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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Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Adams | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Alamosa | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Arapahoe | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Archuleta | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Bent | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Boulder | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Broomfield | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Chaffee | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Cheyenne | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Clear Creek | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Conejos | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Costilla | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Crowley | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Custer | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Delta | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Denver | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Dolores | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Douglas | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Eagle | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
El Paso | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Elbert | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Fremont | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Garfield | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Gilpin | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Grand | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Gunnison | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Hinsdale | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Huerfano | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Jackson | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Jefferson | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Kiowa | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Kit Carson | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
La Plata | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Lake | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Larimer | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Las Animas | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Lincoln | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Logan | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Mesa | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Mineral | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Moffat | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Montezuma | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Montrose | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Morgan | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Otero | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Ouray | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Park | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Phillips | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Pitkin | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Prowers | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Pueblo | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Rio Blanco | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Rio Grande | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Routt | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Saguache | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
San Juan | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
San Miguel | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Sedgwick | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Summit | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Teller | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Washington | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Weld | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Rocky Mountain Plus Plan (Cost) in CO - H0602-003-0 Benefit Details |
Yuma | $147.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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