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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UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
Fairfield | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
Hartford | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
Litchfield | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $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 | |||||||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
Middlesex | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
New Haven | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
New London | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $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 | |||||||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
Tolland | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
UnitedHealthcare MedicareComplete Plan 1 (HMO) in CT - H0755-030-0 Benefit Details |
Windham | $99.00 | $0 | Few Generics | Preferred Generic: $3.00 Non-Preferred Generic: $6.00 Preferred Brand: $43.00 Non-Preferred Brand: $95.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
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