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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Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Aitkin | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Anoka | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Becker | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Beltrami | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Benton | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Big Stone | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Blue Earth | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Brown | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Carlton | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Carver | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Cass | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Chippewa | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Chisago | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Clay | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Clearwater | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Cook | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Cottonwood | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Crow Wing | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Dakota | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Dodge | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Douglas | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Faribault | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Fillmore | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Freeborn | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Goodhue | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Grant | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Hennepin | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Houston | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Hubbard | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Isanti | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Itasca | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Jackson | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Kanabec | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Kandiyohi | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Kittson | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Koochiching | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Lac qui Parle | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Lake | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Lake of the Woods | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Le Sueur | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Lincoln | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Lyon | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Mahnomen | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Marshall | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Martin | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
McLeod | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Meeker | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Mille Lacs | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Morrison | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Mower | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Murray | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Nicollet | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Nobles | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Norman | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Olmsted | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Otter Tail | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Pennington | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Pine | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Pipestone | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Polk | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Pope | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Ramsey | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Red Lake | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Redwood | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Renville | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Rice | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Rock | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Roseau | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Scott | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Sherburne | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Sibley | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
St. Louis | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Stearns | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Steele | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Stevens | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Swift | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Todd | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Traverse | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Wabasha | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Wadena | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Waseca | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Washington | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Watonwan | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Wilkin | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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 | |||||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Winona | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Wright | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
Platinum Blue Choice Plan (Cost) in MN - H2461-006-0 Benefit Details |
Yellow Medicine | $79.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 | ||||||
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