Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Bond |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Boone |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Brown |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Bureau |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
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|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Carroll |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
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|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Cass |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Clark |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Clinton |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Cook |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Crawford |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
De Witt |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Douglas |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Edgar |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Edwards |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
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Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Gallatin |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Greene |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Grundy |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Hardin |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Iroquois |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Jasper |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Jo Daviess |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Johnson |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Kane |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Kankakee |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Kendall |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Knox |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
La Salle |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Lawrence |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Lee |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Logan |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Madison |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Mason |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
McHenry |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
McLean |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Montgomery |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Moultrie |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Ogle |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Peoria |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Pike |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Pope |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Randolph |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Richland |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Rock Island |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Sangamon |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Schuyler |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
St. Clair |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Stephenson |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Tazewell |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Union |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Wabash |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Washington |
$39.00 |
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 H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Wayne |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
White |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in IL - H8145-121-0
Benefit Details
|
Winnebago |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Alger |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Allegan |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Antrim |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Arenac |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Baraga |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Barry |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Benzie |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Berrien |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Calhoun |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Cass |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Chippewa |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Clinton |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Crawford |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Delta |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Dickinson |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Eaton |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Gogebic |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Grand Traverse |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Hillsdale |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Houghton |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Ingham |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Iron |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Kalamazoo |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
|
|
Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Kalkaska |
$39.00 |
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Kent |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
|
|
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Keweenaw |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Leelanau |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Lenawee |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Luce |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Mackinac |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Manistee |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Marquette |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Menominee |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Monroe |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Montcalm |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Muskegon |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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|
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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Oceana |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Ontonagon |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Osceola |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Ottawa |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Schoolcraft |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Shiawassee |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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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 H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
St. Joseph |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Van Buren |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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Humana Gold Choice H8145-121 (PFFS) in MI - H8145-121-0
Benefit Details
|
Wexford |
$39.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
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