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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Senior Health Plan Platinum Plus (HMO) in OK - H3755-004-0 Benefit Details |
Creek | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | n/a Browse Formulary | |||||
Senior Health Plan Platinum Plus (HMO) in OK - H3755-004-0 Benefit Details |
Osage | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | n/a Browse Formulary | |||||
Senior Health Plan Platinum Plus (HMO) in OK - H3755-004-0 Benefit Details |
Rogers | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 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 | |||||||||
Senior Health Plan Platinum Plus (HMO) in OK - H3755-004-0 Benefit Details |
Tulsa | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | n/a Browse Formulary | |||||
Senior Health Plan Platinum Plus (HMO) in OK - H3755-004-0 Benefit Details |
Wagoner | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | n/a Browse Formulary | |||||
Senior Health Plan Platinum Plus (HMO) in OK - H3755-004-0 Benefit Details |
Washington | $81.00 | $0 | No Gap Coverage | Select Generics: $0.00 Preferred Generics: $7.00 Preferred Brand: $25.00 Non-Preferred Drugs: $90.00 Non-Specialty Injectables: 33% Specialty Drugs: 33% | n/a Browse Formulary | |||||
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