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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Optimum Platinum Plan (HMO-POS) in FL - H5594-002-0 Benefit Details |
Broward | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Optimum Platinum Plan (HMO-POS) in FL - H5594-002-0 Benefit Details |
Hernando | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Optimum Platinum Plan (HMO-POS) in FL - H5594-002-0 Benefit Details |
Hillsborough | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $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 | |||||||||
Optimum Platinum Plan (HMO-POS) in FL - H5594-002-0 Benefit Details |
Miami-Dade | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Optimum Platinum Plan (HMO-POS) in FL - H5594-002-0 Benefit Details |
Pasco | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
Optimum Platinum Plan (HMO-POS) in FL - H5594-002-0 Benefit Details |
Pinellas | $0.00 | $0 | Many Generics | Preferred Generic: $0.00 Preferred Brand: $5.00 Non-Preferred Brand: $69.00 Specialty Tier: 33% | $3,400 Browse Formulary | |||||
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