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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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Box Elder | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Cache | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Davis | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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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 | |||||||||
Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Iron | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Morgan | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Rich | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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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 | |||||||||
Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Salt Lake | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Summit | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Tooele | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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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 | |||||||||
Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Utah | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Wasatch | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Washington | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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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 | |||||||||
Regence MedAdvantage + Rx Enhanced (PPO) in UT - H4605-004-0 Benefit Details ![]() ![]() ![]() |
Weber | $165.00 | $0 | Many Generics | Generic: $4.00 Preferred Brand: $30.00 Non-Preferred Brand: $56.00 Miscellaneous Injectables: 30% Specialty: 30% | n/a Browse Formulary | |||||
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