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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Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Adams | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Ashland | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Barron | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Bayfield | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Burnett | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Chippewa | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Clark | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Douglas | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Dunn | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Eau Claire | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Forest | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Iron | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Jackson | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Juneau | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Langlade | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Lincoln | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Marathon | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Monroe | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Oneida | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Pepin | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Portage | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Price | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Rusk | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Sawyer | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Shawano | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Taylor | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Trempealeau | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Vilas | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Washburn | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Waupaca | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 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 | |||||||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Waushara | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
Advocare Essence Rx (HMO-POS) in WI - H5211-002-0 Benefit Details |
Wood | $25.00 | $0 | No Gap Coverage | Tier 1: $5.00 Tier 2: $30.00 Tier 3: $60.00 Tier 4: 33% | n/a Browse Formulary | |||||
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