2019 Medicare Part D Contract ID/Plan ID Search

Enter a Contract ID and Plan ID

ContractID:*

PlanID:*

  *required

• 2019 PDP-Finder (Drug Only Plans)
• Compare 2018 & 2019 Plans
• 2019 PDP-DrugFinder (Formulary Drug Search)

Review 2019 Medicare Advantage plans

• Link to This Chart

There are 559 2019 Medicare Advantage plans (MAPD) meeting your criteria.

2019 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips
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
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Arkansas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Ashley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Baxter	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Bradley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Calhoun	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Chicot	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Clark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Cleveland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Columbia	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Conway	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Craighead	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Crittenden	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Cross	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Dallas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Desha	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Drew	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Fulton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Grant	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Greene	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Hempstead	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Howard	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Independence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Izard	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Lafayette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Lawrence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Lee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Lincoln	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Little River	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Lonoke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Miller	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Mississippi	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Monroe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Nevada	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Newton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Ouachita	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Perry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Phillips	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Pike	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Poinsett	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Polk	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Prairie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Randolph	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			St. Francis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Searcy	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Sevier	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Sharp	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Stone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Union	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Van Buren	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			White	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-003-0 Benefit Details			Woodruff	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Apache	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Cochise	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Coconino	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Gila	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Greenlee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			La Paz	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Mohave	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Navajo	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Yavapai	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-003-0 Benefit Details			Yuma	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in DE - H1924-003-0 Benefit Details			Kent	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in DE - H1924-003-0 Benefit Details			New Castle	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in DE - H1924-003-0 Benefit Details			Sussex	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in HI - H1924-003-0 Benefit Details			Kalawao	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Alexander	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Crawford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Edwards	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Gallatin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Hamilton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Hardin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Johnson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			La Salle	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Lawrence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			McDonough	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Marion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Massac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Perry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Pope	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Pulaski	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Richland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Saline	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Schuyler	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Union	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Wabash	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-003-0 Benefit Details			White	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-003-0 Benefit Details			Ohio	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in IN - H1924-003-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Barber	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Barton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Brown	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Chase	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Chautauqua	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Cheyenne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Clark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Cloud	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Coffey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Comanche	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Cowley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Decatur	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Dickinson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Doniphan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Edwards	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Elk	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Ellis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Ellsworth	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Finney	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Ford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Geary	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Gove	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Graham	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Grant	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Gray	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Greeley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Greenwood	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Hamilton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Harper	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Haskell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Hodgeman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Jewell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Kearny	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Kingman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Kiowa	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Lane	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Lincoln	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Logan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			McPherson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Marion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Marshall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Meade	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Mitchell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Morris	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Morton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Nemaha	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Neosho	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Ness	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Norton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Osborne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Ottawa	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Pawnee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Phillips	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Pratt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Rawlins	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Reno	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Republic	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Rice	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Riley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Rooks	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Rush	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Russell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Saline	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Scott	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Seward	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Sheridan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Sherman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Smith	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Stafford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Stanton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Stevens	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Sumner	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Thomas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Trego	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Wallace	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Wichita	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Wilson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-003-0 Benefit Details			Woodson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Allegany	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Calvert	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Caroline	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Carroll	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Cecil	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Charles	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Dorchester	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Frederick	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Garrett	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Kent	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Queen Anne's	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			St. Mary's	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Somerset	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Talbot	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Wicomico	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MD - H1924-003-0 Benefit Details			Worcester	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Adams	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Alcorn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Amite	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Attala	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Benton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Bolivar	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Calhoun	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Carroll	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Chickasaw	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Choctaw	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Claiborne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Clarke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Coahoma	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Copiah	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Covington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			DeSoto	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Forrest	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Franklin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			George	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Greene	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Grenada	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Hancock	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Harrison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Hinds	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Holmes	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Humphreys	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Issaquena	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Itawamba	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Jasper	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Jefferson Davis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Jones	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Kemper	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lafayette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lamar	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lauderdale	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lawrence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Leake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Leflore	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lincoln	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Lowndes	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Madison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Marion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Marshall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Monroe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Neshoba	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Newton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Noxubee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Oktibbeha	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Panola	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Pearl River	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Perry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Pike	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Pontotoc	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Prentiss	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Quitman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Rankin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Scott	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Sharkey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Simpson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Smith	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Stone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Sunflower	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Tallahatchie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Tate	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Tippah	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Tishomingo	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Tunica	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Union	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Walthall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Warren	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Webster	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Wilkinson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Winston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Yalobusha	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MS - H1924-003-0 Benefit Details			Yazoo	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Beaverhead	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Blaine	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Carter	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Daniels	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Dawson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Fallon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Garfield	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Glacier	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Granite	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Hill	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Judith Basin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Liberty	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			McCone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Madison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Meagher	