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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Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Beaverhead | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Big Horn | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Blaine | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Broadwater | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Carbon | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Carter | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Cascade | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Chouteau | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Custer | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Daniels | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Dawson | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Deer Lodge | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Fallon | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Fergus | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Flathead | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Gallatin | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Garfield | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Glacier | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Golden Valley | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Granite | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Hill | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Jefferson | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Judith Basin | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Lake | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Lewis and Clark | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Liberty | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Lincoln | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Madison | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
McCone | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Meagher | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Mineral | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Missoula | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Musselshell | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Park | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Petroleum | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Phillips | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Pondera | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Powder River | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Powell | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Prairie | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Ravalli | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Richland | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Roosevelt | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Rosebud | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Sanders | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Sheridan | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Silver Bow | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Stillwater | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Sweet Grass | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Teton | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Toole | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Treasure | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Valley | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Wheatland | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | 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 | |||||||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Wibaux | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
Humana Gold Choice H2944-052 (PFFS) in MT - H2944-052-0 Benefit Details |
Yellowstone | $54.00 | $0 | Few Generics, Few Brand | Preferred Generic: $8.00 Non-Preferred Generic/Preferred Brand: $38.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
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