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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Keystone 65 Advantage Rx (HMO) in PA - H3952-047-0 Benefit Details |
Chester | $135.30 | $280 | No Gap Coverage | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 25% | n/a Browse Formulary | |||||
Keystone 65 Advantage Rx (HMO) in PA - H3952-047-0 Benefit Details |
Delaware | $135.30 | $280 | No Gap Coverage | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 25% | n/a Browse Formulary | |||||
Keystone 65 Advantage Rx (HMO) in PA - H3952-047-0 Benefit Details |
Montgomery | $135.30 | $280 | No Gap Coverage | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $65.00 Specialty: 25% | n/a Browse Formulary | |||||
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