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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Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Blair | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Cambria | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Cameron | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Centre | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Clearfield | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Clinton | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Columbia | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Cumberland | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Fulton | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Huntingdon | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Jefferson | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Juniata | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Lackawanna | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Luzerne | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Lycoming | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Mifflin | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Monroe | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Montour | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Northumberland | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Perry | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Pike | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Potter | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Schuylkill | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Snyder | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Somerset | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Sullivan | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Susquehanna | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Tioga | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Union | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Wayne | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Geisinger Gold Preferred 1 $0 Deductible Rx (PPO) in PA - H3924-003-0 Benefit Details |
Wyoming | $150.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
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