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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HumanaChoice H1716-020 (PPO) in IL - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Madison | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in IL - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Monroe | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in IL - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
St. Clair | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Bourbon | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Butler | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Cowley | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Dickinson | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Douglas | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Franklin | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Harvey | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Jefferson | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Johnson | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Kingman | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Leavenworth | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Linn | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Marion | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Miami | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Morris | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Osage | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Ottawa | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Pottawatomie | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Reno | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Sedgwick | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Shawnee | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Sumner | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Wabaunsee | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in KS - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Wyandotte | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Audrain | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Barry | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Bates | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Benton | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Boone | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Callaway | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Cass | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Cedar | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Christian | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Clay | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Clinton | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Cole | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Cooper | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Dade | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Dallas | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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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 H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Douglas | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Franklin | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Gasconade | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Greene | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Harrison | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Henry | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Hickory | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Howard | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Howell | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Jackson | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Jefferson | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Johnson | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Laclede | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Lafayette | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Lawrence | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Lincoln | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Livingston | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Miller | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Moniteau | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Monroe | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Montgomery | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Morgan | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Oregon | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Osage | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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Service | Exper. | Cost Info | |||||||||
HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Ozark | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Pemiscot | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Pettis | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Phelps | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Platte | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Polk | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Pulaski | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Ray | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Saline | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Shelby | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
St. Charles | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
St. Clair | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
St. Francois | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
St. Louis | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
St. Louis City | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Stone | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Taney | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Texas | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Vernon | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Warren | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Washington | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Webster | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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HumanaChoice H1716-020 (PPO) in MO - H1716-020-0 Benefit Details ![]() ![]() ![]() ![]() |
Wright | $47.00 | $325 | Few Generics | Preferred Generic: $1.00 Non-Preferred Generic: $3.00 Preferred Brand: 18% Non-Preferred Brand: 30% Specialty Tier: 25% | $5,000 Browse Formulary | |||||
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