2007 Medicare Advantage Plans IN Connecticut BY COUNTY
CONTACT INFORMATION BY ORGANIZATION
(data per CMS as of 9/29/06)
| County | Organization Name | Plan Name | Type of Medicare Health Plan |
Monthly Consolidated Premium (Includes Part C + D) |
Monthly Drug Premium | Annual Drug Deductible |
Drug Benefit Type |
Type of Extra Coverage Offered in the Gap |
Offers Variable Drug Co-payments |
Drug Benefit Type Detail | Demo Type | Contract ID | Plan ID | Segment ID |
| Fairfield | Aetna Health Inc. | Aetna Golden Medicare Value Plan | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H5793 | 001 | 0 | ||
| Fairfield | Aetna Health Inc. | Aetna Golden Medicare Standard Plan | Local HMO | $43.00 | $19.40 | $0 | Enhanced | Generics | · | EA | H5793 | 002 | 0 | |
| Fairfield | Aetna Health Inc. | Aetna Golden Medicare Premier Plan | Local HMO | $88.00 | $42.70 | $0 | Enhanced | Generics | · | EA | H5793 | 003 | 0 | |
| Fairfield | Anthem Blue Cross and Blue Shield | MediBlue HMO Essential | Local HMO * | $0.00 | H5854 | 004 | 0 | |||||||
| Fairfield | Anthem Blue Cross and Blue Shield | MediBlue HMO Plus | Local HMO | $23.00 | $19.10 | $0 | Enhanced | Generics | · | EA | H5854 | 002 | 0 | |
| Fairfield | Anthem Blue Cross and Blue Shield | MediBlue HMO Select | Local HMO | $90.00 | $19.10 | $0 | Enhanced | Generics | · | EA | H5854 | 003 | 0 | |
| Fairfield | Fresenius Medical Care Health Plan | Fresenius Medical Care Health Plan | Demo * | $0.00 | ESRDI Demo | H5909 | 001 | 0 | ||||||
| Fairfield | Health Net of Connecticut | Health Net Green | Local HMO * | $0.00 | H0755 | 023 | 0 | |||||||
| Fairfield | Health Net of Connecticut | Health Net Ruby Option 2 | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H0755 | 022 | 0 | ||
| Fairfield | Health Net of Connecticut | Health Net Ruby Option 3 | Local HMO | $45.00 | $21.20 | $0 | Basic | · | BA | H0755 | 024 | 0 | ||
| Fairfield | Health Net of Connecticut | Health Net Ruby Option 1 | Local HMO | $99.00 | $19.90 | $0 | Enhanced | Generics | · | EA | H0755 | 001 | 0 | |
| Fairfield | Health Net of Connecticut | Health Net Navy | Local HMO | $119.00 | $21.20 | $0 | Basic | · | BA | H0755 | 020 | 0 | ||
| Fairfield | Today's Option | Today's Options Value | PFFS * | $15.00 | H3333 | 029 | 0 | |||||||
| Fairfield | Today's Option | Today's Options Value Plus | PFFS | $43.00 | $27.70 | $0 | Basic | · | BA | H3333 | 025 | 0 | ||
| Fairfield | Today's Option | Today's Options Premier | PFFS * | $46.00 | H3333 | 030 | 0 | |||||||
| Fairfield | Today's Option | Today's Options Premier Plus | PFFS | $85.00 | $39.00 | $0 | Enhanced | Generics | · | EA | H3333 | 027 | 0 | |
| Fairfield | WellCare | WellCare Advance | Local HMO * | $0.00 | H0712 | 008 | 0 | |||||||
| Fairfield | WellCare | WellCare Choice | Local HMO | $0.00 | $0.00 | $0 | Enhanced | · | EA | H0712 | 001 | 0 | ||
