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 Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Adams | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Centre | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Clearfield | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a 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 Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Cumberland | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Dauphin | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Jefferson | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a 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 Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Lackawanna | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Lancaster | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Lebanon | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a 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 Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Luzerne | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Mifflin | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Perry | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | 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 | |||||||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Sullivan | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
Susquehanna | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
Geisinger Gold Secure 3 (HMO SNP) in PA - H3954-135-0 Benefit Details |
York | $123.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
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