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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Bravo Achieve (HMO SNP) in DE - H2108-030-0 Benefit Details |
Kent | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in DE - H2108-030-0 Benefit Details |
New Castle | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in DE - H2108-030-0 Benefit Details |
Sussex | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | 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 | |||||||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Anne Arundel | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Baltimore | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Baltimore City | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | 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 | |||||||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Carroll | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Cecil | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Harford | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | 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 | |||||||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Howard | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Montgomery | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
Bravo Achieve (HMO SNP) in MD - H2108-030-0 Benefit Details |
Prince George's | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% Generic and Brand Drugs: $10.00 | n/a Browse Formulary | |||||
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