2010 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Anne Arundel | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Baltimore | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Baltimore City | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | 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 | |||||||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Calvert | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Carroll | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Charles | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | 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 | |||||||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Harford | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Howard | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Montgomery | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | 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 | |||||||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
Prince George's | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
Care Improvement Plus Gold Rx (HMO) in MD - H5665-002-0 Benefit Details |
St. Mary's | $74.00 | $100 | No Gap Coverage | Formulary Generic: $9.00 Formulary Preferred Brand: $37.00 Formulary Non-Preferred Brand: $95.00 Formulary Specialty: 30% | n/a Browse Formulary | |||||
|