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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Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Chelan | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Douglas | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Grant | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 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 | |||||||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
King | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Lewis | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Pierce | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
|||||
Service | Exper. | Cost Info | |||||||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Snohomish | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
Soundpath Health Peak + Rx (HMO) in WA - H9302-011-0 Benefit Details |
Thurston | $0.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00 Non-Preferred Generic: $18.00 Preferred Brand: $36.00 Non-Preferred Brand: $60.00 Specialty Tier: 25% | $5,900 Browse Formulary | |||||
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