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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MediGold Southwest OH Essential Care (HMO) in OH - H3668-017-0 Benefit Details |
Butler | $0.00 | $0 | Some Generics | Preferred Generic: $2.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | $3,200 Browse Formulary | |||||
MediGold Southwest OH Essential Care (HMO) in OH - H3668-017-0 Benefit Details |
Champaign | $0.00 | $0 | Some Generics | Preferred Generic: $2.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | $3,200 Browse Formulary | |||||
MediGold Southwest OH Essential Care (HMO) in OH - H3668-017-0 Benefit Details |
Clermont | $0.00 | $0 | Some Generics | Preferred Generic: $2.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | $3,200 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 | |||||||||
MediGold Southwest OH Essential Care (HMO) in OH - H3668-017-0 Benefit Details |
Hamilton | $0.00 | $0 | Some Generics | Preferred Generic: $2.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $85.00 Specialty Tier: 33% | $3,200 Browse Formulary | |||||
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