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 Prime Choice H6609-009 (PPO) in ID - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Ada | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 Browse Formulary | |||||
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Humana Prime Choice H6609-009 (PPO) in ID - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Boise | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 Browse Formulary | |||||
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Humana Prime Choice H6609-009 (PPO) in ID - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Canyon | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 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 | |||||||||
Humana Prime Choice H6609-009 (PPO) in ID - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Gem | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 Browse Formulary | |||||
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Humana Prime Choice H6609-009 (PPO) in ID - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Owyhee | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 Browse Formulary | |||||
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Humana Prime Choice H6609-009 (PPO) in ID - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Payette | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 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 | |||||||||
Humana Prime Choice H6609-009 (PPO) in OR - H6609-009-0 Benefit Details ![]() ![]() ![]() ![]() |
Malheur | $42.00 | $0 | Few Generics, Few Brands | Preferred Generic: $6.00 Preferred Brand: $39.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $4,000 Browse Formulary | |||||
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