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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HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Aitkin | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Anoka | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Becker | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Beltrami | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Benton | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Big Stone | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Blue Earth | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Brown | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Carlton | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Carver | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Cass | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Chippewa | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Chisago | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Clay | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Clearwater | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Cook | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Cottonwood | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Crow Wing | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Dakota | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Dodge | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Douglas | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Faribault | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Fillmore | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Freeborn | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Goodhue | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Grant | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Hennepin | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Houston | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Hubbard | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Isanti | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Itasca | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Jackson | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Kanabec | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Kandiyohi | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Kittson | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Koochiching | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Lac qui Parle | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Lake | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Lake of the Woods | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Le Sueur | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Lincoln | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Lyon | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Mahnomen | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Marshall | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Martin | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
McLeod | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Meeker | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Mille Lacs | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Morrison | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Mower | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Murray | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Nicollet | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Nobles | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Norman | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Olmsted | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Otter Tail | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Pennington | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Pine | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Pipestone | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Polk | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Pope | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Ramsey | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Red Lake | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Redwood | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Renville | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Rice | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Rock | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Roseau | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Scott | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Sherburne | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Sibley | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
St. Louis | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Stearns | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Steele | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Stevens | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Swift | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Todd | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Traverse | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Wabasha | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Wadena | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Waseca | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Washington | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Watonwan | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Wilkin | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | 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 | |||||||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Winona | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Wright | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom Plan III StandardRx (Cost) in MN - H2462-011-0 Benefit Details |
Yellow Medicine | $144.60 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
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