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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Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Brevard | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Broward | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Citrus | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a 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 | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Clay | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Dade | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Duval | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a 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 | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Hernando | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Hillsborough | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Lake | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a 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 | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Manatee | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Marion | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Orange | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Osceola | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Palm Beach | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Pasco | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Pinellas | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Polk | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Sarasota | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Sumter | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) in FL - H5404-136-0 Benefit Details |
Volusia | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
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