2014 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
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 |
|||||||||
Golden State Medicare Health Plan, Golden (HMO) in CA - H2241-001-0 Benefit Details |
Contra Costa | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
-- | |||||||||||
Golden State Medicare Health Plan, Golden (HMO) in CA - H2241-001-0 Benefit Details |
Los Angeles | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
-- | |||||||||||
Golden State Medicare Health Plan, Golden (HMO) in CA - H2241-001-0 Benefit Details |
Orange | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 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 |
|||||
Service | Exper. | Cost Info | |||||||||
Golden State Medicare Health Plan, Golden (HMO) in CA - H2241-001-0 Benefit Details |
Riverside | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
-- | |||||||||||
Golden State Medicare Health Plan, Golden (HMO) in CA - H2241-001-0 Benefit Details |
San Luis Obispo | $0.00 | $0 | Many Generics, Few Brands | Preferred Generic: $4.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
-- |
|