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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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Blaine | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Chouteau | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Custer | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Daniels | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Dawson | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Deer Lodge | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Glacier | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Golden Valley | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Judith Basin | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Lincoln | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
McCone | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Musselshell | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Phillips | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Pondera | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Powder River | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Prairie | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Roosevelt | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Rosebud | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Sheridan | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Silver Bow | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Teton | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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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 | |||||||||
Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Toole | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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Humana Gold Choice H2944-180 (PFFS) in MT - H2944-180-0 Benefit Details |
Treasure | $42.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $6,000 Browse Formulary | |||||
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