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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True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Ada | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Adams | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Bannock | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Benewah | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Bingham | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Blaine | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Boise | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Bonner | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Bonneville | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Boundary | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Canyon | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Caribou | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Cassia | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Clark | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Elmore | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Fremont | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Gem | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Gooding | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Jefferson | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Jerome | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Kootenai | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Latah | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Madison | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Minidoka | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Nez Perce | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Oneida | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Owyhee | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 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 | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Payette | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Power | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Shoshone | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Twin Falls | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Valley | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
True Blue Rx Option I (HMO) in ID - H1350-001-0 Benefit Details |
Washington | $144.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Non-Preferred Generic: $7.00 Preferred Brand: $31.00 Non-Preferred Brand: $70.00 Specialty Tier: 33% | $3,000 Browse Formulary | |||||
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