AMIFOSTINE FOR INJECTION 500MG/VIAL (3 X 10ML VIALSU) (NDC: 62756058142)
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 |
AARP MedicareComplete Plan 1 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 1 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
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 |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
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 |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
AARP MedicareComplete Plan 2 (HMO)
![Email Prescription and/or Health Benefit details for AARP MedicareComplete Plan 2 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | None | $1,444.00 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Value (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Value (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
HealthSpring HealthyAdvantage Plus (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Plus (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
$70.00 | $210.00 | P | $1,301.41 |
Browse Plan Formulary |
Humana Gold Plus H2012-003 (HMO)
![Email Prescription and/or Health Benefit details for Humana Gold Plus H2012-003 (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Windsor Medicare Extra Emerald Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Emerald Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$0.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $1,301.41 |
Browse Plan Formulary |
HealthSpring HealthyAdvantage Select (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyAdvantage Select (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$10.10 |
$310 |
to be determined |
1 |
Tier 1 |
25% | 25% | None | $1,301.41 |
Browse Plan Formulary |
Windsor Medicare Extra Gold Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Gold Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$15.00 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
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 |
Blue Advantage Plus (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Plus (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.70 |
$0 |
to be determined |
2 |
Tier 2 |
$6.00 | $18.00 | None | $1,067.28 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
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 |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
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 |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
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 |
VIVA Medicare Plus Rx Gold (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Gold (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$17.90 |
$0 |
to be determined |
1 |
Tier 1 |
$5.00 | $12.50 | None | $1,393.52 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-112 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-112 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$19.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$20.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
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 | $1,275.76 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Four (P
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Four (P](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
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 |
CIGNA Medicare Access Plus RX Plan Two (PF
![Email Prescription and/or Health Benefit details for CIGNA Medicare Access Plus RX Plan Two (PF](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$22.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,319.48 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-108 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-108 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-110 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-110 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$23.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-109 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-109 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.00 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
HealthSpring TotalCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring TotalCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$26.40 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,301.41 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-107 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-107 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.50 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
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 |
Humana Gold Choice H2944-111 (PFFS)
![Email Prescription and/or Health Benefit details for Humana Gold Choice H2944-111 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$27.70 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Windsor Medicare Extra Diamond Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Diamond Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.30 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Diabetes Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Diabetes Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
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 |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Windsor Medicare Extra Fusion Plan (HMO)
![Email Prescription and/or Health Benefit details for Windsor Medicare Extra Fusion Plan (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$28.50 |
$0 |
to be determined |
5 |
Tier 5 |
33% | 33% | P | $1,467.10 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
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 |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Special Needs Plan (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Special Needs Plan (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
2 |
Tier 2 |
25% | 25% | None | $1,067.28 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
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 |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
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 |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
Browse Plan Formulary |
VIVA Medicare Plus Rx Extra Care (HMO)
![Email Prescription and/or Health Benefit details for VIVA Medicare Plus Rx Extra Care (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$30.70 |
$310 |
to be determined |
1 |
Tier 1 |
15% | 15% | None | $1,393.52 |
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 |
HumanaChoice H1681-003 (PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice H1681-003 (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$31.30 |
$0 |
to be determined |
4 |
Tier 4 |
33% | n/a | None | $1,803.12 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
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 |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
Blue Advantage Preferred (PPO)
![Email Prescription and/or Health Benefit details for Blue Advantage Preferred (PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$34.30 |
$0 |
to be determined |
2 |
Tier 2 |
$7.00 | $21.00 | None | $1,067.28 |
Browse Plan Formulary |
HumanaChoice R5826-001 (Regional PPO)
![Email Prescription and/or Health Benefit details for HumanaChoice R5826-001 (Regional PPO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$36.20 |
$310 |
to be determined |
4 |
Tier 4 |
25% | 25% | None | $1,803.12 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
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 |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
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 |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring HealthyLiving Premier (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring HealthyLiving Premier (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$38.90 |
$0 |
to be determined |
4 |
Tier 4 |
$60.00 | $180.00 | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
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 |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
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 |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
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 |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |
HealthSpring OptimaCare (HMO)
![Email Prescription and/or Health Benefit details for HealthSpring OptimaCare (HMO)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.png) |
$60.60 |
$0 |
to be determined |
4 |
Tier 4 |
33% | 33% | P | $1,301.07 |
Browse Plan Formulary |