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Medicare Advantage
Sullivan 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
Today's Options Premier 800 (PFFS) (H3333-037-0) Universal American	Private Fee for Service	$14.00	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) SecureHorizons by UnitedHealthcare	Private Fee for Service	$20.00	Yes	Any Willing Doctor	Covered	Not Covered
Today's Options Premier 850B powered by CCRx (PFFS) (H3333-055-0) Universal American	Private Fee for Service	$41.00	Yes	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 H2944-163-0 (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 H2944-73 (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
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
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 - 038) Universal American	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
Today's Options Value powered by CCRx (PFFS) (H3333 - 056) Universal American	Private Fee for Service	$19.00	Yes	Any Willing Doctor	Covered	Not 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
Today's Options Premier (PFFS) (H3333 - 032) Universal American	Private Fee for Service	$29.00	No	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
First Seniority Freedom - No Drug (PFFS) (H7226 - 015) Harvard Pilgrim Healthcare Inc.	Private Fee for Service	$68.00	No	Any Willing Doctor	Covered	Not Covered
Today's Options Premier powered by CCRx (PFFS) (H3333 - 050) Universal American	Private Fee for Service	$69.00	Yes	Any Willing Doctor	Covered	Not Covered
CIGNA Medicare Access Plan One (PFFS) (H2762 - 015) CIGNA Medicare Access	Private Fee for Service	$80.00	No	Any Willing Doctor	Covered	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)
CIGNA Medicare Access Plus RX Plan Two (PFFS) (H2762 - 034) CIGNA Medicare Access	Private Fee for Service	$95.00	Yes	Any Willing Doctor	Covered	Covered
First Seniority Freedom - Drug (PFFS) (H7226 - 013) Harvard Pilgrim Healthcare Inc.	Private Fee for Service	$103.90	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 - 011) Harvard Pilgrim Healthcare Inc.	Private Fee for Service	$127.00	Yes	Any Willing Doctor	Covered	Not Covered
CIGNA Medicare Access Plan Three (PFFS) (H2762 - 019) CIGNA Medicare Access	Private Fee for Service	$135.00	No	Any Willing Doctor	Covered	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
Today's Options Premier powered by CCRx (PFFS) (H3333-050-0) Universal American	"All Generics"	$86.90	$69.00
Humana Gold Choice (PFFS) (H2944-073-0) Humana Insurance Company	"Few Generics and Few Brands"	$104.70	$80.00
First Seniority Freedom Plus - Drug (PFFS) (H7226-011-0) Harvard Pilgrim Healthcare Inc.	"All Generics"	$187.30	$127.00

Medicare Advantage Sullivan 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
Sullivan County
New Hampshire

Medicare Advantage 2011
Part C

Medicare Advantage 2010
Part C

Above 2010 Medicare Advantage
With Drug Gap Coverage
Part C