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 |
|||||||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Atascosa | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Bandera | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Bexar | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Comal | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Guadalupe | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Kendall | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Medina | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
Humana Gold Plus H4510-015 (HMO) in TX - H4510-015-0 Benefit Details |
Wilson | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic: $0.00 Preferred Brand: $20.00 Non-Preferred Brand: $60.00 Specialty Tier: 33% | $4,500 Browse Formulary | |||||
|