|
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 |
