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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HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Barry | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Clare | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Clinton | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 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 | |||||||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Eaton | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Gladwin | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Gratiot | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 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 | |||||||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Ingham | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Isabella | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Kent | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 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 | |||||||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Midland | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Montcalm | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Muskegon | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Oceana | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Ottawa | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
HumanaChoice H5470-005 (PPO) in MI - H5470-005-0 Benefit Details |
Saginaw | $62.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 33% | $6,000 Browse Formulary | |||||
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