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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Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in DC - H2150-029-0 Benefit Details |
DISTRICT OF COLUMBIA | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
ANNE ARUNDEL | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
BALTIMORE | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a 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 | |||||||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
BALTIMORE CITY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
CALVERT | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
CARROLL | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a 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 | |||||||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
CHARLES | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
FREDERICK | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
HARFORD | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a 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 | |||||||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
HOWARD | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
MONTGOMERY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in MD - H2150-029-0 Benefit Details |
PRINCE GEORGES | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a 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 | |||||||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
ALEXANDRIA CITY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
ARLINGTON | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
FAIRFAX CITY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a 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 | |||||||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
FAIRFAX | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
FALLS CHURCH CITY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
LOUDOUN | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a 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 | |||||||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
MANASSAS CITY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
MANASSAS PARK CITY | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
Kaiser Permanente Medicare Plus Std w/Part D (B) (Cost) in VA - H2150-029-0 Benefit Details |
PRINCE WILLIAM | $23.10 | $0 | n/a | Preferred Generic: $7.00 Non-Preferred Generic: $19.00 Preferred Brand: $40.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Vaccines: $0.00 | n/a Browse Formulary | |||||
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