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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Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Aitkin | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Anoka | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Becker | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Beltrami | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Benton | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Big Stone | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Blue Earth | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Brown | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Carlton | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Carver | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Cass | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Chippewa | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Chisago | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Clay | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Clearwater | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Cottonwood | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Crow Wing | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Dakota | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Dodge | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Douglas | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Faribault | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Fillmore | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Freeborn | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Goodhue | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Grant | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Hennepin | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Hubbard | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Isanti | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Itasca | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Jackson | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Kanabec | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Kandiyohi | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Kittson | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Koochiching | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Lac qui Parle | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Lake | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Le Sueur | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Lincoln | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Lyon | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Mahnomen | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Marshall | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Martin | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
McLeod | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Meeker | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Mille Lacs | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Morrison | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Mower | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Murray | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Nicollet | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Nobles | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Norman | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Olmsted | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Otter Tail | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Pine | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Pipestone | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Polk | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Pope | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Ramsey | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Red Lake | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Redwood | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Renville | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Rice | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Rock | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Roseau | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Scott | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Sherburne | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Sibley | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
St. Louis | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Stearns | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Steele | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Stevens | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Swift | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Todd | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Traverse | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Wabasha | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Wadena | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Waseca | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Washington | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Watonwan | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Wilkin | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Wright | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in MN - H2410-001-0 Benefit Details |
Yellow Medicine | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Barnes | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Cass | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Dickey | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
LaMoure | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Ransom | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Richland | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Sargent | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Stutsman | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Advantage Solution Standard (PFFS) in ND - H2410-001-0 Benefit Details |
Traill | $9.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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