ACCUTANE 10MG CAPSULE (100 (10X10) BLPK) (NDC: 00004015549)
2010 Medicare Prescription Drug Plan (MAPD) Information
Click here for the Chart Legend |
Plan Name |
Monthly Prem. |
De- duct- ible |
Does Plan Offer Gap Coverage |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Plan’s Avg. Retail Drug Price 30-Day |
Tier Nbr. |
Tier Desc. |
30-Day Prfrd. Pharm |
90-Day Mail Order |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
|
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Advantage Solution Standard with Rx
![Email Prescription and/or Health Benefit details for Medica Advantage Solution Standard with Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Value Plus (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Value Plus (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$6.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
SecurityChoice Plus (PFFS)
![Email Prescription and/or Health Benefit details for SecurityChoice Plus (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.10 |
$0 |
to be determined |
5 |
Tier 5 |
33% | n/a | None | $1,119.46 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
UCare for Seniors Classic (HMO-POS)
![Email Prescription and/or Health Benefit details for UCare for Seniors Classic (HMO-POS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.50 |
$0 |
to be determined |
3 |
Tier 3 |
$60.00 | $120.00 | None | $905.95 |
Browse Plan Formulary |
Medica Prime Solution Value (Cost)
![Email Prescription and/or Health Benefit details for Medica Prime Solution Value (Cost)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.00 |
$55 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Complete Solution - Chronic Lung Di
![Email Prescription and/or Health Benefit details for Medica Complete Solution - Chronic Lung Di](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.80 |
$0 |
to be determined |
3 |
Tier 3 |
$67.00 | $134.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Std Rx - MN
![Email Prescription and/or Health Benefit details for Medica Prime Solution Basic w/Std Rx - MN](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Prime Solution Enhanced w/Std. Rx -
![Email Prescription and/or Health Benefit details for Medica Prime Solution Enhanced w/Std. Rx -](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Complete Solution-Diabetes, Cardio
![Email Prescription and/or Health Benefit details for Medica Complete Solution-Diabetes, Cardio](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.60 |
$0 |
to be determined |
3 |
Tier 3 |
$67.00 | $134.00 | None | $1,060.38 |
Browse Plan Formulary |
Plan Name |
Monthly Prem. |
De- duct- ible |
Gap Coverage |
Tier Nbr. |
Tier Desc. |
30-Day Prfd. Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
Retail Drug Price |
Medica Complete Solution - Dementia (HMO)
![Email Prescription and/or Health Benefit details for Medica Complete Solution - Dementia (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$40.80 |
$0 |
to be determined |
3 |
Tier 3 |
$67.00 | $134.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Prime Solution Basic w/Enhanced Rx
![Email Prescription and/or Health Benefit details for Medica Prime Solution Basic w/Enhanced Rx](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$67.90 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |
Medica Prime Solution Enhanced w/Enhanced
![Email Prescription and/or Health Benefit details for Medica Prime Solution Enhanced w/Enhanced](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$67.90 |
$0 |
to be determined |
3 |
Tier 3 |
$74.00 | $148.00 | None | $1,060.38 |
Browse Plan Formulary |