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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Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Allendale | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Bamberg | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Barnwell | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Beaufort | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Berkeley | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Charleston | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Chesterfield | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Colleton | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Darlington | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Dillon | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Dorchester | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Florence | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Georgetown | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Hampton | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Horry | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Jasper | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Kershaw | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Lancaster | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Lee | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Marion | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Marlboro | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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 | |||||||||
Medicare Blue Saver (PPO) in SC - H4209-008-0 Benefit Details |
Williamsburg | $45.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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