PARENT NAME CONTRACT/PBP PRODUCT NAME PART C PREM PART D PREM
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1 GEISINGER HEALTH PLAN H GEISINGER GOLD SECURE RX (HMO SNP) $0.00 $37.00 GEISINGER HEALTH PLAN H GEISINGER GOLD CLASSIC ADVANTAGE RX $ $52.90 GEISINGER HEALTH PLAN H GEISINGER GOLD CLASSIC COMPLETE RX $0.00 $38.00 GEISINGER HEALTH PLAN H GEISINGER GOLD CLASSIC ESSENTIAL Rx (HMO) $0.00 $0.00 GEISINGER INDEMNITY H GEISINGER GOLD PREFERRED ADVANTAGE $58.70 $58.30 GEISINGER INDEMNITY H GEISINGER GOLD PREFERRED COMPLETE $0.00 $0.00 GEISINGER INDEMNITY H GEISINGER GOLD PREFERRED ENHANCED Rx (PPO) $0.00 $45.00 QCC INSURANCE d/b/a H PERSONAL CHOICE 65 RX (PPO) $ $93.00 QCC INSURANCE d/b/a QCC INSURANCE d/b/a QCC INSURANCE d/b/a H PERSONAL CHOICE 65 RX (PPO) $73.70 $86.30 H PERSONAL CHOICE 65 GROUP RX (PPO) varies varies S SELECT OPTION RX GROUP OPTION I n/a varies KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 PREFERRED RX (HMO) $ $70.60 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 PREFERRED RX (HMO) $ $72.60 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 SELECT RX (HMO) $26.70 $41.30 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 SELECT RX (HMO) $56.00 $42.00 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 FOCUS RX (HMO) $0.00 $10.00 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 FOCUS RX (HMO) $0.00 $35.00 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 BASIC RX (HMO) $0.00 $0.00 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 BASIC RX (HMO) $0.00 $0.00 KEYSTONE HEALTH PLAN EAST H KEYSTONE 65 GROUP RX (HMO) varies varies
2 UPMC HEALTH PLAN H UPMC FOR LIFE HMO RX ENHANCED (HMO) $ $77.50 UPMC HEALTH PLAN H UPMC FOR LIFE HMO RX (HMO) $19.70 $61.30 UPMC HEALTH PLAN H UPMC FOR LIFE HMO DEDUCTIBLE WITH Rx $0.00 $22.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO RX (HMO) $19.50 $35.50 UPMC HEALTH PLAN H UPMC FOR LIFE HMO DEDUCTIBLE WITH Rx $0.00 $15.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO DEDUCTIBLE WITH Rx $0.00 $0.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO PREMIER RX (HMO) $0.00 $0.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO PREMIER RX (HMO) $0.00 $0.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO RX (HMO) $45.40 $35.60 UPMC HEALTH PLAN H UPMC FOR LIFE HMO RX (HMO) $45.40 $35.60 UPMC HEALTH PLAN H UPMC FOR LIFE HMO RX CHOICE (HMO) $4.40 $35.60 UPMC HEALTH PLAN H UPMC FOR LIFE HMO PREMIER RX (HMO) $0.00 $0.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO PREMIER RX (HMO) $0.00 $0.00 UPMC HEALTH PLAN H UPMC FOR LIFE HMO PREMIER RX (HMO) $0.00 $0.00 UPMC HEALTH PLAN H UPMC EMPLOYER GROUP RX (HMO) varies varies UPMC HEALTH PLAN H UPMC FOR LIFE PPO HIGH DEDUCTIBLE WITH Rx $0.00 $35.00 UPMC HEALTH PLAN H UPMC FOR LIFE PPO RX ENHANCED (PPO) $76.60 $58.40 UPMC HEALTH PLAN H UPMC FOR LIFE PPO RX ENHANCED (PPO) $30.80 $29.20 UPMC HEALTH PLAN H UPMC FOR LIFE PPO RX ENHANCED (PPO) $15.70 $29.30 UPMC HEALTH PLAN H UPMC EMPLOYER GROUP RX (PPO) varies varies UPMC HEALTH PLAN S UPMC EMPLOYER GROUP (PDP) n/a varies WELLCARE PRESCRIPTION S WELLCARE CLASSIC (PDP) n/a $34.80 INSURANCE WELLCARE PRESCRIPTION S WELLCARE EXTRA (PDP) n/a $72.60 INSURANCE CAPITAL BLUE CROSS H BLUEJOURNEY CLASSIC (PPO) $31.30 $33.70 CAPITAL BLUE CROSS H BLUEJOURNEY PRIME (PPO) $92.40 $77.60 CAPITAL BLUE CROSS H BLUEJOURNEY PREMIER (HMO) $75.60 $72.40
