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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Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Bowie | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Cass | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Collin | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $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 | |||||||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Dallas | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Delta | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Denton | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $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 | |||||||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Ellis | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Fannin | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Johnson | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $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 | |||||||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Kaufman | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Red River | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Rockwall | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $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 | |||||||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Tarrant | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Titus | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
Humana Gold Plus H4510-018 (HMO) in TX - H4510-018-0 Benefit Details |
Wise | $0.00 | $125 | Few Generics, Few Brands | Preferred Generic: $7.00 Non-Preferred Generic: $12.00 Preferred Brand: $40.00 Non-Preferred Brand: $85.00 Specialty Tier: 30% | $3,400 Browse Formulary | |||||
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