Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Allen |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Atchison |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Barber |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Barton |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Brown |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Chase |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Chautauqua |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Cheyenne |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Clark |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Clay |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Cloud |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Coffey |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Comanche |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Decatur |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Doniphan |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Edwards |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Elk |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Ellis |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Ellsworth |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Finney |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Ford |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Geary |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Gove |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Graham |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Grant |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Gray |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Greeley |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Greenwood |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Hamilton |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Harper |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Haskell |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Hodgeman |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Jackson |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Jewell |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Kearny |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Kiowa |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Lane |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Lincoln |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Logan |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Lyon |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Marshall |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
McPherson |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Meade |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Mitchell |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Morton |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Nemaha |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Neosho |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Ness |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Norton |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Osborne |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Pawnee |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Phillips |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Pratt |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Rawlins |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Republic |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Rice |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Riley |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Rooks |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Rush |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Russell |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Saline |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Scott |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Seward |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Sheridan |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Sherman |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Smith |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Stafford |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Stanton |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Stevens |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Thomas |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Trego |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Wallace |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Washington |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Wichita |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Wilson |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in KS - H2944-197-0
Benefit Details
|
Woodson |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Adair |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Atchison |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Bollinger |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Butler |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Caldwell |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Camden |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Cape Girardeau |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Carter |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Chariton |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Clark |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
DeKalb |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Dent |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Dunklin |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Gentry |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Grundy |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Holt |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Iron |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Lewis |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Linn |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Macon |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Madison |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Maries |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Marion |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Mercer |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Mississippi |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
New Madrid |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Nodaway |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Putnam |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Ralls |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Ripley |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Schuyler |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Scotland |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Scott |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Stoddard |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Sullivan |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Wayne |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in MO - H2944-197-0
Benefit Details
|
Worth |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Alfalfa |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Atoka |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Beckham |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Bryan |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Choctaw |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Cimarron |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Coal |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Grant |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Harper |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Jackson |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Jefferson |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Johnston |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Latimer |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Love |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Major |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
McCurtain |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Okfuskee |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Pontotoc |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Pushmataha |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Roger Mills |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Tillman |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Washita |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Woods |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H2944-197 (PFFS) in OK - H2944-197-0
Benefit Details
|
Woodward |
$37.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|