3 CAPITAL BLUE CROSS H BLUEJOURNEY VALUE (HMO) $0.00 $50.00 CAPITAL BLUE CROSS H BLUEJOURNEY ESSENTIAL (HMO) $0.00 $0.00 CAPITAL BLUE CROSS H BLUEJOURNEY ALLIANCE LUNG CARE (HMO SNP) $0.00 $33.00 CAPITAL BLUE CROSS H BLUEJOURNEY ALLIANCE HEART AND DIABETES CARE (HMO $0.00 $25.00 SNP) CAPITAL BLUE CROSS H BLUEJOURNEY ALLIANCE ASSISTED CARE (HMO SNP) $10.20 $39.80 AVALON INSURANCE S SECURERX - OPTION 3 (PDP) n/a $86.00 AVALON INSURANCE S SECURERX - OPTION 1 (PDP) n/a $ CIGNA S CIGNA HEALTHSPRING RX SECURE (PDP) n/a $34.40 CIGNA S CIGNA HEALTHSPRING RX EXTRA (PDP) n/a $55.40 CIGNA S CIGNA HEALTHSPRING RX ESSENTIAL (PDP) n/a $21.90 SILVERSCRIPT INSURANCE S SILVERSCRIPT CHOICE (PDP) n/a $32.50 HEALTH PARTNERS PLANS H HEALTH PARTNERS MEDICARE PRIME (HMO) $16.00 $55.00 HEALTH PARTNERS PLANS H HEALTH PARTNERS MEDICARE SPECIAL (HMO SNP) $0.00 $37.00 HEALTH PARTNERS PLANS H HEALTH PARTNERS MEDICARE PRIME (HMO) $0.00 $71.00 HEALTH PARTNERS PLANS H HEALTH PARTNERS MEDICARE PRIME (HMO) $18.60 $52.40 ENVISION S ENVISION RX PLUS (PDP) n/a $14.50 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO CLASSIC (PPO) $ $ HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO CLASSIC (PPO) $ $ HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO DELUXE (PPO) $ $ HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO STANDARD (PPO) $ $85.40 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO VALUERX (PPO) $24.20 $46.80
4 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO SELECT (PPO) $88.60 $83.40 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO SELECT (PPO) $48.40 $85.10 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO VALUERX (PPO) $11.00 $66.00 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO VALUERX (PPO) $27.70 $46.80 HIGHMARK SENIOR HEALTH H COMMUNITY BLUE MEDICARE PPO SIGNATURE $0.10 $26.90 HIGHMARK SENIOR HEALTH H COMMUNITY BLUE MEDICARE PPO SIGNATURE $0.10 $26.90 HIGHMARK SENIOR HEALTH H COMMUNITY BLUE MEDICARE PLUS PPO $0.10 $16.90 HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO MA-PD PENNSYLVANIA varies varies HIGHMARK SENIOR HEALTH H FREEDOM BLUE PPO MA-PD PA NON-CALEN varies varies HIGHMARK SENIOR HEALTH H FREEDOM BLUE EMPLOYER GROUP varies varies HIGHMARK SENIOR HEALTH H FREEDOM BLUE EMPLOYER GROUP varies varies HIGHMARK HEALTH INSURANCE S BLUE RX PDP PLUS (PDP) n/a $84.70 HIGHMARK HEALTH INSURANCE S BLUE RX PDP COMPLETE (PDP) n/a $ HIGHMARK HEALTH INSURANCE S BLUE RX EMPLOYER GROUP CALENDAR (PDP) n/a varies
