Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Arkansas |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Ashley |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Baxter |
$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
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Benton |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Bradley |
$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
| n/a Browse Formulary |
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|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Calhoun |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Chicot |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Clark |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Cleburne |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Cleveland |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Columbia |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Conway |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Craighead |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Crittenden |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Cross |
$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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Desha |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Drew |
$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
| n/a Browse Formulary |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Faulkner |
$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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Fulton |
$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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Garland |
$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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Grant |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Hempstead |
$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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Hot Spring |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Independence |
$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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Izard |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Lee |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Little River |
$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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Logan |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Lonoke |
$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
| n/a Browse Formulary |
-- |
-- |
|
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Marion |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Mississippi |
$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
| n/a Browse Formulary |
-- |
-- |
|
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Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Nevada |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Ouachita |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Perry |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Phillips |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Poinsett |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Pope |
$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
| n/a Browse Formulary |
-- |
-- |
|
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Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Prairie |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Pulaski |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Randolph |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
St. Francis |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Saline |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Scott |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Searcy |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Sebastian |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Sevier |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Sharp |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Union |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Van Buren |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
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
| n/a Browse Formulary |
-- |
-- |
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
White |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Woodruff |
$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
| n/a Browse Formulary |
-- |
-- |
|
|
Tribute (HMO-POS SNP) in AR - H1587-001-0
Benefit Details
|
Yell |
$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
| n/a Browse Formulary |
-- |
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