2013 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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KelseyCare Advantage Rx + Choice (HMO-POS) in TX - H0332-004-0 Benefit Details |
Fort Bend | $77.00 | $50 | Many Generics | Preferred Generic: $5.00 Non-Preferred Generic: $30.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 31% | $3,400 Browse Formulary | |||||
KelseyCare Advantage Rx + Choice (HMO-POS) in TX - H0332-004-0 Benefit Details |
Galveston | $77.00 | $50 | Many Generics | Preferred Generic: $5.00 Non-Preferred Generic: $30.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 31% | $3,400 Browse Formulary | |||||
KelseyCare Advantage Rx + Choice (HMO-POS) in TX - H0332-004-0 Benefit Details |
Harris | $77.00 | $50 | Many Generics | Preferred Generic: $5.00 Non-Preferred Generic: $30.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 31% | $3,400 Browse Formulary | |||||
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 | |||||||||
KelseyCare Advantage Rx + Choice (HMO-POS) in TX - H0332-004-0 Benefit Details |
Montgomery | $77.00 | $50 | Many Generics | Preferred Generic: $5.00 Non-Preferred Generic: $30.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 31% | $3,400 Browse Formulary | |||||
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