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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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Allen | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Ashtabula | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Auglaize | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Brown | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Clermont | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Cuyahoga | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Defiance | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Erie | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Fulton | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Hamilton | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Hancock | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Hardin | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Henry | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Huron | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Lake | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Lorain | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Lucas | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Medina | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Portage | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Putnam | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Sandusky | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Seneca | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Stark | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Summit | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Tuscarawas | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Van Wert | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Warren | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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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 | |||||||||
Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Wayne | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Williams | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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Buckeye Community Health Plan (HMO) in OH - H0908-001-0 Benefit Details |
Wood | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: $0.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Injectables: $95.00 | n/a Browse Formulary | |||||
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