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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Berks | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Blair | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Cambria | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Clinton | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Columbia | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Fulton | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Huntingdon | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Juniata | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Lycoming | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Monroe | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Montour | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Northumberland | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Pike | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Potter | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Schuylkill | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Snyder | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Somerset | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Tioga | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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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 Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Union | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Wayne | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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Geisinger Gold Classic Plus $0 Deductible Rx (HMO-POS) in PA - H3954-141-0 Benefit Details ![]() ![]() ![]() ![]() |
Wyoming | $100.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $39.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $6,700 Browse Formulary | |||||
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