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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Capital Health Plan Preferred Advantage (HMO) in FL - H5938-006-0 Benefit Details |
Calhoun | $95.00 | $0 | Many Generics | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
Capital Health Plan Preferred Advantage (HMO) in FL - H5938-006-0 Benefit Details |
Gadsden | $95.00 | $0 | Many Generics | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
Capital Health Plan Preferred Advantage (HMO) in FL - H5938-006-0 Benefit Details |
Jefferson | $95.00 | $0 | Many Generics | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 25% | $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 | |||||||||
Capital Health Plan Preferred Advantage (HMO) in FL - H5938-006-0 Benefit Details |
Leon | $95.00 | $0 | Many Generics | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
Capital Health Plan Preferred Advantage (HMO) in FL - H5938-006-0 Benefit Details |
Liberty | $95.00 | $0 | Many Generics | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
Capital Health Plan Preferred Advantage (HMO) in FL - H5938-006-0 Benefit Details |
Wakulla | $95.00 | $0 | Many Generics | Generic Drugs: $7.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 25% | $3,400 Browse Formulary | |||||
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