2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Albany | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Bronx | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Columbia | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% 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 | |||||||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Dutchess | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Greene | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Herkimer | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% 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 | |||||||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Kings | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Montgomery | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
New York | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% 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 | |||||||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Oneida | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Onondaga | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Oswego | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% 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 | |||||||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Queens | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Rensselaer | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Richmond | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% 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 | |||||||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Schenectady | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
Fidelis Dual Advantage (HMO) in NY - H3328-002-0 Benefit Details |
Ulster | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No Gap Coverage | Generic: 0% Preferred Brand: 37% Non-preferred Brand: 50% Specialty: 25% | n/a Browse Formulary | |||||
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