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2010 

Medicare Advantage
Montgomery County
Virginia

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.

Medicare Advantage 2011
Part C

Part C Plans

Type

Premium

Drugs

Doctor

Vision

Dental

AARP Medicare Complete Plus (HMO-POS)
(H7187-003)

SecureHorizons by UnitedHealthcare

Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system $0 Yes Any Doctor Not Covered Not Covered
Carilion Clinic Medicare Health Plan Bronze (HMO)
(H8050-005-0)

Carilion Clinic Medicare Health Plan

Health Maintenance Organization

 

$0 Yes Plan Doctors Only Not Covered Not Covered
HumanaChoice
(Regional PPO)
(R5826-063-0)

Humana Insurance Company

Preferred Provider Organization $0 No Any Doctor Discounted at certain vendors Discounted at certain vendors
Carilion Clinic Medicare Health Plan Silver (HMO-POS)
(H8050-006-0)

Carilion Clinic Medicare Health Plan

 
Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system $30.00 Yes Any Doctor Not Covered Not Covered
HumanaChoice
(Regional PPO)
(R5826-079-0)

Humana Insurance Company

Preferred Provider Organization $58.00 Yes, and gap coverage of "a minimum of 7% coverage on generics and nearly 50% discount on brand-name medicines." Any Doctor Discounted at certain vendors Discounted at certain vendors
Carilion Clinic Medicare Health Plan Gold (HMO-POS)
(H8050-001-0)

Carilion Clinic Medicare Health Plan

 
Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system $60.00 Yes Any Doctor Not Covered Not Covered
HumanaChoice
(Regional PPO)
(R5826-003-0)

Humana Insurance Company

Preferred Provider Organization $64.00 Yes, and gap coverage of "a minimum of 7% coverage on generics and nearly 50% discount on brand-name medicines." Any Doctor Discounted at certain vendors Discounted at certain vendors
Carilion Clinic Medicare Health Plan Platinum (HMO-POS)
(H8050-007-0)

Carilion Clinic Medicare Health Plan

 
Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system $142.00 Yes Any Doctor Not 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.

Medicare Advantage 2010
Part C

Part C Plans

Type

Premium

Drugs

Doctor

Vision

Dental

CIGNA Medicare Access Plus RX Plan Two (PFFS)
(H2762-042)

CIGNA Medicare Access

 
Private Fee For Service $0 Yes Any Willing Doctor Covered Covered
AARP Medicare Complete Plus (HMO-POS)
(H7187-003)

SecureHorizons by UnitedHealthcare

Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system for an additional cost $0 Yes Plan Doctors Only (some exceptions) Covered Covered (for an extra cost)
SecureHorizons MedicareDirect Rx Plan 55 (PFFS)
(H5435-024)

SecureHorizons by UnitedHealthcare

 
Private Fee For Service $0 Yes Any Willing Doctor Covered Not Covered
Carilion Clinic Medicare Health Plan (HMO)
(H8050-005)

Carilion Clinic Medicare Health Plan

Health Maintenance Organization

 

$0 Yes Plan Doctors Only Not Covered Not Covered
CIGNA Medicare Access Plan One (PFFS)
(H2762-020)

CIGNA Medicare Access

Private Fee For Service $0 No Any Willing Doctor Covered Covered
HumanaChoice
(Regional PPO)
(R5826-063)

Humana Insurance Company

Preferred Provider Organization $0 No Any Doctor Covered Covered
SecureHorizons MedicareDirect Plan 2 (PFFS)
(H5435-002)

SecureHorizons by UnitedHealthcare

Private Fee For Service $0 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
Humana Gold
Choice (PFFS))
(H2944-104)

Humana Insurance Company

 
Private Fee For Service $19.00 No Any Willing Doctor Covered (for an extra cost) Covered (for an extra cost)
Humana Gold
Choice (PFFS)
(H2944-097)

Humana Insurance Company

 
Private Fee For Service $22.00 Yes Any Willing Doctor Covered (for an extra cost) Covered (for an extra cost)
Carilion Clinic Medicare Health Plan 30 (HMO-POS)
(H8050-006)

Carilion Clinic Medicare Health Plan

 
Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system for an additional cost $30.00 Yes Plan Doctors Only (some exceptions) Not 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
Humana Gold
Choice (PFFS)
(H2944-078)

Humana Insurance Company

 
Private Fee For Service $40.00 Yes Any Willing Doctor Covered (for an extra cost) Covered (for an extra cost)
CIGNA Medicare Access Plan Three (PFFS)
(H2762-024)

CIGNA Medicare Access

 
Private Fee For Service $45.00 No Any Willing Doctor Covered Covered
HumanaChoice
(Regional PPO)
(R5826-079)

Humana Insurance Company

Preferred Provider Organization $56.00 Yes Any Doctor Not Covered Not Covered
Carilion Clinic Medicare Health Plan 60 (HMO-POS)
(H8050-001)

Carilion Clinic Medicare Health Plan

 
Health Maintenance Organization with Point of Sale option - Let's you go outside the HMO system for an additional cost $60.00 Yes Plan Doctors Only (some exceptions) Covered Not Covered
Today's Options Value (PFFS)
(H5421-165)

Universal American

Private Fee For Service $65.00 No Any Willing Doctor Covered Not Covered
HumanaChoice
(Regional PPO)
(R5826-003)

Humana Insurance Company

Preferred Provider Organization $72.00 Yes Any Doctor Not Covered  Covered
Today's Options Value powered by CCRx (PFFS)
(H5421-166)

Universal American

Private Fee For Service $76.00 Yes Any Willing Doctor Covered Not Covered
CIGNA Medicare Access Plus RX Plan Four (PFFS)
(H2762-050)

CIGNA Medicare Access

 
Private Fee For Service $85.00 Yes Any Willing Doctor Covered Covered
Today's Options Premier (PFFS)
(H5421-163)

Universal American

Private Fee For Service $104.00 No Any Willing Doctor Covered Not Covered
Today's Options Premier  powered by CCRx (PFFS)
(H5421-164)

Universal American

Private Fee For Service $151.00 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

Humana Gold
Choice (PFFS)
(H2944-097-0)

Humana Insurance Company

"Few Generics and Few Brands"

$42.70

$22.00
SmartValue Plus (PFFS)
(H1689-013-0)

Anthem Blue Cross and Blue Shield

"Many Generics" $40.20 $34.50
Humana Gold
Choice (PFFS)
(H2944-078-0)

Humana Insurance Company

"Few Generics and Few Brands" $63.30 $40.00
Humana Choice
(Regional PPO)
(R5826-003-0)

Humana Insurance Company

"Few Generics and Few Brands" $111.20 $72.00
Today's Options Premier powered by CCRx (PFFS)
(H5421-164-0)

Universal American

"All Generics"
$195.10 $151.00