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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Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Chattahoochee | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Harris | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Marion | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Muscogee | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Stewart | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Talbot | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Southeast Community Care - Plus (HMO) in GA - H5578-013-0 Sanctioned Plan |
Webster | $0.00 | $0 | Some Generics | Preferred Generic Drugs: $5.00 Non-Preferred Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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