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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GHI Medicare PPO III (PPO) in NY - H5528-003-0 Benefit Details |
Bronx | $32.00 | $0 | Many Generics | Tier 1: $7.00 Tier 2: $20.00 Tier 3: 50% Tier 4: 33% | n/a Browse Formulary | |||||
GHI Medicare PPO III (PPO) in NY - H5528-003-0 Benefit Details |
Kings | $32.00 | $0 | Many Generics | Tier 1: $7.00 Tier 2: $20.00 Tier 3: 50% Tier 4: 33% | n/a Browse Formulary | |||||
GHI Medicare PPO III (PPO) in NY - H5528-003-0 Benefit Details |
New York | $32.00 | $0 | Many Generics | Tier 1: $7.00 Tier 2: $20.00 Tier 3: 50% 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 | |||||||||
GHI Medicare PPO III (PPO) in NY - H5528-003-0 Benefit Details |
Queens | $32.00 | $0 | Many Generics | Tier 1: $7.00 Tier 2: $20.00 Tier 3: 50% Tier 4: 33% | n/a Browse Formulary | |||||
GHI Medicare PPO III (PPO) in NY - H5528-003-0 Benefit Details |
Richmond | $32.00 | $0 | Many Generics | Tier 1: $7.00 Tier 2: $20.00 Tier 3: 50% Tier 4: 33% | n/a Browse Formulary | |||||
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