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Park	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Petroleum	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Phillips	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Powder River	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Prairie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Richland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Roosevelt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Sheridan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Toole	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Valley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-003-0 Benefit Details			Wibaux	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Ashe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Beaufort	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Bertie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Bladen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Brunswick	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Camden	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Carteret	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Chowan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Columbus	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Craven	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Currituck	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Dare	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Duplin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Edgecombe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Franklin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Gates	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Granville	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Greene	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Halifax	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Hertford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Hyde	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Jones	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Lenoir	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Martin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Nash	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			New Hanover	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Northampton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Onslow	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Pamlico	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Pasquotank	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Pender	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Perquimans	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Pitt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Robeson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Tyrrell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Vance	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Warren	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Watauga	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in NC - H1924-003-0 Benefit Details			Wilson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Adams	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Benson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Billings	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Bottineau	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Bowman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Burke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Cavalier	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Divide	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Dunn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Eddy	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Golden Valley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Grant	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Hettinger	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Logan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			McIntosh	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			McKenzie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Mountrail	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Nelson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Oliver	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Renville	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Rolette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Sargent	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Sheridan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Sioux	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Slope	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Towner	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in ND - H1924-003-0 Benefit Details			Wells	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Bradford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Bucks	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Chester	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Delaware	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Fulton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Philadelphia	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-003-0 Benefit Details			Pike	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Bennett	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Buffalo	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Campbell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Corson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Dewey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Douglas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Edmunds	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Faulk	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Gregory	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Haakon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Harding	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Hyde	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Jerauld	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Jones	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			McPherson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Mellette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Oglala Lakota	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Perkins	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Potter	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Sanborn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Oglala Lakota	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Stanley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Sully	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Todd	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Tripp	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Walworth	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in SD - H1924-003-0 Benefit Details			Ziebach	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Anderson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Andrews	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Archer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Armstrong	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Bailey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Baylor	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Borden	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Brewster	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Briscoe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Brown	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Calhoun	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Callahan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Camp	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Carson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Castro	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Childress	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Cochran	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Collingsworth	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Colorado	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Comanche	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Cottle	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Crane	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Crosby	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Culberson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Dallam	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Dawson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			DeWitt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Dickens	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Donley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Duval	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Eastland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Edwards	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Erath	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Fayette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Fisher	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Floyd	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Foard	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Franklin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Freestone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Frio	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Gaines	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Garza	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Glasscock	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Goliad	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hale	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hansford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hardeman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hartley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Haskell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hemphill	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hockley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hopkins	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Howard	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hunt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Hutchinson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Irion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Jack	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Jeff Davis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Jones	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Karnes	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Kenedy	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Kent	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			King	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Kinney	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Knox	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Lamar	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Lamb	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			La Salle	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Lavaca	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Lipscomb	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Live Oak	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Loving	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Lynn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			McMullen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Marion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Martin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Maverick	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Mitchell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Morris	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Motley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Nolan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Ochiltree	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Oldham	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Parmer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Pecos	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Presidio	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Real	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Reeves	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Refugio	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Roberts	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Sabine	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Scurry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Shackelford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Sherman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Stephens	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Stonewall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Swisher	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Terrell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Terry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Throckmorton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Upton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Uvalde	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Val Verde	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Victoria	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Ward	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Wheeler	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Wilbarger	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Winkler	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Yoakum	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Zapata	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in TX - H1924-003-0 Benefit Details			Zavala	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Beaver	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Carbon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Daggett	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Duchesne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Emery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Garfield	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Grand	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Iron	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Juab	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Kane	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Millard	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Piute	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Rich	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			San Juan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Sanpete	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Sevier	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Uintah	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-003-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Albany	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Big Horn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Campbell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Carbon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Converse	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Crook	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Fremont	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Goshen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Hot Springs	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Johnson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Laramie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Lincoln	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Natrona	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Niobrara	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Park	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Platte	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Sheridan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Sublette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Sweetwater	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Teton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Uinta	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Washakie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Plan Name			County	Monthly Prem.	Deduct- ible	Additional Gap Coverage	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Lasso Healthcare (MSA) in WY - H1924-003-0 Benefit Details			Weston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a

• 2019 PDP-Finder (Drug Only Plans)
• Compare 2018 & 2019 Plans
• 2019 PDP-DrugFinder (Formulary Drug Search)

Review 2019 Medicare Advantage plans

Chart Legend:

Below are a few notes to help with the understanding of the 2019 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 $415. 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 $3,834 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2019, ALL formulary generics will have at least a 63% discount and ALL brand-name drugs will have at least a 75% 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 $3,834 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 2019 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 2019 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 2019 is $3,820 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.
  
  

• Top

(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.