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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UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Aitkin | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Anoka | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Becker | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Beltrami | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Benton | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Big Stone | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Blue Earth | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Brown | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Carlton | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Carver | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Cass | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Chippewa | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Chisago | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Clay | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Clearwater | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Cook | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Cottonwood | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Crow Wing | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Dakota | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Dodge | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Douglas | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Faribault | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Fillmore | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Goodhue | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Grant | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Hennepin | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Houston | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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 | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Hubbard | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Isanti | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Itasca | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Jackson | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Kanabec | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Kandiyohi | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Kittson | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Koochiching | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Lac qui Parle | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Lake | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Lake of the Woods | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Le Sueur | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Lincoln | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Lyon | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Mahnomen | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Marshall | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Martin | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
McLeod | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Meeker | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Mille Lacs | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Morrison | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Mower | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Murray | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Nicollet | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Nobles | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Norman | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Olmsted | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Otter Tail | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Pennington | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Pine | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Pipestone | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Polk | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Pope | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Ramsey | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Red Lake | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Redwood | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Renville | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Rice | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Rock | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Roseau | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Scott | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Sherburne | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Sibley | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
St. Louis | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Stearns | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Steele | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Stevens | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Swift | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Todd | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Traverse | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Wabasha | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Wadena | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Waseca | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Washington | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Watonwan | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Wilkin | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Winona | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Wright | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Yellow Medicine | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
UCare for Seniors Value (HMO-POS) in MN - H2459-001-0 Benefit Details |
Freeborn | $40.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
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