2012 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Chelan | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Douglas | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Grant | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
King | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Lewis | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Pierce | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Snohomish | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Thurston | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
Soundpath Health Apex + Rx (HMO) in WA - H9302-001-0 Benefit Details |
Whatcom | $169.00 | $0 | Many Generics | Tier 1: $6.00 Tier 2: $18.00 Tier 3: $36.00 Tier 4: $60.00 Tier 5: 33% | $1,400 Browse Formulary | |||||
|