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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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Appling | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Atkinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bacon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Baker | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Baldwin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Banks | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Barrow | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bartow | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Ben Hill | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Berrien | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bibb | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bleckley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Brantley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Brooks | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bryan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bulloch | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Burke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Butts | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Camden | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Candler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Carroll | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Catoosa | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Charlton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Chatham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Chattahoochee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Chattooga | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Cherokee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Clarke | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Clay | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Clayton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Clinch | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Cobb | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Coffee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Colquitt | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Columbia | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Cook | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Coweta | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Crawford | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Crisp | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dade | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dawson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Decatur | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
DeKalb | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dodge | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dooly | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dougherty | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Douglas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Early | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Echols | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Effingham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Elbert | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Emanuel | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Evans | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Fannin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Fayette | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Floyd | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Forsyth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Franklin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Fulton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Gilmer | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Glascock | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Glynn | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Gordon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Grady | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Greene | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Gwinnett | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Habersham | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Hall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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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 | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Hancock | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Haralson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Harris | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Hart | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Heard | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Henry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Houston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Irwin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jackson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jasper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jeff Davis | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jefferson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jenkins | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Johnson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jones | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lamar | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lanier | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Laurens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Liberty | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lincoln | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Long | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lowndes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lumpkin | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Macon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Madison | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
McDuffie | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
McIntosh | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Meriwether | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Miller | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Mitchell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Monroe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Montgomery | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Morgan | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Murray | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Muscogee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Newton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Oconee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Oglethorpe | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Paulding | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Peach | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Pickens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Pierce | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Pike | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Polk | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Pulaski | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Putnam | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Quitman | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Rabun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Randolph | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Richmond | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Rockdale | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Schley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Screven | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Spalding | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Stephens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Stewart | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Sumter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Talbot | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Taliaferro | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Tattnall | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Taylor | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Telfair | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Terrell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Thomas | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Tift | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Toombs | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Towns | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Treutlen | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Troup | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Turner | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Twiggs | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Union | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Upson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Walker | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Walton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Ware | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Warren | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Washington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Wayne | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Webster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Wheeler | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
White | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Whitfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Wilcox | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Wilkes | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Wilkinson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in GA - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Worth | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Abbeville | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Aiken | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Allendale | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Anderson | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Bamberg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Barnwell | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Beaufort | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Berkeley | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Calhoun | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Charleston | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Cherokee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Chester | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Chesterfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Clarendon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Colleton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Darlington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dillon | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Dorchester | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Edgefield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Fairfield | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Florence | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Georgetown | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Greenville | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Greenwood | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Hampton | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Horry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Jasper | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Kershaw | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lancaster | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Laurens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Lexington | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Marion | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Marlboro | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
McCormick | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Newberry | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Oconee | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Orangeburg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Pickens | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Richland | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Saluda | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Spartanburg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Sumter | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Union | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
Williamsburg | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
![]() |
-- | ![]() |
|||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-064 (Regional PPO) in SC - R5826-064-0 Benefit Details ![]() ![]() ![]() |
York | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 | ||||||
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-- | ![]() |
|