2014 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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Blue Shield 65 Plus Choice Plan (HMO) in CA - H0504-021-0 Benefit Details |
Los Angeles (Partial) | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Injectable Drugs: 25% Specialty Tier: 33% | $2,000 Browse Formulary | |||||
Blue Shield 65 Plus Choice Plan (HMO) in CA - H0504-021-0 Benefit Details |
Orange | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $35.00 Non-Preferred Brand: $70.00 Injectable Drugs: 25% Specialty Tier: 33% | $2,000 Browse Formulary | |||||
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