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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 CCX^sm(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 CCX^sm(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

Medicare Advantage Merrimack County New Hampshire

Medicare Advantage 2011 Part C

Medicare Advantage 2010 Part C

Above 2010 Medicare Advantage With Drug Gap Coverage Part C

Medicare Advantage 2009 Part C

Medicare Advantage
Merrimack County
New Hampshire

Medicare Advantage 2011
Part C

Medicare Advantage 2010
Part C

Above 2010 Medicare Advantage
With Drug Gap Coverage
Part C

Medicare Advantage 2009
Part C