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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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Alcona | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Alger | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-1 Benefit Details |
Allegan | $120.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Alpena | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Antrim | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Arenac | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Baraga | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Barry | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Bay | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Benzie | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Berrien | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Branch | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Calhoun | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Cass | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Charlevoix | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Cheboygan | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Chippewa | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Clare | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Clinton | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Crawford | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Delta | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Dickinson | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Eaton | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Emmet | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Genesee | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Gladwin | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Gogebic | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Grand Traverse | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Gratiot | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Hillsdale | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Houghton | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Huron | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Ingham | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Ionia | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Iosco | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Iron | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Isabella | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Jackson | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Kalamazoo | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Kalkaska | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-1 Benefit Details |
Kent | $120.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Keweenaw | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Lake | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Lapeer | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Leelanau | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Lenawee | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Livingston | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Luce | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Mackinac | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-6 Benefit Details |
Macomb | $203.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Manistee | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Marquette | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Mason | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Mecosta | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Menominee | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Midland | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Missaukee | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Monroe | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Montcalm | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Montmorency | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-1 Benefit Details |
Muskegon | $120.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-1 Benefit Details |
Newaygo | $120.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-6 Benefit Details |
Oakland | $203.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Oceana | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Ogemaw | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Ontonagon | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Osceola | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Oscoda | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Otsego | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-1 Benefit Details |
Ottawa | $120.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Presque Isle | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Roscommon | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Saginaw | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Sanilac | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-3 Benefit Details |
Schoolcraft | $212.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Shiawassee | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
St. Clair | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
-- | -- | ||||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
St. Joseph | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Tuscola | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-2 Benefit Details |
Van Buren | $156.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-4 Benefit Details |
Washtenaw | $185.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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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 | |||||||||
Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-6 Benefit Details |
Wayne | $203.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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Medicare Plus Blue PPO Assure (PPO) in MI - H9572-003-5 Benefit Details |
Wexford | $219.00 | $0 | Many Generics | Tier 1: tbd | $4,000 Browse Formulary | |||||
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