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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Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Adams | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Benton | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Chelan | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 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 | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Cowlitz | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Douglas | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Ferry | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 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 | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Franklin | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Grant | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Grays Harbor | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 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 | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Lewis | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Lincoln | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Mason | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 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 | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Okanogan | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Pend Oreille | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Skagit | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 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 | |||||||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Stevens | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Walla Walla | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
Community HealthFirst MA Plan with Pharmacy (HMO) in WA - H5826-009-0 Benefit Details |
Whatcom | $42.90 | $0 | No Gap Coverage | Tier 1 - Generic: $14.00 Tier 2 - Brand: $39.00 Tier 3 - Specialty: 33% | n/a Browse Formulary | |||||
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