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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SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Atkinson | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Brantley | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Brooks | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Calhoun | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Chattooga | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Crawford | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Emanuel | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Glascock | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Glynn | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Hall | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Houston | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Macon | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Madison | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Mitchell | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Oglethorpe | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Putnam | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Rabun | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Randolph | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Seminole | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Spalding | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Thomas | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Walker | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Warren | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Wayne | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Webster | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in GA - H1689-012-0 Benefit Details |
Wilkinson | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Belknap | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Carroll | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Cheshire | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Grafton | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Hillsborough | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Merrimack | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Rockingham | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Strafford | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in NH - H1689-012-0 Benefit Details |
Sullivan | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Alleghany | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Amherst | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Appomattox | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Augusta | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Bath | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Bedford | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Bedford City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Brunswick | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Buena Vista City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Campbell | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Carroll | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Covington City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Craig | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Culpeper | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Danville City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Emporia City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Fauquier | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Floyd | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Fredericksburg City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Galax City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Giles | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Greensville | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Halifax | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Harrisonburg City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Henry | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Highland | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
King George | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Lexington City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Lynchburg City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Martinsville City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Mecklenburg | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Patrick | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Pittsylvania | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Pulaski | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Radford City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Rockbridge | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Rockingham | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
South Boston City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Spotsylvania | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Stafford | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Staunton City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Waynesboro City | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in VA - H1689-012-0 Benefit Details |
Westmoreland | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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 | |||||||||
SmartValue Classic (PFFS) in WI - H1689-012-0 Benefit Details |
Walworth | $19.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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