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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SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Bastrop | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Bell | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Bosque | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Brazos | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Burleson | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Burnet | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Coke | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Coleman | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Concho | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Coryell | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Crockett | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Edwards | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Falls | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Fayette | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Grimes | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Hamilton | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Hill | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Irion | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Kimble | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Kinney | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Lampasas | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Lee | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Leon | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Llano | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Madison | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Mason | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
McCulloch | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
McLennan | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Menard | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Milam | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Mills | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Reagan | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Robertson | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Runnels | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
San Saba | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Schleicher | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Sterling | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Sutton | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Tom Green | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Travis | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Val Verde | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Washington | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 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 | |||||||||
SeniorCare Sr Preferred - Value Rx (Cost) in TX - H4564-014-0 Benefit Details |
Williamson | $121.60 | $310 | No Gap Coverage | Preferred Generic: $5.00 Preferred Brand: $30.00 Non-Preferred Brand or Generic: $60.00 Specialty: 25% | n/a Browse Formulary | |||||
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