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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BlueCHiP for Medicare Plus (HMO) in RI - H4152-005-0 Benefit Details |
Bristol | $146.00 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 25% | n/a Browse Formulary | |||||
BlueCHiP for Medicare Plus (HMO) in RI - H4152-005-0 Benefit Details |
Kent | $146.00 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 25% | n/a Browse Formulary | |||||
BlueCHiP for Medicare Plus (HMO) in RI - H4152-005-0 Benefit Details |
Newport | $146.00 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 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 | |||||||||
BlueCHiP for Medicare Plus (HMO) in RI - H4152-005-0 Benefit Details |
Providence | $146.00 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 25% | n/a Browse Formulary | |||||
BlueCHiP for Medicare Plus (HMO) in RI - H4152-005-0 Benefit Details |
Washington | $146.00 | $0 | No Gap Coverage | Tier 1: $8.00 Tier 2: $30.00 Tier 3: $70.00 Tier 4: 25% | n/a Browse Formulary | |||||
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