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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WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Bexar | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Dallas | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Denton | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 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 | |||||||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
El Paso | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Fort Bend | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Galveston | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 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 | |||||||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Harris | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Jefferson | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Johnson | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 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 | |||||||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Montgomery | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
San Jacinto | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
WellCare Value (HMO-POS) in TX - H1264-004-0 Benefit Details |
Tarrant | $0.00 | $0 | All Generics | Generic: $3.00 Preferred Brand: $30.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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