2017 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan) | ||||
Location: | Harris, Texas Click to see other locations | ||||
Plan ID: | H8786 - 001 - 0 Click to see other plans | ||||
Member Services: | 1-855-878-1784 TTY users 711 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $0.00 (see Plan Premium Details below) | ||||
Annual Deductible: | $0 (Tier excluded from the Deductible.) | ||||
Health Plan Type: | MMP | ||||
Maximum Out-of-Pocket Limit for Parts A & B (MOOP): | $0 | ||||
Additional Gap Coverage? | Yes, some additional gap coverage. | ||||
Total Number of Formulary Drugs: | 3,270 drugs | Browse the Amerigroup Medicare-Medicaid Plan (Medicare-Medicaid Plan) Formulary | |||
This plan has 4 drug tiers. See cost-sharing for all pharmacies and tiers. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | 0% | 0% | 0% | 0% | |
• Number of Drugs per Tier: | 495 | 2775 | |||
Plan's Pharmacy Search: | http://www.myamerigroup.com/medicare | ||||
Plan Offers Mail Order? | Yes | ||||
Number of Members enrolled in this plan in (H8786 - 001): | 15,201 members | ||||
Plan’s Summary Star Rating: | New plan - No summary rating as of yet. | ||||
• Customer Service Rating: | New plan - not yet rated. | ||||
• Member Experience Rating: | New plan - not yet rated. | ||||
• Drug Cost Accuracy Rating: | New plan - not yet rated. | ||||
— Plan Premium Details — | |||||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | 100% Subsidy | 75% Subsidy | 50% Subsidy | 25% Subsidy | |
Monthly Part D Premium with LIS: | $0.00 | $0.00 | $0.00 | $0.00 | |
— Plan Health Benefits — |