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2010 

Medicare Advantage
Hillsborough County
New Hampshire

Enrollment Period for Medicare Advantage plans for January 1, 2011 coverage is from November 15, 2010, to December 31, 2010.  Please remember to enroll in time for processing if you want coverage to begin January 1, 2011.

From January 1, 2011 to February 14, 2011, you may switch from Medicare Advantage to Original Medicare but not from one Medicare Advantage plan to another Medicare Advantage plan and not from Original Medicare to Medicare Advantage.

Annual Election Period for Medicare Advantage in 2011 is between October 15, 2011, and December 7, 2011, for coverage beginning January 1, 2012.

Medicare Advantage plans must offer at least the same level of benefits as Original Medicare.  Visit the Medicare Advantage websites and telephone the Medicare Advantage insurance companies to compare plans and coverages for basic dental, annual checkups, prescription drug and prescription drug gap coverage, hospitalization, screenings, and other benefits offered above Original Medicare. 

14,279 of New Hampshire's 213,646 Medicare beneficiares are enrolled in Medicare Advantage.

Medicare Advantage 2011
Part C

Part C Plans

Type

Premium

Drugs

Doctor

Vision

Dental

SecureHorizons MedicareDirect Essential (PFFS)
(H5435-001-0)

SecureHorizons by UnitedHealthcare

Private Fee for Service $0 No Any Willing Doctor  Covered Not covered
Sterling Basic (PFFS)
(H5006-018-4)

Sterling Life Insurance Company

Private Fee for Service $9.00 No      Any Willing Doctor Covered Covered
Sterling Option I (PFFS)
(H5006-014-1)

Sterling Life Insurance Company

Private Fee for Service $19.00 No      Any Willing Doctor Covered Covered
SmartValue Classic (PFFS)
(H1689 - 012-0)

Anthem Blue Cross and Blue Shield
Private Fee for Service $19.00 No Any Willing Doctor  Covered Not covered
SecureHorizons MedicareDirect Rx (PFFS)
(H5435-014-0)

SecureHorizons by UnitedHealthcare

Private Fee for Service $20.00 Yes Any Willing Doctor  Covered Not covered
Today's Options Premier 800 (PFFS)
(H3333-039-0)

Universal American

Private Fee for Service $28.00 No Any Willing Doctor Covered Not Covered
Sterling Option II (PFFS)
(H5006-017-4)

Sterling Life Insurance Company

Private Fee for Service $30.70 Yes      Any Willing Doctor Covered Covered
SmartValue Plus (PFFS)
(H1689-013-0)

Anthem Blue Cross and Blue Shield
Private Fee for Service $42.00 Yes, including gap coverage for many generics Any Willing Doctor  Covered Not covered
Northeast Community Care - Plus (SNP/HMO)
(H5416 - 016)

Special Needs Plan/ Health Maintenance Organization for Those with State Assistance 100%-$34.50

 75%-$38.62

 50%-$42.75

 25%-$46.87

Yes Plan Doctors Only Covered Covered
Northeast Community Care - Enhanced (HMO)
(H5416 - 028)
Health Maintenance Organization $51.00 Yes Plan Doctors Only Covered Covered
Humana Gold Choice H2944-163 (PFFS)
(H2944-163-0)

Humana Insurance Company

Private Fee for Service $64.00 No Any Willing Doctor Discounted at certain vendors Discounted at certain vendors
Humana Gold Choice H2944-073 (PFFS)
(H2944-073-0)

Humana Insurance Company

Private Fee for Service $86.00 Yes Any Willing Doctor Discounted at certain vendors Discounted at certain vendors
Today's Options Premier 850F
powered by CCRx
(PFFS)
(H3333-057-0)

Universal American
Private Fee for Service $89.00 Yes Any Willing Doctor Covered Not Covered
Humana Gold Choice H2944-106 (PFFS)
(H2944-106-0)
Humana Insurance Company
Private Fee for Service $91.00 Yes Any Willing Doctor Discounted at certain vendors Discounted at certain vendors

Any willing doctor - Private-fee-for-service (PFFS) doctors who are in the Medicare program do not have to accept Medicare Advantage patients.

