A Healthy CollaborationSM



2009 Plans

With Today’s Options®, you have the freedom to choose any doctor or hospital that accepts the plan's terms and conditions. Plans feature low-co-pays, premiums and deductibles; annual out-of-pocket limits on medical expenses; and much more.

What plan is right for you?

Compare your Medicare Advantage and Medicare Advantage Prescription Drug plan options below. For more detailed information, review the Summary of Benefits.

MAPD Plan Summary

Value powered by CCRx Premier powered by CCRx Access powered by CCRx

Available in select counties in
NC, NY and PA

Recommended for those who qualify for additional assistance.
Monthly Premium
As low as $20.00
As low as $45.10
As low as $25.80
MEDICAL BENEFITS
Annual Out-of-Pocket Limit $3,000 $2,500 N/A
Physician Co-pay $20 $10 20% of the cost for each primary care doctor visit for Medicare-approved benefits
Specialist Co-pay $35 $25 20% of the cost for each primary care doctor visit for Medicare-approved benefits
Inpatient Hospital Care Days 1-5: $195/day,
Days 6-90: $0/day
$350 for each Medicare-covered stay Days 1-6: $1068 deductible
Days 61-90: $267/day
Days: 91-150: $534/lifetime reserve day
PART D PRESCRIPTION DRUG COVERAGE
Deductible $0 $0 $295
Initial Drug Coverage up to $2700 up to $2700 up to $2700
  30-day/90-day supply, you pay
Generics $5/$15 $5/$15 25% coinsurance
Preferred Brands $30/$90 $30/$90 25% coinsurance
Non-preferred Brands $60/$180 $60/$180 N/A
Specialty Drugs 25% coinsurance 25% coinsurance 25% coinsurance
Coverage Gap Benefits No coverage $5/$15 for generics No coverage
Catastrophic Coverage after you reach $4350 in out-of-pocket prescription drug expenses
  30-day/90-day supply, you pay
Generics The greater of 5% coinsurance or $2.40 The greater of 5% coinsurance or $2.40 The greater of 5% coinsurance or $2.40
Brands The greater of 5% coinsurance or $6.00 The greater of 5% coinsurance or $6.00 The greater of 5% coinsurance or $6.00
 

MA Plan Summary

Value Premier
Monthly Premium
As low as $0
As low as $0
MEDICAL BENEFITS
Annual Out-of-Pocket Limit $3,000 $2,500
Physician Co-pay $20 $10
Specialist Co-pay $35 $25
Inpatient Hospital Care Days 1-5: $195/day,
Days 6-90: $0/day
$350 for each Medicare-covered stay
Part D Drug Coverage No Coverage. See Value powered by CCRx above. No Coverage. See Premier powered by CCRx above.

M0018_PFFSWebv4_1208 CMS (1/2009) Last updated: 1/1/2022

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