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There are 254 2018 Medicare Advantage plans (MAPD) meeting your criteria.

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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
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Anderson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Andrews	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Angelina	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Aransas	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Archer	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Armstrong	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Atascosa	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Austin	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bailey	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bandera	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bastrop	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Baylor	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bee	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bexar	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Blanco	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Borden	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bosque	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Bowie	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Brazoria	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Brazos	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Brewster	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Briscoe	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Brooks	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Brown	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Burleson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Burnet	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Caldwell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Calhoun	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Callahan	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Cameron	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Camp	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Carson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Cass	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Castro	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Chambers	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Cherokee	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Childress	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Clay	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Cochran	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Coke	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Coleman	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Collin	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Collingsworth	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Colorado	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Comal	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Comanche	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Concho	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Cooke	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Coryell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Cottle	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Crane	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Crockett	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Crosby	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Culberson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Dallam	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Dallas	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Dawson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Deaf Smith	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Delta	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Denton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			DeWitt	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Dickens	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Dimmit	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Donley	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Duval	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Eastland	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Ector	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Edwards	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Ellis	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			El Paso	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Erath	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Falls	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Fannin	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Fayette	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Fisher	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Floyd	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Foard	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Fort Bend	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Franklin	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Freestone	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Frio	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Gaines	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Galveston	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Garza	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Gillespie	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Glasscock	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Goliad	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Gonzales	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Gray	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Grayson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Gregg	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Grimes	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Guadalupe	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hale	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hall	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hamilton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hansford	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hardeman	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hardin	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Harris	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Harrison	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hartley	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Haskell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hays	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hemphill	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Henderson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hidalgo	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hill	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hockley	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hood	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hopkins	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Houston	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Howard	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hudspeth	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hunt	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Hutchinson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Irion	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jack	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jackson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jasper	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jeff Davis	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jefferson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jim Hogg	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jim Wells	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Johnson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Jones	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Karnes	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kaufman	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kendall	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kenedy	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kent	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kerr	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kimble	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			King	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kinney	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Kleberg	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Knox	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lamar	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lamb	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lampasas	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			La Salle	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lavaca	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lee	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Leon	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Liberty	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Limestone	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lipscomb	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Live Oak	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Llano	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Loving	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lubbock	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Lynn	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			McCulloch	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			McLennan	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			McMullen	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Madison	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Marion	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Martin	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Mason	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Matagorda	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Maverick	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Medina	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Menard	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Midland	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Milam	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Mills	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Mitchell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Montague	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Montgomery	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Moore	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Morris	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Motley	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Nacogdoches	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Navarro	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Newton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Nolan	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Nueces	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Ochiltree	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Oldham	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Orange	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Palo Pinto	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Panola	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Parker	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Parmer	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Pecos	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Polk	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Potter	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Presidio	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Rains	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Randall	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Reagan	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Real	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Red River	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Reeves	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Refugio	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Roberts	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Robertson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Rockwall	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Runnels	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Rusk	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Sabine	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			San Augustine	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			San Jacinto	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			San Patricio	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			San Saba	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Schleicher	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Scurry	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Shackelford	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Shelby	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Sherman	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Smith	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Somervell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Starr	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Stephens	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Sterling	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Stonewall	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Sutton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Swisher	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Tarrant	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Taylor	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Terrell	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Terry	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Throckmorton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Titus	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Tom Green	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Travis	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Trinity	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Tyler	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Upshur	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Upton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Uvalde	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Val Verde	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Van Zandt	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Victoria	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Walker	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Waller	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Ward	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Washington	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Webb	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wharton	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wheeler	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wichita	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wilbarger	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Willacy	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Williamson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wilson	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Winkler	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wise	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Wood	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Yoakum	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Young	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Zapata	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary
Care Improvement Plus Medicare Advantage (Regional PPO) in TX - R6801-012-0 Benefit Details			Zavala	$37.00	$290 Tier 1 and 2 exempt	No additional gap coverage, only the Donut Hole Discount	Preferred Generic: $4.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27%	$6,700 Browse Formulary

• 2018 PDP-Finder (Drug Only Plans)
• Compare 2017 & 2018 Plans
• 2018 PDP-DrugFinder (Formulary Drug Search)

Review 2018 Medicare Advantage plans

Chart Legend:

Below are a few notes to help with the understanding of the 2018 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.

• Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)
  
  
• CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
  This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.
  
  
  • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.
    
    This category includes measures of how drug plans rate on the following areas:
    
    • Time on Hold When Customer and Pharmacist Calls Drug Plan.
    • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
    • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
    • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.
    
    
  • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.
    
    This category includes measures of how drug plans rate on the following areas:
    
    • Drug Plan Provides Information or Help When Members Need It.
    • Members’ Overall Rating of Drug Plan.
    • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.
    
    
  • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.
    
    This category includes measures of how drug plans rate on the following areas:
    • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
    • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
    • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
    • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
    • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.
    
    
• Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)
  
  (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.
  
  
• Deductible: The standard CMS plan deductible is $405. Many Medicare plans do not have a deductible, however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage phase tier 1 cost-sharing.
  
  
• Gap Coverage (the Donut Hole): In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $3,759 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2018, ALL formulary generics will have at least a 56% discount and ALL brand-name drugs will have at least a 65% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
  • No Gap Coverage: you pay up to $3,759 depending on your mix of generics and brand-name drugs. Read more...
  • Yes: This plan offers some level of gap coverage. See plan details for a description of the gap coverage. It will read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.
  
  
• $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)
  
  
• Plan ID: This is the unique id for this particular plan.
  
  
• Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)

• Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.
  
  
• Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.
  
  
• Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.
  
  
• Members in This State (updated: September 2018 figures) - This is the total number of members in this plan for this PDP CMS Region. For regions that contain more than one state, this is the total for all of those states combined. If the CMS Region contains more than one state, the actual state enrollment is shown, along with the CMS region and national enrollment figures on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.
  
  
• Members Nation Wide (updated: September 2018 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.
  
  
• Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2018 is $3,750 and increases each year.
  
  
• National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.
  
  

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(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.