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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Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Barbour | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Brooke | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Fayette | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Greenbrier | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Hampshire | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Hancock | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Harrison | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Marion | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Marshall | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
McDowell | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Mercer | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Mineral | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Monongalia | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Monroe | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Morgan | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Pleasants | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Pocahontas | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Preston | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Raleigh | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Randolph | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Summers | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Taylor | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Tyler | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Webster | $99.00 | 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 | |||||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Wetzel | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Wood | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
Freedom Blue PPO Value (PPO) in WV - H5106-018-0 Benefit Details |
Wyoming | $99.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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