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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Aitkin | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Anoka | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Becker | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Beltrami | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Benton | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Big Stone | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Blue Earth | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Brown | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Carlton | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Carver | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Cass | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Chippewa | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Chisago | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Clay | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Clearwater | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Cook | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Cottonwood | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Crow Wing | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Dakota | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Dodge | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Douglas | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Faribault | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Fillmore | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Freeborn | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Goodhue | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Grant | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Hennepin | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Houston | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Hubbard | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Isanti | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Itasca | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Jackson | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Kanabec | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Kandiyohi | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Kittson | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Koochiching | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Lac qui Parle | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Lake | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Lake of the Woods | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Le Sueur | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Lincoln | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Lyon | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Mahnomen | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Marshall | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Martin | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
McLeod | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Meeker | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Mille Lacs | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Morrison | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Mower | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Murray | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Nicollet | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Nobles | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Norman | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Olmsted | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Otter Tail | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Pennington | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Pine | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Pipestone | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Polk | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Pope | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Ramsey | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Red Lake | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Redwood | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Renville | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Rice | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Rock | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Roseau | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Scott | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Sherburne | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Sibley | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
St. Louis | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Stearns | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Steele | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Stevens | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Swift | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Todd | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Traverse | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Wabasha | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Wadena | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Waseca | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Washington | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Watonwan | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Wilkin | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 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 III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Winona | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Wright | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
HealthPartners Freedom III Std Plus Rx (Cost) in MN - H2462-014-0 Benefit Details |
Yellow Medicine | $182.40 | $125 | Many Generics | Formulary Generic: $10.00 Formulary Brand: $40.00 Formulary Specialty: 25% | n/a Browse Formulary | |||||
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