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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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Albany | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Allegany | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Bronx | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Broome | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Cattaraugus | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Cayuga | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Chautauqua | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Chemung | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Chenango | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Clinton | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Columbia | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Cortland | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Delaware | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Dutchess | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Erie | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Essex | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Franklin | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Fulton | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Genesee | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Greene | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Hamilton | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Herkimer | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Jefferson | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Kings | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Lewis | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Livingston | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Madison | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Monroe | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Montgomery | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Nassau | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
New York | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Niagara | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Oneida | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Onondaga | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Ontario | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Orange | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Orleans | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Oswego | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Otsego | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Putnam | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Queens | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Rensselaer | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Richmond | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Rockland | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Saratoga | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Schenectady | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Schoharie | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Schuyler | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Seneca | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
St. Lawrence | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Steuben | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Suffolk | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Sullivan | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Tioga | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Tompkins | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Ulster | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Warren | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Washington | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Wayne | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Westchester | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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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 | |||||||||
Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Wyoming | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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Independent Health Medicare Anywhere (PFFS) in NY - H9519-001-0 Benefit Details |
Yates | $135.00 | $0 | Few Generics, Few Brand | Tier 1: $8.00 Tier 2: $40.00 Tier 3: $70.00 Specialty Tier 4: 33% | n/a Browse Formulary | |||||
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