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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Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Cherokee | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Clayton | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Cobb | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 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 | |||||||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
DeKalb | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Douglas | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Fayette | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 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 | |||||||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Forsyth | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Fulton | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Gwinnett | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 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 | |||||||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Henry | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Newton | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Paulding | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 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 | |||||||||
Advantra Elite (HMO) in GA - H5302-008-0 Benefit Details |
Rockdale | $0.00 | $0 | Many Generics | Preferred Generic Drugs: $4.00 Preferred Brand Drugs: $37.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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