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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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Benton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Blackford | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Boone | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Brown | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Clinton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Delaware | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Grant | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Greene | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Hamilton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Hancock | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Hendricks | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Henry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Howard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Jay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Johnson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Lawrence | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Monroe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Morgan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Orange | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Owen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Parke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Putnam | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Randolph | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Shelby | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Tippecanoe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Tipton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Vermillion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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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 | |||||||||
IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
Vigo | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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IU Health Plans Medicare Select (HMO) in IN - H7220-002-0 Benefit Details ![]() ![]() ![]() |
White | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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