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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UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Ashland | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Barron | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Bayfield | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Buffalo | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Burnett | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Chippewa | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Crawford | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Douglas | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Dunn | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Eau Claire | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Grant | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Iowa | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Jackson | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Juneau | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
La Crosse | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Monroe | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Pepin | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Pierce | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Polk | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Richland | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Sauk | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Sawyer | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
St. Croix | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Trempealeau | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Vernon | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
UCare for Seniors Classic (HMO-POS) in WI - H4270-002-0 Benefit Details |
Washburn | $159.00 | $0 | Many Generics | Tier 1: $10.00 Tier 2: $35.00 Tier 3: $70.00 Tier 4: 25% | $3,400 Browse Formulary | |||||
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