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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Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Barry | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Barton | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Cedar | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 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 | |||||||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Christian | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Dade | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Dallas | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 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 | |||||||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Douglas | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Greene | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Hickory | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 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 | |||||||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Jasper | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Laclede | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Lawrence | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 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 | |||||||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
McDonald | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Newton | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Phelps | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Polk | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Pulaski | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Stone | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Taney | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Webster | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Mercy MedicareADVANTAGE Gold (PPO) in MO - H2611-002-0 Benefit Details |
Wright | $150.30 | $0 | Many Generics | Preferred Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $70.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
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