Table 1. Prescription Drug Benefits of Preferred Provider Organizations (PPOs) and Competing Coordinated Care Plans (CCPs)1.
| Coverage | PPO | CCP |
|---|---|---|
| Percent | ||
| Contracts with Drug Benefit | 91 | 79 |
| Plans with Drug Benefit | 82 | 70 |
| Plans with a Drug Benefit | ||
| Generic Coverage Only | 58 | 47 |
| Unlimited | 20 | 31 |
| Maximum Benefit | 38 | 16 |
| Median Annualized Maximum | $500 | $800 |
| Percent | ||
| Brand Drug Coverage | 42 | 53 |
| Unlimited | 6 | 6 |
| Brand Benefit Maximum, Unlimited Generics | 22 | 29 |
| Median Annualized Maximum | $600 | $900 |
| Percent | ||
| Brand and Generic Combination Maximum | 14 | 19 |
| Median Annualized Maximum | $1,000 | $1,000 |
1
Includes Parts A and B plans only. Employer-only plans are excluded. PPO is PPO demonstration plans. Competing CCP plans are defined by those offered in at least one PPO service area county.
SOURCE: RTI International analysis of Centers for Medicare & Medicaid Services Health Plan Management System, April 2004 file.