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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Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Bent | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Chaffee | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Crowley | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Custer | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Fremont | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Huerfano | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Las Animas | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Otero | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Prowers | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
Colorado Choice Gold Plan (Cost) in CO - H0657-009-0 Benefit Details |
Yuma | $30.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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