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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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Benton | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Cedar | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Christian | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 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 | |||||||||
Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Clay | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Cole | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Dade | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 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 | |||||||||
Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Douglas | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Greene | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Henry | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 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 | |||||||||
Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Hickory | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Jackson | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Lawrence | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 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 | |||||||||
Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Ozark | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Pike | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Polk | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 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 | |||||||||
Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
St. Charles | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
St. Louis | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Vernon | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 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 | |||||||||
Care Improvement Plus Medicare Advantage (PPO) in MO - H6528-005-0 Benefit Details |
Webster | $38.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Tier 1: $8.00 Tier 2: $44.00 Tier 3: $95.00 Tier 4: 33% | $6,700 Browse Formulary | |||||
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