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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UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Ashland | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Barron | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Bayfield | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Buffalo | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Burnett | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Chippewa | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Crawford | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Douglas | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Dunn | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Eau Claire | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Grant | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Iowa | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Jackson | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Juneau | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
La Crosse | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Monroe | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Pepin | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Pierce | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Polk | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Richland | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Sauk | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Sawyer | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
St. Croix | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Trempealeau | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Vernon | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in WI - H4270-001-0 Benefit Details |
Washburn | $60.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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