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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HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Aitkin | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Anoka | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Becker | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Beltrami | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Benton | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Big Stone | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Blue Earth | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Brown | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Carlton | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Carver | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Cass | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Chippewa | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Chisago | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Clay | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Clearwater | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Cook | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Cottonwood | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Crow Wing | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Dakota | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Dodge | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Douglas | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Faribault | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Fillmore | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Freeborn | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Goodhue | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Grant | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Hennepin | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Houston | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Hubbard | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Isanti | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Itasca | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Jackson | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Kanabec | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Kandiyohi | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Kittson | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Koochiching | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Lac qui Parle | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Lake | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Lake of the Woods | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Le Sueur | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Lincoln | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Lyon | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Mahnomen | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Marshall | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Martin | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
McLeod | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Meeker | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Mille Lacs | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Morrison | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Mower | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Murray | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Nicollet | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Nobles | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Norman | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Olmsted | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Otter Tail | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Pennington | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Pine | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Pipestone | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Polk | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Pope | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Ramsey | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Red Lake | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Redwood | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Renville | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Rice | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Rock | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Roseau | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Scott | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Sherburne | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Sibley | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
St. Louis | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Stearns | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Steele | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Stevens | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Swift | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Todd | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Traverse | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Wabasha | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Wadena | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Waseca | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Washington | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Watonwan | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Wilkin | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 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 | |||||||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Winona | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Wright | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
HealthPartners Freedom Plan III EnhancedRx (Cost) in MN - H2462-012-0 Benefit Details |
Yellow Medicine | $333.80 | $100 | Many Generics, Some Brands | Generic Drugs: $10.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $3,000 Browse Formulary | |||||
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