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 |
|||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Adams | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Ashland | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Barron | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Bayfield | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Burnett | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Chippewa | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Clark | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Columbia | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Dane | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Douglas | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Dunn | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Eau Claire | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Forest | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Green | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Iowa | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Iron | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Jackson | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Juneau | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Langlade | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Lincoln | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Marathon | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Marquette | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Monroe | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Oneida | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Pepin | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Portage | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Price | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Richland | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Rusk | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Sauk | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Sawyer | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Shawano | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Taylor | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Trempealeau | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Vilas | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Washburn | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Waukesha | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Waupaca | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Waushara | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Advocare Spirit (HMO-POS) in WI - H5211-001-0 Benefit Details |
Wood | $135.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $1,200 | ||||||
|