UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Anderson |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Angelina |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Bandera |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Cherokee |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Clay |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Cooke |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Delta |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Ector |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Falls |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Fannin |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Grayson |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Gregg |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Hardin |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Harrison |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Hill |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Hood |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Hopkins |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Houston |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Howard |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Hunt |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
McLennan |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Matagorda |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Medina |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Midland |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Montague |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Nacogdoches |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Orange |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Panola |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Rains |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Red River |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Rusk |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
San Augustine |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
San Jacinto |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Shelby |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Starr |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Tom Green |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Trinity |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Tyler |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Victoria |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Walker |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Webb |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Wharton |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Wise |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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UnitedHealthcare Dual Complete (HMO SNP) in TX - H5322-025-0
Benefit Details
|
Zavala |
$0.00 for people who qualify for both Medicare and Medicaid. |
$0 for people who qualify for both Medicare and Medicaid. |
No additional gap coverage, only the Donut Hole Discount | All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15% All Formulary Drugs: 15%
| n/a Browse Formulary |
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