5 HIGHMARK HEALTH INSURANCE S BLUE RX EMPLOYER GROUP NON-CALENDAR n/a varies HIGHMARK CHOICE H SECURITY BLUE HMO STANDARD (HMO) $ $ HIGHMARK CHOICE H SECURITY BLUE HMO STANDARD (HMO) $84.70 $ HIGHMARK CHOICE H SECURITY BLUE HMO DELUXE (HMO) $ $ HIGHMARK CHOICE H SECURITY BLUE HMO DELUXE (HMO) $ $ HIGHMARK CHOICE H SECURITY BLUE HMO VALUERX (HMO) $2.30 $62.70 HIGHMARK CHOICE H SECURITY BLUE HMO VALUERX (HMO) $0.10 $60.40 HIGHMARK CHOICE H COMMUNITY BLUE MEDICARE HMO SIGNATURE $0.00 $0.00 HIGHMARK CHOICE H COMMUNITY BLUE MEDICARE HMO PRESTIGE $ $ HIGHMARK CHOICE H COMMUNITY BLUE MEDICARE HMO SIGNATURE $0.00 $0.00 HIGHMARK CHOICE H SECURITY BLUE MA-PD (HMO) varies varies HIGHMARK CHOICE H SECURITY BLUE MA-PD NON-CALENDAR (HMO) varies varies HIGHMARK CHOICE H SECURITY BLUE MA-PD NON-CALENDAR (HMO) varies varies HIGHMARK CHOICE H SECURITY BLUE EMPLOYER GROUP varies varies HIGHMARK CHOICE H SECURITY BLUE EMPLOYER GROUP varies varies HIGHMARK CHOICE H SECURITY BLUE EMPLOYER GROUP varies varies UNITED HEALTHCARE INSURANCE S AARP MEDICARERX PREFERRED (PDP) n/a $75.70 UNITED HEALTHCARE INSURANCE S AARP MEDICARERX SAVER PLUS (PDP) n/a $35.80 UNITED HEALTHCARE INSURANCE S AARP MEDICARERX WALGREENS (PDP) n/a $28.00 UNITED HEALTHCARE INSURANCE H UNITEDHEALTHCARE NURSING HOME PLAN $0.00 $37.00 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE (HMO) $1.70 $21.30 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE PLAN 1 (HMO) $0.00 $0.00 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE PLAN 2 (HMO) $22.80 $15.20 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE $0.00 $8.00 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE CHOICE PLAN 3 $64.90 $28.10 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE CHOICE PLAN 1 $0.00 $18.00 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE CHOICE PLAN 2 $39.10 $18.90
6 UNITED HEALTHCARE INSURANCE H AARP MEDICARECOMPLETE CHOICE (PPO) $28.80 $29.20 UNITED HEALTHCARE INSURANCE H UNITEDHEALTHCARE DUAL COMPLETE (HMO $0.00 $25.90 UNITED HEALTHCARE INSURANCE H UNITEDHEALTHCARE DUAL COMPLETE ONE $0.00 $26.70 UNITED HEALTHCARE INSURANCE H ERICKSON ADVANTAGE SIGNATURE $ $28.50 UNITED HEALTHCARE INSURANCE H ERICKSON ADVANTAGE GUARDIAN $0.00 $33.10 UNITED HEALTHCARE INSURANCE H ERICKSON ADVANTAGE CHAMPION $ $26.00 UNITED HEALTHCARE INSURANCE H ERICKSON ADVANTAGE CHAMPION $19.50 $28.50 BRAVO HEALTH H CIGNA-HEALTHSPRING TOTALCARE (HMO S $0.00 $33.50 BRAVO HEALTH H CIGNA-HEALTHSPRING PREFERRED PLUS $ $22.00 BRAVO HEALTH H CIGNA-HEALTHSPRING TRADITIONS (HMO) $0.00 $37.00 BRAVO HEALTH H CIGNA-HEALTHSPRING ACHIEVE (HMO SNP) $29.00 $0.00 BRAVO HEALTH H CIGNA-HEALTHSPRING PREFERRED (HMO) $0.00 $15.00 BRAVO HEALTH H CIGNA-HEALTHSPRING ALLIANCE $0.00 $0.00 GATEWAY HEALTH PLAN H GATEWAY HEALTH MEDICARE ASSURED RUB $0.00 $37.00 VIBRA HEALTH PLAN H VIBRA HEALTH PLAN ESSENTIAL (PPO) $0.00 $0.00 VIBRA HEALTH PLAN H VIBRA HEALTH PLAN ENHANCED (PPO) $16.60 $43.40
2018 Medicare Contracted Plans
GEISINGER HEALTH PLAN H3954-097 GEISINGER GOLD SECURE RX (HMO SNP) $0.00 $37.20 GEISINGER HEALTH PLAN H3954-157 GEISINGER GOLD CLASSIC ADVANTAGE RX $133.30 $49.70 GEISINGER HEALTH PLAN H3954-158 GEISINGER
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