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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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Aitkin | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Anoka | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Becker | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Benton | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Carlton | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Carver | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Cass | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Chisago | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Clay | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Crow Wing | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Dakota | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Hennepin | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Isanti | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Koochiching | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Lake | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Mahnomen | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Mille Lacs | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Morrison | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Norman | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Otter Tail | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Pine | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Polk | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Ramsey | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Rice | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Scott | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Sherburne | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
St. Louis | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a 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 | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Stearns | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Todd | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Wadena | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Washington | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Wilkin | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP) in MN - H7526-004-0 Benefit Details |
Wright | $167.40 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic: $10.00 Preferred Brand: $34.00 Non-Preferred Brand: $67.00 Specialty Tier: 25% | n/a Browse Formulary | |||||
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