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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Humana Gold Plus H2486-003 (HMO-POS) in UT - H2486-003-0 Benefit Details |
Davis | $0.00 | $0 | Few Generics, Few Brands | Tier 1: $7.00 Tier 2: $38.00 Tier 3: $80.00 Tier 4: 33% | $4,000 Browse Formulary | |||||
Humana Gold Plus H2486-003 (HMO-POS) in UT - H2486-003-0 Benefit Details |
Salt Lake | $0.00 | $0 | Few Generics, Few Brands | Tier 1: $7.00 Tier 2: $38.00 Tier 3: $80.00 Tier 4: 33% | $4,000 Browse Formulary | |||||
Humana Gold Plus H2486-003 (HMO-POS) in UT - H2486-003-0 Benefit Details |
Utah | $0.00 | $0 | Few Generics, Few Brands | Tier 1: $7.00 Tier 2: $38.00 Tier 3: $80.00 Tier 4: 33% | $4,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H2486-003 (HMO-POS) in UT - H2486-003-0 Benefit Details |
Weber | $0.00 | $0 | Few Generics, Few Brands | Tier 1: $7.00 Tier 2: $38.00 Tier 3: $80.00 Tier 4: 33% | $4,000 Browse Formulary | |||||
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