| Fairfield | WellCare | WellCare Premium | Local HMO | $20.00 | $0.00 | $0 | Enhanced | Generics | · | EA | H0712 | 017 | 0 | |
| Hartford | Aetna Health Inc. | Aetna Golden Medicare Value Plan | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H5793 | 001 | 0 | ||
| Hartford | Aetna Health Inc. | Aetna Golden Medicare Standard Plan | Local HMO | $43.00 | $19.40 | $0 | Enhanced | Generics | · | EA | H5793 | 002 | 0 | |
| Hartford | Aetna Health Inc. | Aetna Golden Medicare Premier Plan | Local HMO | $88.00 | $42.70 | $0 | Enhanced | Generics | · | EA | H5793 | 003 | 0 | |
| Hartford | Anthem Blue Cross and Blue Shield | MediBlue HMO Essential | Local HMO * | $0.00 | H5854 | 004 | 0 | |||||||
| Hartford | Anthem Blue Cross and Blue Shield | MediBlue HMO Plus | Local HMO | $23.00 | $19.10 | $0 | Enhanced | Generics | · | EA | H5854 | 002 | 0 | |
| Hartford | Anthem Blue Cross and Blue Shield | MediBlue HMO Select | Local HMO | $90.00 | $19.10 | $0 | Enhanced | Generics | · | EA | H5854 | 003 | 0 | |
| Hartford | Fresenius Medical Care Health Plan | Fresenius Medical Care Health Plan | Demo * | $0.00 | ESRDI Demo | H5909 | 001 | 0 | ||||||
| Hartford | Health Net | Health Net Pearl Option 5 | PFFS * | $139.00 | H5996 | 008 | 0 | |||||||
| Hartford | Health Net | Health Net Pearl Option 6 | PFFS | $159.00 | $21.20 | $0 | Basic | · | BA | H5996 | 009 | 0 | ||
| Hartford | Health Net of Connecticut | Health Net Green | Local HMO * | $0.00 | H0755 | 023 | 0 | |||||||
| Hartford | Health Net of Connecticut | Health Net Ruby Option 2 | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H0755 | 022 | 0 | ||
| Hartford | Health Net of Connecticut | Health Net Ruby Option 3 | Local HMO | $45.00 | $21.20 | $0 | Basic | · | BA | H0755 | 024 | 0 | ||
| Hartford | Health Net of Connecticut | Health Net Ruby Option 1 | Local HMO | $99.00 | $19.90 | $0 | Enhanced | Generics | · | EA | H0755 | 001 | 0 | |
| Hartford | Health Net of Connecticut | Health Net Navy | Local HMO | $119.00 | $21.20 | $0 | Basic | · | BA | H0755 | 020 | 0 | ||
| Hartford | Humana Insurance Company | Humana Gold Choice PFFS H1804-249 | PFFS | $89.00 | $13.10 | $265 | Basic | DS | H1804 | 249 | 0 | |||
| Hartford | Humana Insurance Company | Humana Gold Choice PFFS H1804-247 | PFFS | $99.00 | $23.60 | $0 | Enhanced | · | EA | H1804 | 247 | 0 | ||
| Hartford | Humana Insurance Company | Humana Gold Choice PFFS H1804-248 | PFFS | $129.00 | $23.60 | $0 | Enhanced | · | EA | H1804 | 248 | 0 | ||
| Hartford | Today's Option | Today's Options Value | PFFS * | $15.00 | H3333 | 029 | 0 | |||||||
| Hartford | Today's Option | Today's Options Value Plus | PFFS | $43.00 | $27.70 | $0 | Basic | · | BA | H3333 | 025 | 0 | ||
| Hartford | Today's Option | Today's Options Premier | PFFS * | $46.00 | H3333 | 030 | 0 | |||||||
| Hartford | Today's Option | Today's Options Premier Plus | PFFS | $85.00 | $39.00 | $0 | Enhanced | Generics | · | EA | H3333 | 027 | 0 | |
