2020 Medicare Part D Contract ID/Plan ID Search

Enter a Contract ID and Plan ID

ContractID:*

PlanID:*

  *required

• 2020 PDP-Finder (Drug Only Plans)
• Compare 2019 & 2020 Plans
• 2020 PDP-DrugFinder (Formulary Drug Search)

Review 2020 Medicare Advantage plans

• Link to This Chart

There are 734 2020 Medicare Advantage plans (MAPD) meeting your criteria.

2020 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 - H1924-001-0 Benefit Details			Baxter	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Benton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Boone	$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 - H1924-001-0 Benefit Details			Carroll	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Crawford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 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 AR - H1924-001-0 Benefit Details			Fulton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 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 AR - H1924-001-0 Benefit Details			Logan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Madison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 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 AR - H1924-001-0 Benefit Details			Newton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Pope	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 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 AR - H1924-001-0 Benefit Details			Searcy	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 Benefit Details			Sebastian	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AR - H1924-001-0 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 AZ - H1924-001-0 Benefit Details			Graham	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-001-0 Benefit Details			La Paz	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-001-0 Benefit Details			Maricopa	$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 - H1924-001-0 Benefit Details			Mohave	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-001-0 Benefit Details			Pima	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in AZ - H1924-001-0 Benefit Details			Pinal	$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 - H1924-001-0 Benefit Details			Santa Cruz	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in DE - H1924-001-0 Benefit Details			Kent	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in DE - H1924-001-0 Benefit Details			New Castle	$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 - H1924-001-0 Benefit Details			Sussex	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Adams	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Bond	$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 - H1924-001-0 Benefit Details			Boone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Brown	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Bureau	$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 - H1924-001-0 Benefit Details			Calhoun	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Carroll	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Cass	$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 - H1924-001-0 Benefit Details			Champaign	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Christian	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Clark	$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 - H1924-001-0 Benefit Details			Clinton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Cook	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Cumberland	$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 - H1924-001-0 Benefit Details			De Witt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Douglas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			DuPage	$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 - H1924-001-0 Benefit Details			Edgar	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Effingham	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 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 IL - H1924-001-0 Benefit Details			Ford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Fulton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Greene	$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 - H1924-001-0 Benefit Details			Grundy	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Henderson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Henry	$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 - H1924-001-0 Benefit Details			Jasper	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Jersey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Jo Daviess	$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 - H1924-001-0 Benefit Details			Kane	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Kankakee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Kendall	$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 - H1924-001-0 Benefit Details			Knox	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Lake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Lee	$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 - H1924-001-0 Benefit Details			Livingston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Logan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			McHenry	$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 - H1924-001-0 Benefit Details			McLean	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Macon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Macoupin	$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 - H1924-001-0 Benefit Details			Madison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Marshall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Mason	$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 - H1924-001-0 Benefit Details			Menard	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Mercer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Monroe	$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 - H1924-001-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Morgan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Moultrie	$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 - H1924-001-0 Benefit Details			Peoria	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Piatt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 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 IL - H1924-001-0 Benefit Details			Putnam	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Randolph	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Rock Island	$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 - H1924-001-0 Benefit Details			St. Clair	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Sangamon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 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 IL - H1924-001-0 Benefit Details			Shelby	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Stark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Stephenson	$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 - H1924-001-0 Benefit Details			Tazewell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Vermilion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 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 IL - H1924-001-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Whiteside	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Will	$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 - H1924-001-0 Benefit Details			Winnebago	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IL - H1924-001-0 Benefit Details			Woodford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			Allen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Bartholomew	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Benton	$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 - H1924-001-0 Benefit Details			Blackford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Boone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Brown	$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 - H1924-001-0 Benefit Details			Carroll	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Cass	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Clark	$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 - H1924-001-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Clinton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Crawford	$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 - H1924-001-0 Benefit Details			Daviess	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Dearborn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Decatur	$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 - H1924-001-0 Benefit Details			De Kalb	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Delaware	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Dubois	$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 - H1924-001-0 Benefit Details			Elkhart	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Fayette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Floyd	$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 - H1924-001-0 Benefit Details			Fountain	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Franklin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			Gibson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Grant	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Greene	$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 - H1924-001-0 Benefit Details			Hamilton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Hancock	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Harrison	$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 - H1924-001-0 Benefit Details			Hendricks	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Henry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Howard	$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 - H1924-001-0 Benefit Details			Huntington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			Jay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Jennings	$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 - H1924-001-0 Benefit Details			Johnson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Knox	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Kosciusko	$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 - H1924-001-0 Benefit Details			Lagrange	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Lake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			La Porte	$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 - H1924-001-0 Benefit Details			Lawrence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Madison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			Marshall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Martin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Miami	$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 - H1924-001-0 Benefit Details			Monroe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Morgan	$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 - H1924-001-0 Benefit Details			Newton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Noble	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 - H1924-001-0 Benefit Details			Orange	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Owen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Parke	$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 - H1924-001-0 Benefit Details			Perry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Pike	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Porter	$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 - H1924-001-0 Benefit Details			Posey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Pulaski	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Putnam	$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 - H1924-001-0 Benefit Details			Randolph	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Ripley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			St. Joseph	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Scott	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Shelby	$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 - H1924-001-0 Benefit Details			Spencer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Starke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Steuben	$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 - H1924-001-0 Benefit Details			Sullivan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Switzerland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Tippecanoe	$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 - H1924-001-0 Benefit Details			Tipton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Union	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Vanderburgh	$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 - H1924-001-0 Benefit Details			Vermillion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Vigo	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			Warren	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Warrick	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 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 IN - H1924-001-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			Wells	