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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Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Genesee | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Lapeer | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Livingston | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% 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 | |||||||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Macomb | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Monroe | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Oakland | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% 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 | |||||||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
St. Clair | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Washtenaw | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
Alliance Medicare PPO (PPO) in MI - H2322-004-0 Benefit Details |
Wayne | $174.00 | $50 | All Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: 31% Specialty Tier: 31% | $3,400 Browse Formulary | |||||
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