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 Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Alamosa | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Archuleta | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Chaffee | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
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 Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Conejos | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Costilla | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Delta | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
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 Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Dolores | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Eagle | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Garfield | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
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 Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Grand | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Gunnison | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Hinsdale | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Jackson | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
La Plata | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Lake | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Mesa | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Mineral | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Moffat | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Montezuma | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Montrose | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Ouray | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Pitkin | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Rio Blanco | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Rio Grande | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Routt | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Saguache | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
San Juan | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
San Miguel | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
Rocky Mountain Thrifty Plan + Rx (Cost) in CO - H0602-039-0 Benefit Details |
Summit | $79.90 | $120 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $2.00 Non-Preferred Generic and Brand Drugs: $13.00 Preferred Brand Drugs: $44.00 Non-Preferred Brand Drugs: $64.00 Specialty Tier Drugs: 30% | N/A Browse Formulary | |||||
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