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 MO - H2613-001-0 Benefit Details |
Adair | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Audrain | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Bollinger | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Butler | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Camden | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Cape Girardeau | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Carter | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Chariton | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Clark | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Cooper | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Dent | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Dunklin | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Howard | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Howell | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Iron | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Knox | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Lewis | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Linn | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Macon | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Madison | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Maries | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Marion | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Mississippi | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Monroe | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Morgan | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
New Madrid | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Oregon | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Ozark | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Pemiscot | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Perry | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Pike | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Putnam | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Ralls | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Randolph | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Reynolds | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Ripley | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Schuyler | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Scotland | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Scott | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Shannon | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Shelby | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
St. Francois | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Ste. Genevieve | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Stoddard | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Sullivan | $20.00 | 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 MO - H2613-001-0 Benefit Details |
Texas | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
SmartValue Classic (PFFS) in MO - H2613-001-0 Benefit Details |
Wayne | $20.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 | ||||||
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