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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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Allegan | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Bay | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Genesee | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | 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 | |||||||||
Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Jackson | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Kalamazoo | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Kent | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | 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 | |||||||||
Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Macomb | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Muskegon | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Oakland | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | 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 | |||||||||
Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Saginaw | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Washtenaw | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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Fidelis Secure at Home (HMO) in MI - H2323-008-0 Benefit Details |
Wayne | $50.00 | $0 | No Gap Coverage | Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 33% | n/a Browse Formulary | |||||
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