP)
(S5617-272)
Enhanced $28.10 $0 No NoBrowse
Formulary
Colorado Access Vista Medicare PDP (PDP)
(S0962-001)
Basic $22.60 $320.00 No YesToo NewBrowse
Formulary
EnvisionRxPlus Silver (PDP)
(S7694-027)
Basic $27.00 $320.00 No YesBrowse
Formulary
Express Scripts Medicare - Choice (PDP)
(S5660-197)
Enhanced $102.10 $50.00 No NoBrowse
Formulary
Express Scripts Medicare - Value (PDP)
(S5660-129)
Basic $69.10 $320.00 No NoBrowse
Formulary
First Health Part D Premier Plus (PDP)
(S5768-182)
Enhanced $122.60 $0 Yes NoBrowse
Formulary
First Health Part D Value Plus (PDP)
(S5768-150)
Enhanced $43.10 $230.00 No NoBrowse
Formulary
Humana Enhanced (PDP)
(S5884-085)
Enhanced $57.50 $0 Yes NoBrowse
Formulary
Humana Preferred Rx Plan (PDP)
(S5884-111)
Basic $25.00 $320.00 No YesBrowse
Formulary
Humana Walmart Rx Plan (PDP)
(S5884-173)
Enhanced $15.60 $320.00 No NoBrowse
Formulary
SilverScript Choice (PDP)
(S5601-054)
Basic $24.20 $0 No YesBrowse
Formulary
SilverScript Plus (PDP)
(S5601-055)
Enhanced $89.20 $0 Yes NoBrowse
Formulary
Symphonix Rite Aid Premier Rx (PDP)
(S0522-062)
Enhanced $88.10 $0 Yes NoNABrowse
Formulary
Symphonix Rite Aid Value Rx (PDP)
(S0522-028)
Basic $26.80 $320.00 No YesNABrowse
Formulary
Transamerica MedicareRx Choice (PDP)
(S9579-059)
Enhanced $46.00 $0 No NoBrowse
Formulary
Transamerica MedicareRx Classic (PDP)
(S9579-026)
Basic $38.40 $320.00 No NoBrowse
Formulary
United American - Enhanced (PDP)
(S5755-030)
Enhanced $77.90 $110.00 No NoBrowse
Formulary
United American - Select (PDP)
(S5755-098)
Basic $53.70 $320.00 No NoBrowse
Formulary
WellCare Classic (PDP)
(S5967-164)
Basic $40.90 $320.00 No NoBrowse
Formulary
WellCare Extra (PDP)
(S5967-198)
Enhanced $74.60 $0 No NoBrowse
Formulary


Medicare Advantage Plans in Adams county Colorado

Plan Name Type Premium C+D Part D
Deductible
 Gap   Max Out of Pocket Overall Rating Formulary
AARP MedicareComplete SecureHorizons Essential (HMO)
(H0609-018)
Local HMO * $0.00 $5,900
AARP MedicareComplete SecureHorizons Plan 1 (HMO)
(H0609-007)
Local HMO $45.00 $150.00 No $3,900 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 2 (HMO)
(H0609-012)
Local HMO $0.00 $200.00 No $5,900 Browse
Formulary
AB Basic Plan (Cost)
(H0602-026)
Cost * $5.00 N/A
Aetna Medicare Prime Plan (HMO)
(H6923-005)
Local HMO $0.00 $0.00 No $5,900 Browse
Formulary
Aetna Medicare Prime Plan (PPO)
(H5521-057)
Local PPO $48.00 $0.00 No $6,700 Browse
Formulary
Aetna Medicare Select Plan (HMO)
(H6923-001)
Local HMO $55.00 $0.00 No $6,000 Browse
Formulary
Aetna Medicare Select Plan (PPO)
(H5521-028)
Local PPO $122.00 $0.00 No $6,700 Browse
Formulary
Aetna Medicare Select Plus Plan (PPO)
(H5521-052)
Local PPO $139.00 $0.00 Yes $3,300 Browse
Formulary
Colorado Access Advantage Peak Plan (HMO)
(H0621-006)
Local HMO $28.90 $270.00 No $6,700 Browse
Formulary
Humana Gold Choice H8145-120 (PFFS)
(H8145-120)
PFFS * $15.00 N/A
Humana Gold Choice H8145-123 (PFFS)
(H8145-123)
PFFS $96.00 $0.00 Yes N/A Browse
Formulary
Humana Gold Plus H2649-042 (HMO)
(H2649-042)
Local HMO $27.00 $200.00 Yes $4,500 Browse
Formulary
Humana Gold Plus H2649-043 (HMO)
(H2649-043)
Local HMO $0.00 $200.00 Yes $5,500 Browse
Formulary
HumanaChoice H6609-110 (PPO)
(H6609-110)
Local PPO $79.00 $0.00 Yes $5,500 Browse
Formulary
HumanaChoice H6609-111 (PPO)
(H6609-111)
Local PPO * $0.00 $4,900
HumanaChoice H6609-112 (PPO)
(H6609-112)
Local PPO $47.00 $200.00 Yes $6,700 Browse
Formulary
HumanaChoice H6609-113 (PPO)
(H6609-113)
Local PPO $300.00 $225.00 No $6,700 Browse
Formulary
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-013)
Local HMO $0.00 $0.00 Yes $4,900 Browse
Formulary
Kaiser Permanente Senior Advantage Gold (HMO)
(H0630-016)
Local HMO $191.00 $0.00 Yes $3,400 Browse
Formulary
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-015)
Local HMO $46.00 $0.00 Yes $4,200 Browse
Formulary
Rocky Mountain Green Plan (Cost)
(H0602-042)
Cost * $15.00 $6,700
Rocky Mountain Green Plan + Rx (Cost)
(H0602-043)
Cost $78.50 $110.00 No $6,700 Browse
Formulary
Rocky Mountain Plus Plan (Cost)
(H0602-003)
Cost * $168.00 $4,500
Rocky Mountain Plus Plan + Rx (Cost)
(H0602-019)
Cost $280.70 $0.00 Yes $4,500 Browse
Formulary
Rocky Mountain Standard Plan (Cost)
(H0602-009)
Cost * $75.00 $4,500
Rocky Mountain Standard Plan + Rx (Cost)
(H0602-022)
Cost $168.00 $0.00 No $4,500 Browse
Formulary
Rocky Mountain Thrifty Plan (Cost)
(H0602-027)
Cost * $35.00 $6,000
Rocky Mountain Thrifty Plan + Rx (Cost)
(H0602-039)
Cost $89.40 $75.00 No $6,000 Browse
Formulary


Medicare Special Needs Plans in Adams county Colorado

Plan Name Type Consolidated
Premium C+D
Part D
Deductible
 Gap   Special Needs
Type
Overall Rating Formulary
Colorado Access Advantage Summit Plan (HMO SNP)
(H0621-010)
Local HMO $28.90 $320.00   No  Dual-EligibleBrowse
Formulary
Senior Advantage Medicare Medicaid Plan (HMO SNP)
(H0630-014)
Local HMO $26.60 $320.00   No  Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete (HMO SNP)
(H0624-001)
Local HMO $28.00 $320.00   No  Dual-EligibleBrowse
Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0620-002)
Local PPO $23.20 $320.00   No  InstitutionalBrowse
Formulary


Source: CMS. Plans as of September 2, 2014. Plans are subject to change as contracts are finalized. Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

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

In 2015 once you and your plan provider have spent $2,960 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.

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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