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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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Anderson | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Bastrop | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Bell | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Bosque | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Brazos | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Burleson | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Burnet | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Cass | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Cherokee | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Coke | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Coleman | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Concho | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Coryell | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Crockett | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Falls | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Fayette | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Gregg | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Grimes | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Hamilton | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Harrison | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Henderson | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Hill | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Irion | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Kimble | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Lampasas | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Lee | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Leon | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Limestone | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Llano | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Madison | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Marion | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Mason | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
McCulloch | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
McLennan | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Menard | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Milam | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Mills | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Rains | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Reagan | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Robertson | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Runnels | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Rusk | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
San Saba | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Schleicher | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Smith | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Sterling | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Sutton | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Tom Green | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Travis | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Van Zandt | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Washington | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Williamson | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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SeniorCare Sr Preferred - Enhanced Rx (Cost) in TX - H4564-005-0 Benefit Details |
Wood | $180.10 | $0 | Many Generics | Tier 1: $0.00 Tier 2: $35.00 Tier 3: $65.00 Tier 4: 33% | $3,400 Browse Formulary | |||||
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