UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Andrew |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Audrain |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Barry |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Barton |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Bates |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Boone |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Buchanan |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Caldwell |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Callaway |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Camden |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Carroll |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Cass |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Christian |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Clay |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Clinton |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Cole |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Cooper |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Crawford |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Dade |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Dallas |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
DeKalb |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Franklin |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Gasconade |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Greene |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Howard |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Iron |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Jackson |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Jasper |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Jefferson |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Johnson |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Laclede |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Lafayette |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Lawrence |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Lincoln |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
McDonald |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Madison |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Maries |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Miller |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Moniteau |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Monroe |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Montgomery |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Newton |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Osage |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Pike |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Platte |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Polk |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Ray |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
St. Charles |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
St. Clair |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Ste. Genevieve |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
St. Francois |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
St. Louis |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Stone |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Taney |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Vernon |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Warren |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Washington |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Webster |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
Wright |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|
UnitedHealthcare Dual Complete (HMO SNP) in MO - H0169-002-0
Benefit Details
|
St. Louis City |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00 All Formulary Drugs: $0.00
| n/a Browse Formulary |
new |
new |
new |
|