2008 Medicare Prescription Drug Plan Details | |||||
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Medicare Plan Name: | Community CCRx Basic by MEMBERHEALTH | ||||
State: | Georgia | ||||
Plan ID: | S5803 - 079 - 0 Click to see other plans | ||||
Member Services: | |||||
— 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 Community CCRx Basic benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $26.30 | ||||
Annual Deductible: | $275 | ||||
$0 Premium if LIS Benefits? | Yes, this plan does qualify for the $0 Premium. | ||||
Drug Benefit Type ❔ | Actuarially Equivalent Standard (AE) | ||||
Gap Coverage? | No Gap Coverage | ||||
This plan has drug tiers. See cost-sharing highlights below. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | cost-sharing data not available. |