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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Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Adams | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Arapahoe | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Boulder | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
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 | |||||||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Broomfield | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Clear Creek | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Denver | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
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 | |||||||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Douglas | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Elbert | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Gilpin | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
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 | |||||||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Jefferson | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
Kaiser Permanente Senior Advantage Gold (HMO) in CO - H0630-016-0 Benefit Details |
Park | $191.00 | $0 | All Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $40.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Vaccines: $0.00 | $3,400 Browse Formulary | |||||
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