Comparison Chart
Use the chart below to determine which plan best fits your needs.
| IF YOU NEED: |
CONVENTIONAL
$57.70/month* |
PREMIER
$92.10/month* |
PREMIER PLUS
$112.00/month* |
| Medical benefits only |
This is the plan for you |
|
|
| Medical benefits w/Prescription drug coverage |
|
This is the plan for you |
|
| Medical benefits w/prescription drug coverage including coverage in the gap, plus dental and medical supplies |
|
|
This is the plan for you |
* For detailed side-by-side comparison of benefits and costs, see 2010 Summary of Benefits.
Last modified: October 1, 2009
H3811_MA4001 CMS approved 11.2009