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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SecureHorizons MedicareDirect Essential (PFFS) in AZ - H5435-001-0 Benefit Details |
Apache | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AZ - H5435-001-0 Benefit Details |
Navajo | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Ashley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Bradley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Dallas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Hempstead | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Howard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Izard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Lee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Nevada | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
St. Francis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in AR - H5435-001-0 Benefit Details |
Van Buren | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Alpine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Calaveras | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Colusa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Del Norte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Humboldt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Mendocino | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Merced | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Modoc | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Plumas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Shasta | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Siskiyou | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in CA - H5435-001-0 Benefit Details |
Trinity | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Baldwin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Berrien | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Burke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Butts | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Camden | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Catoosa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Chattahoochee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Chattooga | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Clarke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Clinch | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Crisp | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Decatur | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Elbert | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Fannin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Gilmer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Glynn | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Grady | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Greene | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Habersham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Hancock | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Haralson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Hart | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Heard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Irwin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Lamar | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Lanier | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Lumpkin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Macon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
McDuffie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
McIntosh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Meriwether | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Morgan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Oconee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Oglethorpe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Pickens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Pike | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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 | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Quitman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Randolph | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Schley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Stewart | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Sumter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Terrell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Thomas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Tift | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Towns | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Troup | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Turner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Union | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Walker | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Warren | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in GA - H5435-001-0 Benefit Details |
Webster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ID - H5435-001-0 Benefit Details |
Blaine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ID - H5435-001-0 Benefit Details |
Custer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ID - H5435-001-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ID - H5435-001-0 Benefit Details |
Jerome | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ID - H5435-001-0 Benefit Details |
Lemhi | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ID - H5435-001-0 Benefit Details |
Lincoln | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
Bartholomew | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
Brown | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
De Kalb | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
Lagrange | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
Marshall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IN - H5435-001-0 Benefit Details |
Wabash | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Adair | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Buena Vista | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Cerro Gordo | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Cherokee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Decatur | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Dickinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Emmet | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Hancock | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Howard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Humboldt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Ida | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Kossuth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Lyon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Mitchell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
O'Brien | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Osceola | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Palo Alto | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Pocahontas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Ringgold | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Sac | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Sioux | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Union | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Webster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Winnebago | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in IA - H5435-001-0 Benefit Details |
Worth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Allen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Anderson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Atchison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Bourbon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Chase | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Cheyenne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Cloud | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Coffey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Cowley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Decatur | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Dickinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Ellis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Geary | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Graham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Lane | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Logan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Marshall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
McPherson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Montgomery | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Morris | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Nemaha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Neosho | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Norton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Osage | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Ottawa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Phillips | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Pottawatomie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Rawlins | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Republic | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Riley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Rooks | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Rush | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Saline | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Scott | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Sheridan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Sumner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Thomas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Trego | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Wabaunsee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KS - H5435-001-0 Benefit Details |
Wilson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Allen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Barren | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Bath | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Bourbon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Bracken | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Calloway | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Carter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Christian | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Clinton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Cumberland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Gallatin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Harrison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Henderson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Larue | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Lyon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Marshall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Metcalfe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Monroe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Montgomery | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Nelson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Pendleton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Powell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Russell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Scott | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Trigg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Wayne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in KY - H5435-001-0 Benefit Details |
Webster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Allen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Assumption | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Avoyelles | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Calcasieu | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Cameron | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Lafourche | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
St. Helena | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
St. Mary | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Terrebonne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in LA - H5435-001-0 Benefit Details |
Vermilion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ME - H5435-001-0 Benefit Details |
Piscataquis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ME - H5435-001-0 Benefit Details |
Somerset | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ME - H5435-001-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Delta | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Dickinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Gogebic | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Houghton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Iron | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Marquette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MI - H5435-001-0 Benefit Details |
Menominee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MS - H5435-001-0 Benefit Details |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MS - H5435-001-0 Benefit Details |
Grenada | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MS - H5435-001-0 Benefit Details |
Oktibbeha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Adair | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Audrain | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Bates | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Benton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Bollinger | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Caldwell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Cape Girardeau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Clinton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Cooper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Daviess | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Grundy | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Howard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Howell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Iron | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Knox | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Lewis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Livingston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Maries | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Mercer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Monroe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Morgan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
New Madrid | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Oregon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Ozark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Pemiscot | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Pettis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Pike | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Putnam | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Ralls | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Randolph | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Schuyler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Scotland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Scott | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Shannon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Shelby | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
St. Clair | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Stoddard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Sullivan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Texas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Vernon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MO - H5435-001-0 Benefit Details |
Wayne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Blaine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Carter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Chouteau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Custer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Daniels | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Dawson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Deer Lodge | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Fallon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Garfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Golden Valley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Hill | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Judith Basin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Liberty | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Lincoln | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
McCone | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Musselshell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Petroleum | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Phillips | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Pondera | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Powder River | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Prairie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Richland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Roosevelt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Rosebud | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Sheridan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Silver Bow | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Teton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Toole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Treasure | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Valley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Wheatland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in MT - H5435-001-0 Benefit Details |
