2011 Medicare Part D Contract ID/Plan ID Search

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There are 207 2011 Medicare Advantage plans (MAPD) meeting your criteria.

2011 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips
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
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Appling	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Atkinson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Bacon	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Baker	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Baldwin	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Banks	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Barrow	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Bartow	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Ben Hill	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Berrien	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Bibb	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Bleckley	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Brantley	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Brooks	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Bryan	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Bulloch	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Burke	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Butts	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Calhoun	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Camden	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Candler	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Carroll	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Catoosa	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Charlton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Chatham	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Chattahoochee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Chattooga	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Cherokee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Clarke	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Clay	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Clayton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Clinch	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Cobb	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Coffee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Colquitt	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Columbia	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Cook	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Coweta	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Crawford	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Crisp	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Dade	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Dawson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Decatur	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			DeKalb	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Dodge	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Dooly	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Dougherty	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Douglas	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Early	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Echols	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Effingham	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Elbert	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Emanuel	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Evans	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Fannin	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Fayette	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Floyd	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Forsyth	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Franklin	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Fulton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Gilmer	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Glascock	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Glynn	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Gordon	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Grady	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Greene	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Gwinnett	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Habersham	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Hall	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Hancock	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Haralson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Harris	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Hart	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Heard	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Henry	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Houston	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Irwin	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Jackson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Jasper	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Jeff Davis	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Jefferson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Jenkins	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Johnson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Jones	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Lamar	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Lanier	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Laurens	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Lee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Liberty	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Lincoln	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Long	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Lowndes	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Lumpkin	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Macon	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Madison	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Marion	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			McDuffie	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			McIntosh	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Meriwether	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Miller	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Mitchell	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Monroe	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Montgomery	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Morgan	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Murray	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Muscogee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Newton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Oconee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Oglethorpe	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Paulding	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Peach	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Pickens	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Pierce	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Pike	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Polk	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Pulaski	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Putnam	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Quitman	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Rabun	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Randolph	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Richmond	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Rockdale	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Schley	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Screven	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Seminole	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Spalding	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Statewide	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Stephens	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Stewart	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Sumter	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Talbot	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Taliaferro	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Tattnall	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Taylor	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Telfair	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Terrell	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Thomas	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Tift	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Toombs	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Towns	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Treutlen	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Troup	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Turner	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Twiggs	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Union	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Upson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Walker	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Walton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Ware	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Warren	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Washington	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Wayne	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Webster	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Wheeler	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			White	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Whitfield	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Wilcox	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Wilkes	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Wilkinson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in GA - R5826-077-0 Benefit Details			Worth	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Abbeville	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Aiken	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Allendale	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Anderson	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Bamberg	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Barnwell	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Beaufort	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Berkeley	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Calhoun	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Charleston	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Cherokee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Chester	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Chesterfield	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Clarendon	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Colleton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Darlington	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Dillon	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Dorchester	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Edgefield	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Fairfield	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Florence	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Georgetown	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Greenville	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Greenwood	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Hampton	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Horry	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Jasper	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Kershaw	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Lancaster	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Laurens	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Lee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Lexington	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Marion	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Marlboro	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			McCormick	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Newberry	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Oconee	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Orangeburg	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Pickens	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Richland	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Saluda	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Spartanburg	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Statewide	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Sumter	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Union	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			Williamsburg	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary
HumanaChoice R5826-077 (Regional PPO) in SC - R5826-077-0 Benefit Details			York	$69.00	$150	No additional gap coverage, only the Donut Hole Discount	Preferred Generic Drugs: $6.00 Non-Preferred Generic and Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $70.00 Specialty Tier Drugs: 29%	$5,900 Browse Formulary

• 2011 PDP-Finder (Drug Only Plans)
• Compare 2010 & 2011 Plans
• 2011 PDP-DrugFinder (Formulary Drug Search)

Review 2011 Medicare Advantage plans

Chart Legend:

Below are a few notes to help with the understanding of the 2011 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.

A few notes to help with the understanding of the 2011 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs. Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.) CMS Plan Ratings: these are found under the Plan Name at the left side of the chart. This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor. Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service. This category includes measures of how drug plans rate on the following areas: Time on Hold When Customer and Pharmacist Calls Drug Plan. Calls Disconnected When Customer and Pharmacist Calls Drug Plan. Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal. Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer. Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members. This category includes measures of how drug plans rate on the following areas: Drug Plan Provides Information or Help When Members Need It. Members’ Overall Rating of Drug Plan. Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan. RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website. This category includes measures of how drug plans rate on the following areas: Completeness of the Drug Plan’s Information on Members Who Need Extra Help. Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com). Drug Plan’s Prices that Did Not Increase More Than Expected During the Year. Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy. Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices. » Top Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.) Deductible: This is the $310 deductible that was presented in the CMS Standard Plan. Many provider’s plans do not have a deductible, however the premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible field" field.) Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3607.5 in drug costs (the Donut Hole). The Healthcare Reform provides that for Plan Year 2011, ALL formulary generics will have at least a 7% discount and ALL brand drugs will have at least a 50% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following: No Gap Coverage: you must pay the $3607.5; Few Generics: less than 10% of formulary generics are covered, but you must pay for Brand Drugs up to $3607.5; Some Generics: 10% to 65% of formulary generics are covered, but you must pay for Brand Drugs up to $3607.5; Many Generics: 65% to 100% of formulary generics are covered, but you must pay for Brand Drugs up to $3607.5; All Generics : All formulary Generics are covered, but you must pay for Brand Drugs up to $3607.5; Many Generics & Some Brands: These Medicare prescription drug plans cover 65% to 100% of formulary generics and a some (10% to 65%) of Brand drugs on the plan’s formulary. Some Generics & Some Brands: These Medicare prescription drug plans cover 10% to 65% of Generic and Brand drugs on the plan’s formulary. (Search Tip: If you would like to reduce the plans shown to just plans with a certain type of gap coverage, select this type of coverage in the "Type of Gap Coverage" field.) $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.) Plan ID: This is the unique id for this particular plan. » Top Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.) Additional Information Fields: You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.) Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. For 2009 Medicare Part D plans, the smallest formulary is the Geisinger Gold Rx 1 plan formulary in PA and WV with 1,994 total medications and the largest formulary is the AARP Enhanced and Preferred plans’ formulary (all states) with 5,218 total formulary drugs. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP. Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order. Members in This State (updated: September 2011 figures) - This is the total number of members in this plan for this CMS Region. For regions which contain more than one state, this is the total for all of those states combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare. Members Nation Wide (updated: September 2011 figures) - This is the total number of member for this plan in all CMS Regions (States) combined. We are showing the latest Medicare Part D plan enrollment figures. We update this figure as new enrollment statistics are released by Medicare. Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2011 is $2840 and increases each year. National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier. (Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.) Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.