2011 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Bent | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Cheyenne | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Clear Creek | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Crowley | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Custer | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
El Paso | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Elbert | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Fremont | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Gilpin | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Huerfano | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Kiowa | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Kit Carson | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Larimer | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Las Animas | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Lincoln | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Logan | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Morgan | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Otero | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Park | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Phillips | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Prowers | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Pueblo | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Sedgwick | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Teller | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Washington | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Weld | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
Rocky Mountain Standard Plan (Cost) in CO - H0602-007-0 Benefit Details |
Yuma | $46.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A | ||||||
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