Wibaux | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Arthur | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Banner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Blaine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Boone | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Box Butte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Brown | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Buffalo | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Cedar | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Cherry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Cheyenne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Cuming | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Dakota | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Dawes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Dawson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Deuel | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Dixon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Furnas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Gage | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Garden | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Garfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Gosper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Grant | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Hall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Hamilton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Hooker | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Kearney | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Keith | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Keya Paha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Knox | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Logan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Loup | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
McPherson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Merrick | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Morrill | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Nance | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Perkins | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Phelps | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Platte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Scotts Bluff | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Sheridan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Sherman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Sioux | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Stanton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Thomas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Thurston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Wayne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NE - H5435-001-0 Benefit Details |
Wheeler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Belknap | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Cheshire | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Coos | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Grafton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Hillsborough | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Merrimack | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Rockingham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Strafford | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NH - H5435-001-0 Benefit Details |
Sullivan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Buncombe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Burke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Cherokee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Graham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Macon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
McDowell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in NC - H5435-001-0 Benefit Details |
Yancey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Adams | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Benson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Billings | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Bottineau | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Bowman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Burke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Burleigh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Cavalier | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Divide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Dunn | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Eddy | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Emmons | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Foster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Golden Valley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Grant | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Hettinger | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Kidder | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Logan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
McHenry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
McIntosh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
McKenzie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
McLean | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Mercer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Morton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Mountrail | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Nelson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Oliver | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Pembina | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Pierce | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Ramsey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Renville | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Rolette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Sheridan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Sioux | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Slope | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Stark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Towner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Walsh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Ward | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Wells | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in ND - H5435-001-0 Benefit Details |
Williams | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Blaine | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Carter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Cherokee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Coal | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Craig | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Garvin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Hughes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Kay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Kingfisher | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Latimer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
McIntosh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Murray | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Noble | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Nowata | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Okfuskee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Pontotoc | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Pushmataha | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in OK - H5435-001-0 Benefit Details |
Stephens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Aurora | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Beadle | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Bennett | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Bon Homme | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Brule | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Buffalo | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Butte | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Campbell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Charles Mix | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Clark | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Codington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Corson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Custer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Davison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Dewey | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Douglas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Edmunds | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Fall River | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Faulk | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Gregory | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Haakon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Hand | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Hanson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Harding | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Hughes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Hutchinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Hyde | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Jerauld | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Jones | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Kingsbury | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Lake | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Lawrence | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Lyman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
McCook | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
McPherson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Meade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Mellette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Miner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Pennington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Perkins | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Potter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Sanborn | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Shannon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Spink | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Stanley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Sully | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Todd | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Tripp | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Turner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Union | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Walworth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Washabaugh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Yankton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in SD - H5435-001-0 Benefit Details |
Ziebach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TN - H5435-001-0 Benefit Details |
Fentress | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TN - H5435-001-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TN - H5435-001-0 Benefit Details |
Perry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Bandera | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Bee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Blanco | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Brewster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Brooks | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Brown | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Caldwell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Camp | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Colorado | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Comanche | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Crane | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Culberson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Delta | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
DeWitt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Dimmit | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Duval | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Eastland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Erath | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Fayette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Frio | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Gillespie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Goliad | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Gonzales | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Grimes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Hopkins | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Hudspeth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Jack | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Jeff Davis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Jim Wells | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Karnes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Kenedy | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Kerr | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
La Salle | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Lavaca | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Live Oak | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Loving | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Matagorda | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Maverick | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
McMullen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Pecos | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Presidio | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Rains | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Real | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Reeves | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Refugio | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Somervell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Terrell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Uvalde | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Victoria | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Ward | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Wharton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Winkler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Wise | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in TX - H5435-001-0 Benefit Details |
Zavala | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Addison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Bennington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Caledonia | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Chittenden | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Essex | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Grand Isle | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Lamoille | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Orange | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Orleans | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Rutland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Windham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VT - H5435-001-0 Benefit Details |
Windsor | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Amherst | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Augusta | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Bedford | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Bedford City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Brunswick | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Buena Vista City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Campbell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Craig | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Culpeper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Danville City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Emporia City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Fauquier | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Floyd | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Galax City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Greensville | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Halifax | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Harrisonburg City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Henry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Lexington City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Lynchburg City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Martinsville City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Mecklenburg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Patrick | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Pittsylvania | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Rockbridge | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Rockingham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
South Boston City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Spotsylvania | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Staunton City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in VA - H5435-001-0 Benefit Details |
Waynesboro City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WI - H5435-001-0 Benefit Details |
Kewaunee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in WI - H5435-001-0 Benefit Details |
Oconto | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Albany | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Campbell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Crook | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Fremont | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Johnson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Natrona | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Sheridan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Teton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
SecureHorizons MedicareDirect Essential (PFFS) in WY - H5435-001-0 Benefit Details |
Weston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,200 | ||||||
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