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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Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Clallam | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Columbia | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Cowlitz | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $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 | |||||||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Island | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
King | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Kitsap | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $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 | |||||||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Klickitat | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Lewis | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Pierce | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $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 | |||||||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
San Juan | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Skagit | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Skamania | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $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 | |||||||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Snohomish | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Thurston | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Wahkiakum | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Walla Walla | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Whatcom | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
Regence MedAdvantage + Rx Classic (PPO) in WA - H5009-002-0 Benefit Details |
Yakima | $137.00 | $235 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Non-Preferred Generic: $33.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 26% | $3,400 Browse Formulary | |||||
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