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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CCHP Senior Program (HMO) in CA - H0571-001-0 Sanctioned Plan |
San Francisco | $40.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $60.00 Specialty Tier: 20% | $3,400 Browse Formulary | |||||
CCHP Senior Program (HMO) in CA - H0571-001-0 Sanctioned Plan |
San Mateo | $40.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $60.00 Specialty Tier: 20% | $3,400 Browse Formulary | |||||
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