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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Fallon Senior Plan Saver Enhanced Rx (HMO) in MA - H9001-013-0 Benefit Details |
Franklin | $65.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Non-Preferred Generic and Preferred Brand Drugs: $15.00 Non-Preferred Generic and Non-Preferred Brand Drug: $55.00 | $3,400 Browse Formulary | |||||
Fallon Senior Plan Saver Enhanced Rx (HMO) in MA - H9001-013-0 Benefit Details |
Hampshire | $65.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Non-Preferred Generic and Preferred Brand Drugs: $15.00 Non-Preferred Generic and Non-Preferred Brand Drug: $55.00 | $3,400 Browse Formulary | |||||
Fallon Senior Plan Saver Enhanced Rx (HMO) in MA - H9001-013-0 Benefit Details |
Middlesex | $65.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Non-Preferred Generic and Preferred Brand Drugs: $15.00 Non-Preferred Generic and Non-Preferred Brand Drug: $55.00 | $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 | |||||||||
Fallon Senior Plan Saver Enhanced Rx (HMO) in MA - H9001-013-0 Benefit Details |
Norfolk | $65.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Non-Preferred Generic and Preferred Brand Drugs: $15.00 Non-Preferred Generic and Non-Preferred Brand Drug: $55.00 | $3,400 Browse Formulary | |||||
Fallon Senior Plan Saver Enhanced Rx (HMO) in MA - H9001-013-0 Benefit Details |
Worcester | $65.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $3.00 Non-Preferred Generic and Preferred Brand Drugs: $15.00 Non-Preferred Generic and Non-Preferred Brand Drug: $55.00 | $3,400 Browse Formulary | |||||
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