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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VIP Essential (HMO) in NY - H3330-032-1 Benefit Details |
Bronx | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $3,400 Browse Formulary | |||||
VIP Essential (HMO) in NY - H3330-032-1 Benefit Details |
Kings | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $3,400 Browse Formulary | |||||
VIP Essential (HMO) in NY - H3330-032-2 Benefit Details |
Nassau | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $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 | |||||||||
VIP Essential (HMO) in NY - H3330-032-1 Benefit Details |
New York | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $3,400 Browse Formulary | |||||
VIP Essential (HMO) in NY - H3330-032-1 Benefit Details |
Queens | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $3,400 Browse Formulary | |||||
VIP Essential (HMO) in NY - H3330-032-1 Benefit Details |
Richmond | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $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 | |||||||||
VIP Essential (HMO) in NY - H3330-032-3 Benefit Details |
Suffolk | $126.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $3,400 Browse Formulary | |||||
VIP Essential (HMO) in NY - H3330-032-3 Benefit Details |
Westchester | $126.50 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 50% Specialty Tier: 25% | $3,400 Browse Formulary | |||||
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