2013 / 2014 Medicare Advantage Plan Information Click here to jump to the Chart Legend | ||||||||||||
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Plan Name | Monthly Premium |
Part A&B Maximum Out-Of |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing | Total Formulary Drugs | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
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2013 Group Health Options Clear Care Prestige (PPO) | $103.00 | $3,200 | $325 | No additional gap coverage, only the Donut Hole Discount | H2810 -001 -0 | $3.00 | $10.00 | $14.00 | $14.00 | 5,235 2013 Formulary | ||
2014 Group Health Options Clear Care Prestige (PPO) | $135.00 | $3,200 | $310 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $11.00 | $11.00 | 5,215 2014 Formulary | |||
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