2013 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
Advantage Health NY - SNP (HMO SNP) in NY - H2773-003-0 Benefit Details |
Nassau | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
-- | -- | -- | |||||||||
Advantage Health NY - SNP (HMO SNP) in NY - H2773-003-0 Benefit Details |
Queens | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
-- | -- | -- | |||||||||
Advantage Health NY - SNP (HMO SNP) in NY - H2773-003-0 Benefit Details |
Richmond | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
-- | -- | -- | |||||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advantage Health NY - SNP (HMO SNP) in NY - H2773-003-0 Benefit Details |
Suffolk | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Preferred Brand: $25.00 Non-Preferred Brand: $55.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
-- | -- | -- |
|