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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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Broward | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Charlotte | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Duval | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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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 | |||||||||
Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Hillsborough | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Lee | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Manatee | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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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 | |||||||||
Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Miami-Dade | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Palm Beach | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Pasco | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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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 | |||||||||
Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Pinellas | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
Sarasota | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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Aetna Medicare Premier Plan (PPO) in FL - H5521-033-0 Benefit Details |
St. Johns | $35.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Generic: $4.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 25% Select Care Drugs: $0.00 | $6,700 Browse Formulary | |||||
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