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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AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Baxter | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Benton | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Boone | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 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 | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Carroll | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Conway | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Crawford | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 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 | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Franklin | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Fulton | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Johnson | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 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 | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Lee | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Lincoln | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Logan | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Madison | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Marion | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Newton | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Ouachita | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Perry | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Phillips | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Pope | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Randolph | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Scott | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Searcy | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Sebastian | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
St. Francis | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Stone | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Van Buren | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) in AR - H4213-004-0 Benefit Details |
Washington | $0.00 | $150 | No Gap Coverage | Generic: $7.00 Preferred Brand: $36.00 Non-Preferred Brand: $76.00 Specialty: 25% | n/a Browse Formulary | |||||
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