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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BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Alachua | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Broward | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Charlotte | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 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 | |||||||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Collier | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Escambia | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Hernando | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 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 | |||||||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Highlands | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Hillsborough | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Lee | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 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 | |||||||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Manatee | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Marion | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Okaloosa | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Osceola | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Palm Beach | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Pasco | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Pinellas | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Polk | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
BlueMedicare PPO (PPO) in FL - H5434-002-0 Benefit Details |
Sarasota | $150.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $6,700 Browse Formulary | |||||
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