2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Autauga | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Blount | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Bullock | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Calhoun | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Cherokee | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Chilton | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Crenshaw | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Cullman | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
DeKalb | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Elmore | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Etowah | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Jefferson | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Lowndes | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Macon | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Montgomery | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Pike | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
Shelby | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
VIVA Medicare Plus Rx (HMO) in AL - H0154-001-0 Benefit Details |
St. Clair | $0.00 | $265 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $55.00 Tier 4: 26% | n/a Browse Formulary | |||||
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