2012 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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HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Barron | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Burnett | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Douglas | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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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 | |||||||||
HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Dunn | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Pierce | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Polk | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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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 | |||||||||
HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
St. Croix | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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HealthPartners Wisconsin Freedom Basic (Cost) in WI - H2462-015-0 Benefit Details |
Washburn | $62.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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