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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Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Albany | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Broome | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Cayuga | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Chenango | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Cortland | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Essex | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Fulton | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Herkimer | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Madison | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Montgomery | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Oneida | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Onondaga | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Oswego | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Otsego | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Rensselaer | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Saratoga | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Schenectady | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Schoharie | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Tioga | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Tompkins | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Warren | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in NY - H9859-001-0 Benefit Details |
Washington | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in VT - H9859-001-0 Benefit Details |
Addison | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in VT - H9859-001-0 Benefit Details |
Bennington | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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 | |||||||||
Preferred Gold (HMO-POS) in VT - H9859-001-0 Benefit Details |
Chittenden | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
Preferred Gold (HMO-POS) in VT - H9859-001-0 Benefit Details |
Rutland | $13.20 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 | ||||||
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