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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Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Adams | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Brown | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Bureau | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Cass | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Champaign | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Christian | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Clark | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Coles | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Crawford | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Cumberland | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
De Witt | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Douglas | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Edgar | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Effingham | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Ford | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Hancock | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Iroquois | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Jasper | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Livingston | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Logan | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Macoupin | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Marshall | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Mason | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
McDonough | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
McLean | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Menard | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Montgomery | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Morgan | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Moultrie | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Peoria | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Piatt | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Pike | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Putnam | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Sangamon | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Schuyler | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Scott | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Stark | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Tazewell | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Vermilion | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 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 | |||||||||
Health Alliance Medicare PPO30 Rx (PPO) in IL - H1417-004-0 Benefit Details |
Woodford | $88.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $7.00 Preferred Brand Drugs: $43.00 Non-Preferred Brand Drugs: $94.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
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