| Hartford | WellCare | WellCare Advance | Local HMO * | $0.00 | H0712 | 008 | 0 | |||||||
| Hartford | WellCare | WellCare Choice | Local HMO | $0.00 | $0.00 | $0 | Enhanced | · | EA | H0712 | 001 | 0 | ||
| Hartford | WellCare | WellCare Premium | Local HMO | $20.00 | $0.00 | $0 | Enhanced | Generics | · | EA | H0712 | 017 | 0 | |
| Litchfield | Aetna Medicare | Aetna Medicare Open Plan | PFFS | $80.00 | $21.80 | $265 | Basic | DS | H5736 | 002 | 0 | |||
| Litchfield | Fresenius Medical Care Health Plan | Fresenius Medical Care Health Plan | Demo * | $0.00 | ESRDI Demo | H5909 | 001 | 0 | ||||||
| Litchfield | Health Net of Connecticut | Health Net Green | Local HMO * | $0.00 | H0755 | 023 | 0 | |||||||
| Litchfield | Health Net of Connecticut | Health Net Ruby Option 2 | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H0755 | 022 | 0 | ||
| Litchfield | Health Net of Connecticut | Health Net Ruby Option 3 | Local HMO | $45.00 | $21.20 | $0 | Basic | · | BA | H0755 | 024 | 0 | ||
| Litchfield | Health Net of Connecticut | Health Net Ruby Option 1 | Local HMO | $99.00 | $19.90 | $0 | Enhanced | Generics | · | EA | H0755 | 001 | 0 | |
| Litchfield | Health Net of Connecticut | Health Net Navy | Local HMO | $119.00 | $21.20 | $0 | Basic | · | BA | H0755 | 020 | 0 | ||
| Litchfield | Humana Insurance Company | Humana Gold Choice PFFS H1804-249 | PFFS | $89.00 | $13.10 | $265 | Basic | DS | H1804 | 249 | 0 | |||
| Litchfield | Humana Insurance Company | Humana Gold Choice PFFS H1804-247 | PFFS | $99.00 | $23.60 | $0 | Enhanced | · | EA | H1804 | 247 | 0 | ||
| Litchfield | Humana Insurance Company | Humana Gold Choice PFFS H1804-248 | PFFS | $129.00 | $23.60 | $0 | Enhanced | · | EA | H1804 | 248 | 0 | ||
| Litchfield | Today's Option | Today's Options Premier | PFFS * | $0.00 | H3333 | 024 | 0 | |||||||
| Litchfield | Today's Option | Today's Options Value | PFFS * | $0.00 | H3333 | 023 | 0 | |||||||
| Litchfield | Today's Option | Today's Options Value Plus | PFFS | $0.00 | $0.00 | $0 | Basic | · | BA | H3333 | 026 | 0 | ||
| Litchfield | Today's Option | Today's Options Premier Plus | PFFS | $39.00 | $38.90 | $0 | Enhanced | Generics | · | EA | H3333 | 028 | 0 | |
| Middlesex | Anthem Blue Cross and Blue Shield | SmartValue Classic | PFFS * | $35.00 | H1689 | 003 | 0 | |||||||
| Middlesex | Anthem Blue Cross and Blue Shield | SmartValue Plus | PFFS | $46.00 | $18.30 | $0 | Enhanced | · | EA | H1689 | 004 | 0 | ||
| Middlesex | Fresenius Medical Care Health Plan | Fresenius Medical Care Health Plan | Demo * | $0.00 | ESRDI Demo | H5909 | 001 | 0 | ||||||
| Middlesex | Health Net | Health Net Pearl Option 5 | PFFS * | $139.00 | H5996 | 008 | 0 | |||||||
| Middlesex | Health Net | Health Net Pearl Option 6 | PFFS | $159.00 | $21.20 | $0 | Basic | · | BA | H5996 | 009 | 0 | ||
