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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Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Anderson | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Camp | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Cherokee | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 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 | |||||||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Franklin | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Freestone | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Hopkins | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 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 | |||||||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Houston | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Kaufman | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Marion | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 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 | |||||||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Morris | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Navarro | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Panola | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 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 | |||||||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Rusk | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Shelby | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Smith | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Trinity | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Upshur | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Van Zandt | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 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 | |||||||||
Texas Community Care - Plus (HMO) in TX - H4529-014-0 Sanctioned Plan |
Wood | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $3.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $4,950 Browse Formulary | |||||
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