HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Aitkin |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Anoka |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Becker |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Beltrami |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Benton |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Big Stone |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Blue Earth |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Brown |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Carlton |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Carver |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Cass |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Chippewa |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Chisago |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Clay |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Clearwater |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Cook |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Cottonwood |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Crow Wing |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Dakota |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Dodge |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Douglas |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Faribault |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Fillmore |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Freeborn |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Goodhue |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Grant |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Hennepin |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Houston |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Hubbard |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Isanti |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Itasca |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Jackson |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Kanabec |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Kandiyohi |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Kittson |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Koochiching |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Lac qui Parle |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Lake |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Lake of the Woods |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Le Sueur |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Lincoln |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Lyon |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
McLeod |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Mahnomen |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Marshall |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Martin |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Meeker |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Mille Lacs |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Morrison |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Mower |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Murray |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Nicollet |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Nobles |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Norman |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Olmsted |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Otter Tail |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Pennington |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Pine |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Pipestone |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Polk |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Pope |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Ramsey |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Red Lake |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Redwood |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Renville |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Rice |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Rock |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Roseau |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
St. Louis |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Scott |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Sherburne |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Sibley |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Stearns |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Steele |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Stevens |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Swift |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Todd |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Traverse |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Wabasha |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Wadena |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Waseca |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Washington |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
-- |
|
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HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Watonwan |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
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HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Wilkin |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
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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 |
HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Winona |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
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HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Wright |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
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HealthPartners Freedom Ultimate (Cost) in MN - H2462-010-0
Benefit Details
|
Yellow Medicine |
$160.20 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,000 |
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