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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Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Benton | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Clackamas | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Columbia | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 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 | |||||||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Linn | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Marion | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Multnomah | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 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 | |||||||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Polk | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Washington | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in OR - H9003-001-0 Benefit Details |
Yamhill | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 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 | |||||||||
Kaiser Permanente Senior Advantage (HMO) in WA - H9003-001-0 Benefit Details |
Clark | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in WA - H9003-001-0 Benefit Details |
Cowlitz | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
Kaiser Permanente Senior Advantage (HMO) in WA - H9003-001-0 Benefit Details |
Lewis | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 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 | |||||||||
Kaiser Permanente Senior Advantage (HMO) in WA - H9003-001-0 Benefit Details |
Wahkiakum | $109.00 | $0 | All Generics, Few Brands | Preferred Generic: $5.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $90.00 Specialty Tier: 25% Tier 6: $0.00 | $2,500 Browse Formulary | |||||
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