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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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Baldwin | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Berrien | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Bibb | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Chatham | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Clayton | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Clinch | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Cobb | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Decatur | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
DeKalb | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Dooly | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Echols | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Fulton | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Grady | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Gwinnett | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Irwin | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Johnson | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Lowndes | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Marion | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Muscogee | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Richmond | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Terrell | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Towns | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Treutlen | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Union | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 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 | |||||||||
Patriot Plus Plan (PFFS) in GA - H9720-039-0 Benefit Details |
Washington | $0.00 | $0 | No Gap Coverage | Tier 1: $0.00 Tier2: $39.00 Tier 3: $69.00 Tier 4: 33% | n/a Browse Formulary | |||||
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