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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HumanaChoice H4520-016 (PPO) in AR - H4520-016-0 Benefit Details |
Miller | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Bowie | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Camp | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 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 | |||||||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Cass | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Cherokee | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Franklin | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 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 | |||||||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Gregg | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Harrison | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Marion | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 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 | |||||||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Morris | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Panola | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Rusk | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 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 | |||||||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Shelby | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Smith | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Titus | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 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 | |||||||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Upshur | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Van Zandt | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
HumanaChoice H4520-016 (PPO) in TX - H4520-016-0 Benefit Details |
Wood | $56.00 | $0 | Few Generics, Few Brand | Preferred Generic: $7.00 Non-Preferred Generic/Preferred Brand: $41.00 Non-Preferred Brand: $80.00 Specialty: 33% | n/a Browse Formulary | |||||
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