Medicare Advantage 2010
Part C

Part C Plans

Type

Premium

Drugs

Doctor

Vision

Dental

CIGNA Medicare Access Plan One (PFFS)
(H2762 - 012)

CIGNA Medicare Access
Private Fee for Service $0 No Any Willing Doctor Covered Covered
Northeast Community Care - Plus (HMO)
(H5416 - 016)

To be determined
HMO $0 Yes Plan Doctors Only Covered Covered
SecureHorizons MedicareDirect Plan 1 (PFFS)
(H5435 - 001)

SecureHorizons by UnitedHealthcare
Private Fee for Service $0 No Any Willing Doctor Covered Not Covered
Today's Options Value (PFFS)
(H3333 - 039)

Universal American
Private Fee for Service $10.00 No Any Willing Doctor Covered Not Covered
CIGNA Medicare Access Plus RX Plan Two (PFFS)
(H2762 - 028)

CIGNA Medicare Access
Private Fee for Service $20.00 Yes Any Willing Doctor Covered Covered
SecureHorizons MedicareDirect Rx Plan 51 (PFFS)
(H5435 - 014)

SecureHorizons by UnitedHealthcare
Private Fee for Service $20.00 Yes Any Willing Doctor Covered Not Covered
Northeast Community Care - Enhanced (HMO)
(H5416 - 028)

To be determined
Private Fee for Service $27.00 Yes Any Willing Doctor Covered Covered
Today's Options Value powered by CCRx (PFFS)
(H3333 - 057)

Universal American
Private Fee for Service $29.00 Yes Any Willing Doctor Covered Not Covered
SmartValue Plus (PFFS)
(H1689 - 013)

Anthem Blue Cross and Blue Shield
Private Fee for Service $34.50 Yes Any Willing Doctor Covered Not Covered
Today's Options Premier (PFFS)
(H3333 - 033)

Universal American
Private Fee for Service $49.00 No Any Willing Doctor Covered Not Covered
CIGNA Medicare Access Plan Three (PFFS)
(H2762 - 016)

CIGNA Medicare Access
Private Fee for Service $60.00 No Any Willing Doctor Covered Covered
First Seniority Freedom - No Drug (PFFS)
(H7226 - 006)

Harvard Pilgrim Health Care Inc.
Private Fee for Service $67.00 No Any Willing Doctor Covered Not Covered
Humana Gold Choice H2944-073 (PFFS)
(H2944 - 073)

Humana Insurance Company
Private Fee for Service $80.00 Yes Any Willing Doctor Covered (for an extra cost  Covered
(for an extra cost
First Seniority Freedom - Drug (PFFS)
(H7226 - 002)

Harvard Pilgrim Health Care Inc.
Private Fee for Service $87.70 Yes Any Willing Doctor Covered Not Covered
CIGNA Medicare Access Plus RX Plan Four (PFFS)
(H2762 - 036)

CIGNA Medicare Access
Private Fee for Service $90.00 Yes Any Willing Doctor Covered  Covered
Today's Options Premier powered by CCRx (PFFS)
(H3333 - 051)

Universal American
Private Fee for Service 92.00 Yes Any Willing Doctor Covered Not Covered
Humana Gold Choice H2944-106 (PFFS)
(H2944 - 106)

Humana Insurance Company
Private Fee for Service $105.00 Yes Any Willing Doctor Covered (for an extra cost  Covered
(for an extra cost
First Seniority Freedom Plus - Drug (PFFS)
(H7226 - 001)

Harvard Pilgrim Health Care Inc.
Private Fee for Service $181.10 Yes Any Willing Doctor Covered Not Covered

Any willing doctor - Private-fee-for-service (PFFS) doctors who are in the Medicare program do not have to accept Medicare Advantage patients.

Above 2010 Medicare Advantage
With Drug Gap Coverage
Part C

The following plans have no annual drug deductible

Part C Plans

Drug Gap Coverage

Premium with Gap Coverage

Premium Without Gap Coverage

Northeast Community Care - Plus (HMO)
(H5416-016-0)

"Some Generics"

$0

$0

SmartValue Plus (PFFS)
(H1689-013-0)

Anthem Blue Cross and Blue Shield

"Many Generics"

$40.20

$34.50

Today's Options Premier powered by CCRx (PFFS)
(H3333-051-0)

Universal American

"All Generics" $108.20 $92.00
Humana Gold Choice H2944-073 (PFFS)
(H2944-073-0)

Humana Insurance Company

"Few Generics and Few Brands" $104.70 $80.00
First Seniority Freedom Plus - Drug (PFFS)
(H7226-001-0)

Harvard Pilgrim Health Care Inc.

"All Generics" $181.10 $241.10