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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Bravo Gold Rx (HMO-POS) in PA - H3964-003-0 Benefit Details |
Bucks | $27.70 | $185 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Generic Drugs: $11.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 28% | $6,700 Browse Formulary | |||||
Bravo Gold Rx (HMO-POS) in PA - H3964-003-0 Benefit Details |
Montgomery | $27.70 | $185 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Generic Drugs: $11.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 28% | $6,700 Browse Formulary | |||||
Bravo Gold Rx (HMO-POS) in PA - H3964-003-0 Benefit Details |
Philadelphia | $27.70 | $185 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $7.00 Generic Drugs: $11.00 Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 28% | $6,700 Browse Formulary | |||||
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