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2010 

Medicare Advantage
Merrimack 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)

United HealthCare

Private Fee for Service $0 No Any Willing Doctor  Covered Not 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)

United HealthCare

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
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
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)
Private Fee for Service $0 No Any Willing Doctor Covered Covered
SecureHorizons MedicareDirect Plan 1 (PFFS)
(
H5435-001)

United Health Care

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
SmartValue Classic (PFFS)
(H1689 - 012)

Anthem Blue Cross and Blue Shield
Private Fee for Service $15.00 No Any Willing Doctor Covered Not Covered
CIGNA Medicare Access Plus RX Plan Two (PFFS)
(H2762 - 028)
Private Fee for Service $20.00 Yes Any Willing Doctor Covered Covered
SecureHorizons MedicareDirect Plan 51 (PFFS)
(H5435-014)

United Health Care

Private Fee for Service $20.00 Yes Any Willing Doctor Covered Not Covered
Today's Options Premier Powered by CCXsm (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)

Private Fee for Service $60.00 No Any Willing Doctor Covered Covered
First Seniority Freedom - No Drug (PFFS)
(H7226 - 015)


Harvard Pilgrim Health Care Inc
Private Fee for Service $68.00 No Any Willing Doctor Covered Not Covered
Humana Gold Choice  (PFFS)
(H2944 - 073)
Private Fee for Service $80.00 Yes Any Willing Doctor Coverage Optional Coverage Optional
CIGNA Medicare Access Plus RX Plan Four (PFFS)
(H2762 - 036)
Private Fee for Service $90.00 Yes Any Willing Doctor Covered Covered
Today's Options Premier Powered by CCXsm (PFFS)
(H3333-051)

Universal American

Private Fee for Service $92.00 Yes Any Willing Doctor Covered Not Covered
First Seniority Freedom - Drug (PFFS)
(H7226 - 013)

Harvard Pilgrim Health Care Inc.  
Private Fee for Service $103.90 Yes Any Willing Doctor Covered Not Covered
Humana Gold Choice (PFFS)
(H2944-106)
Private Fee for Service $105.00 Yes Any Willing Doctor Coverage Optional Coverage Optional
First Seniority Freedom Plus - Drug (PFFS)
(H7226 - 011)

Harvard Pilgrim Health Care Inc.
Private Fee for Service $127.00 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

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

Anthem Blue Cross and Blue Shield

"Many Generics"

$40.20

$34.50

Humana Gold Choice H2944-073 (PFFS)
(H2944-073-0)

"Few Generics and Few Brands"

$104.70

$80.00

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

Universal
American

"All Generics"

$108.20

$92.00

First Seniority Freedom Plus - Drug (PFFS)
(H7226-011-0)

Harvard Pilgrim Health Care Inc.

"All Generics"

$187.30

$127.00

Medicare Advantage 2009
Part C

Part C Plans

Type

Premium

Drugs

Doctor

Vision

Dental

Advantra Savings-Plan 1
(H7206 - 001)
Medical Savings Account $0 No Any doctor Not
Covered
Not Covered
Advantra Freedom

Freedom 7
(H0846 - 014)

Private Fee for Service $0 Yes Any Willing Doctor Covered Covered
SecureHorizons MedicareDirect Rx Plan 55
(H5435 - 024)
Private Fee for Service $0 Yes Any Willing Doctor Not
Covered
Not Covered
SmartValue Plus
(H1689 - 013)
Private Fee for Service $0 Yes Any Willing Doctor Not Covered Not Covered
Advantra Freedom

Freedom 2
(H0846 - 005)

Private Fee for Service $0 No Any Willing Doctor Covered Covered
SecureHorizons MedicareDirect Plan 3
(H5435 - 003)
Private Fee for Service $0 No Any Willing Doctor Not
Covered
Not Covered
SmartValue Classic
(H1689 - 012)
Private Fee for Service $0 No Any Willing Doctor Not
Covered
Not Covered
Today's Options Value
(H3333 - 039)
Private Fee for Service $10.00 No Any Willing Doctor Not Covered Not Covered
CIGNA Medicare Access Plan One
(H2762 - 013)
Private Fee for Service $20.00 No Any Willing Doctor Covered Covered
First Seniority Freedom - No Drug
(H7226 - 015)

Harvard Pilgrim  Health Care Inc.

Private Fee for Service $29.20 No Any Willing Doctor Covered Not Covered
Today's Options Value powered by CCRx
(H3333 - 057)
Private Fee for Service $29.90 No Any Willing Doctor Not Covered Not Covered
CIGNA Medicare Access Plus RX Plan Two
(H2762 - 031)
Private Fee for Service $45.00 Yes Any Willing Doctor Covered Covered
Today's Options Premier
(H3333 - 033)
Private Fee for Service $49.00 No Any Willing Doctor Not Covered Not Covered
First Seniority Freedom - Drug
(H7226 - 013)

Harvard Pilgrim  Health Care Inc.

Private Fee for Service $54.10 Yes Any Willing Doctor Not
Covered
Not Covered
Humana Gold Choice PFFS H1804-257
(H1804 - 257)
Private Fee for Service $68.00 Yes Any Willing Doctor Not
Covered
Not Covered
CIGNA Medicare Access Plan Three
(H2762 - 017)
Private Fee for Service $75.00 No Any Willing Doctor Covered Covered
Sterling Option II
(H5006 - 017)
Private Fee for Service $76.00 Yes Any Willing Doctor Covered Covered
Today's Options Premier powered by CCRx
(H3333 - 051)
Private Fee for Service $93.10 Yes Any Willing Doctor Not Covered Not Covered
Advantra Freedom

Freedom 1
(H0846 - 004)

Private Fee for Service $96.00 No Any Willing Doctor Covered Covered
Humana Gold Choice PFFS H1804-258
(H1804 - 258)
Private Fee for Service $98.00 Yes Any Willing Doctor Not
Covered
Not Covered
CIGNA Medicare Access Plus RX Plan Four
(H2762 - 039)
Private Fee for Service $120.00 Yes Any Willing Doctor Covered Covered
First Seniority Freedom Plus - Drug
(H7226 - 011)
Harvard Pilgrim  Health Care Inc.
Private Fee for Service $104.50 Yes Any Willing Doctor Covered Not
Covered
Humana Gold Choice PFFS
(H1804 - 259)
Private Fee for Service $198.00 Yes Any Willing Doctor Not
Covered
Not Covered