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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FamilyCare MyPlan A (HMO) in OR - H3818-003-0 Benefit Details |
Clackamas | $80.00 | $200 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 27% | $3,400 Browse Formulary | |||||
FamilyCare MyPlan A (HMO) in OR - H3818-003-0 Benefit Details |
Clatsop | $80.00 | $200 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 27% | $3,400 Browse Formulary | |||||
FamilyCare MyPlan A (HMO) in OR - H3818-003-0 Benefit Details |
Morrow | $80.00 | $200 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 27% | $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 | |||||||||
FamilyCare MyPlan A (HMO) in OR - H3818-003-0 Benefit Details |
Multnomah | $80.00 | $200 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 27% | $3,400 Browse Formulary | |||||
FamilyCare MyPlan A (HMO) in OR - H3818-003-0 Benefit Details |
Umatilla | $80.00 | $200 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 27% | $3,400 Browse Formulary | |||||
FamilyCare MyPlan A (HMO) in OR - H3818-003-0 Benefit Details |
Washington | $80.00 | $200 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $7.00 Preferred Brand: $30.00 Non-Preferred Brand: $70.00 Specialty Tier: 27% | $3,400 Browse Formulary | |||||
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