| Middlesex | Health Net of Connecticut | Health Net Green | Local HMO * | $0.00 | H0755 | 023 | 0 | |||||||
| Middlesex | Health Net of Connecticut | Health Net Ruby Option 2 | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H0755 | 022 | 0 | ||
| Middlesex | Health Net of Connecticut | Health Net Ruby Option 3 | Local HMO | $45.00 | $21.20 | $0 | Basic | · | BA | H0755 | 024 | 0 | ||
| Middlesex | Health Net of Connecticut | Health Net Ruby Option 1 | Local HMO | $99.00 | $19.90 | $0 | Enhanced | Generics | · | EA | H0755 | 001 | 0 | |
| Middlesex | Health Net of Connecticut | Health Net Navy | Local HMO | $119.00 | $21.20 | $0 | Basic | · | BA | H0755 | 020 | 0 | ||
| Middlesex | Humana Insurance Company | Humana Gold Choice PFFS H1804-249 | PFFS | $89.00 | $13.10 | $265 | Basic | DS | H1804 | 249 | 0 | |||
| Middlesex | Humana Insurance Company | Humana Gold Choice PFFS H1804-247 | PFFS | $99.00 | $23.60 | $0 | Enhanced | · | EA | H1804 | 247 | 0 | ||
| Middlesex | Humana Insurance Company | Humana Gold Choice PFFS H1804-248 | PFFS | $129.00 | $23.60 | $0 | Enhanced | · | EA | H1804 | 248 | 0 | ||
| Middlesex | SecureHorizons MedicareDirect | SecureHorizons MedicareDirect Plan 10 | PFFS * | $0.00 | H5435 | 010 | 0 | |||||||
| Middlesex | SecureHorizons MedicareDirect | SecureHorizons MedicareDirect Rx Plan 55 | PFFS | $10.30 | $10.30 | $265 | Basic | DS | H5435 | 014 | 0 | |||
| Middlesex | Today's Option | Today's Options Premier | PFFS * | $0.00 | H3333 | 024 | 0 | |||||||
| Middlesex | Today's Option | Today's Options Value | PFFS * | $0.00 | H3333 | 023 | 0 | |||||||
| Middlesex | Today's Option | Today's Options Value Plus | PFFS | $0.00 | $0.00 | $0 | Basic | · | BA | H3333 | 026 | 0 | ||
| Middlesex | Today's Option | Today's Options Premier Plus | PFFS | $39.00 | $38.90 | $0 | Enhanced | Generics | · | EA | H3333 | 028 | 0 | |
| Middlesex | UniCare | Save Well - Plan II | MSA * | $0.00 | H7289 | 002 | 0 | |||||||
| Middlesex | Unicare Life & Health Ins. Company | SecurityChoice Plus | PFFS | $11.00 | $11.00 | $0 | Enhanced | · | EA | H0540 | 028 | 0 | ||
| New Haven | Aetna Health Inc. | Aetna Golden Medicare Value Plan | Local HMO | $0.00 | $0.00 | $0 | Basic | · | BA | H5793 | 001 | 0 | ||
| New Haven | Aetna Health Inc. | Aetna Golden Medicare Standard Plan | Local HMO | $43.00 | $19.40 | $0 | Enhanced | Generics | · | EA | H5793 | 002 | 0 | |
| New Haven | Aetna Health Inc. | Aetna Golden Medicare Premier Plan | Local HMO | $88.00 | $42.70 | $0 | Enhanced | Generics | · | EA | H5793 | 003 | 0 | |
| New Haven | Anthem Blue Cross and Blue Shield | MediBlue HMO Essential | Local HMO * | $0.00 | H5854 | 004 | 0 | |||||||
| New Haven | Anthem Blue Cross and Blue Shield | MediBlue HMO Plus | Local HMO | $23.00 | $19.10 | $0 | Enhanced | Generics | · | EA | H5854 | 002 | 0 | |
| New Haven | Anthem Blue Cross and Blue Shield |