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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Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Columbia | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Hempstead | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Howard | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 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 | |||||||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Lafayette | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Little River | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Miller | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 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 | |||||||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Nevada | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Ouachita | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in AR - H5700-020-0 Benefit Details |
Sevier | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 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 | |||||||||
Texarkana Community Care - Plus (HMO) in TX - H5700-020-0 Benefit Details |
Bowie | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in TX - H5700-020-0 Benefit Details |
Cass | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
Texarkana Community Care - Plus (HMO) in TX - H5700-020-0 Benefit Details |
Red River | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | 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 | |||||||||
Texarkana Community Care - Plus (HMO) in TX - H5700-020-0 Benefit Details |
Titus | $0.00 | $0 | Some Generics | Tier 1 - Preferred Generic: $5.00 Tier 2 - Non-Preferred Generic: $12.00 Tier 3 - Preferred Brand: $39.00 Tier - Non-Preferred Brand: $69.00 Tier 5 - Specialty: Lesser of $300 or 33%: -200% | n/a Browse Formulary | |||||
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