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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New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Beaverhead | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Big Horn | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Broadwater | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Carbon | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Cascade | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Chouteau | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Custer | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Fergus | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Flathead | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Gallatin | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Granite | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Hill | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Jefferson | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Lake | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Lewis and Clark | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Mineral | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Missoula | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Musselshell | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Park | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Pondera | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Powell | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Ravalli | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Rosebud | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Sanders | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Stillwater | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Sweet Grass | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Teton | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $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 | |||||||||
New West Medicare Enhanced (PPO) in MT - H2701-001-0 Benefit Details |
Yellowstone | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
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