2013 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Anderson | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Austin | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Bastrop | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Bell | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Bosque | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Brazos | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Burleson | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Burnet | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Cass | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Cherokee | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Coke | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Coleman | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Concho | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Coryell | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Crockett | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Falls | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Fayette | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Freestone | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Gregg | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Grimes | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Hamilton | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Harrison | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Henderson | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Hill | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Irion | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Kimble | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Lampasas | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Lee | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Leon | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Limestone | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Llano | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Madison | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Marion | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Mason | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
McCulloch | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
McLennan | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Menard | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Milam | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Mills | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Rains | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Reagan | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Robertson | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Runnels | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Rusk | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
San Saba | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Schleicher | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Smith | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Somervell | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Sterling | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Sutton | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Tom Green | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Travis | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Van Zandt | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Waller | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 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 | |||||||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Washington | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Williamson | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
SeniorCare Sr Premium - Enhanced Rx (Cost) in TX - H4564-004-0 Benefit Details |
Wood | $284.90 | $0 | Many Generics | Preferred Generic: $2.00 Preferred Brand: $35.00 Non-Preferred Brand: $65.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
|