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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Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Centre | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Clearfield | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Cumberland | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 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 | |||||||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Dauphin | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Jefferson | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Lancaster | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 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 | |||||||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Lebanon | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Mifflin | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
Geisinger Gold Classic 1 $0 Deductible Rx (HMO) in PA - H3954-033-0 Benefit Details |
Perry | $121.00 | $0 | No Gap Coverage | Tier 1: $6.00 Tier 2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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