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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Advantra Elite (PPO) in OH - H8980-003-0 Benefit Details |
Columbiana | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $5.00 Generic Drugs: $25.00 Preferred Brand Drugs: $32.00 Non-Preferred Generic and Non-Preferred Brand Drug: $72.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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Advantra Elite (PPO) in OH - H8980-003-0 Benefit Details |
Mahoning | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $5.00 Generic Drugs: $25.00 Preferred Brand Drugs: $32.00 Non-Preferred Generic and Non-Preferred Brand Drug: $72.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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Advantra Elite (PPO) in OH - H8980-003-0 Benefit Details |
Trumbull | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $5.00 Generic Drugs: $25.00 Preferred Brand Drugs: $32.00 Non-Preferred Generic and Non-Preferred Brand Drug: $72.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
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