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in IN - H1924-001-0 Benefit Details			White	$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 - H1924-001-0 Benefit Details			Whitley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Allen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Anderson	$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 - H1924-001-0 Benefit Details			Atchison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Bourbon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Crawford	$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 - H1924-001-0 Benefit Details			Dickinson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Douglas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 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 KS - H1924-001-0 Benefit Details			Johnson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Labette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Leavenworth	$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 - H1924-001-0 Benefit Details			Linn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			McPherson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Miami	$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 - H1924-001-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Reno	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KS - H1924-001-0 Benefit Details			Wyandotte	$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 KY - H1924-001-0 Benefit Details			Adair	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Allen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Anderson	$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 KY - H1924-001-0 Benefit Details			Bath	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Bell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Boone	$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 KY - H1924-001-0 Benefit Details			Bourbon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Boyd	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Breathitt	$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 KY - H1924-001-0 Benefit Details			Breckinridge	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Bullitt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Butler	$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 KY - H1924-001-0 Benefit Details			Calloway	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Campbell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Carroll	$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 KY - H1924-001-0 Benefit Details			Carter	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Casey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Clark	$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 KY - H1924-001-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Daviess	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Edmonson	$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 KY - H1924-001-0 Benefit Details			Elliott	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Fayette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Fleming	$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 KY - H1924-001-0 Benefit Details			Franklin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Gallatin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Garrard	$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 KY - H1924-001-0 Benefit Details			Grant	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Graves	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Grayson	$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 KY - H1924-001-0 Benefit Details			Greenup	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Hancock	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Hardin	$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 KY - H1924-001-0 Benefit Details			Harlan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Harrison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Hart	$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 KY - H1924-001-0 Benefit Details			Henderson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Henry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 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 KY - H1924-001-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Jessamine	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Kenton	$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 KY - H1924-001-0 Benefit Details			Knox	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Laurel	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 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 KY - H1924-001-0 Benefit Details			Lee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Leslie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Lewis	$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 KY - H1924-001-0 Benefit Details			Livingston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Logan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			McCracken	$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 KY - H1924-001-0 Benefit Details			McCreary	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			McLean	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Madison	$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 KY - H1924-001-0 Benefit Details			Marshall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Meade	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Menifee	$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 KY - H1924-001-0 Benefit Details			Muhlenberg	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Nelson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 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 KY - H1924-001-0 Benefit Details			Oldham	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Owen	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Pendleton	$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 KY - H1924-001-0 Benefit Details			Perry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Powell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Pulaski	$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 KY - H1924-001-0 Benefit Details			Rockcastle	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Rowan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 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 KY - H1924-001-0 Benefit Details			Shelby	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Simpson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Spencer	$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 KY - H1924-001-0 Benefit Details			Taylor	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Warren	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Webster	$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 KY - H1924-001-0 Benefit Details			Whitley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Wolfe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in KY - H1924-001-0 Benefit Details			Woodford	$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 LA - H1924-001-0 Benefit Details			Ascension	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in LA - H1924-001-0 Benefit Details			East Baton Rouge	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in LA - H1924-001-0 Benefit Details			Jefferson	$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 LA - H1924-001-0 Benefit Details			Livingston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in LA - H1924-001-0 Benefit Details			Orleans	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in LA - H1924-001-0 Benefit Details			St. 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 LA - H1924-001-0 Benefit Details			West Baton Rouge	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Aitkin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Anoka	$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 MN - H1924-001-0 Benefit Details			Becker	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Beltrami	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Benton	$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 MN - H1924-001-0 Benefit Details			Big Stone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Blue Earth	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Brown	$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 MN - H1924-001-0 Benefit Details			Carlton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Carver	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Cass	$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 MN - H1924-001-0 Benefit Details			Chippewa	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Chisago	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 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 MN - H1924-001-0 Benefit Details			Clearwater	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Cook	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Cottonwood	$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 MN - H1924-001-0 Benefit Details			Crow Wing	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Dakota	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Dodge	$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 MN - H1924-001-0 Benefit Details			Douglas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Faribault	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Fillmore	$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 MN - H1924-001-0 Benefit Details			Freeborn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Goodhue	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Grant	$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 MN - H1924-001-0 Benefit Details			Hennepin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Houston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Hubbard	$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 MN - H1924-001-0 Benefit Details			Isanti	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Itasca	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 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 MN - H1924-001-0 Benefit Details			Kanabec	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Kandiyohi	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Kittson	$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 MN - H1924-001-0 Benefit Details			Koochiching	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Lac qui Parle	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Lake	$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 MN - H1924-001-0 Benefit Details			Lake of the Woods	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Le Sueur	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 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 MN - H1924-001-0 Benefit Details			Lyon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			McLeod	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Mahnomen	$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 MN - H1924-001-0 Benefit Details			Marshall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Martin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Meeker	$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 MN - H1924-001-0 Benefit Details			Mille Lacs	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Morrison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Mower	$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 MN - H1924-001-0 Benefit Details			Murray	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Nicollet	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Nobles	$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 MN - H1924-001-0 Benefit Details			Norman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Olmsted	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Otter Tail	$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 MN - H1924-001-0 Benefit Details			Pennington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Pine	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Pipestone	$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 MN - H1924-001-0 Benefit Details			Polk	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Pope	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Ramsey	$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 MN - H1924-001-0 Benefit Details			Red Lake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Redwood	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 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 MN - H1924-001-0 Benefit Details			Rice	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Rock	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Roseau	$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 MN - H1924-001-0 Benefit Details			St. Louis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Scott	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Sherburne	$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 MN - H1924-001-0 Benefit Details			Sibley	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Stearns	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Steele	$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 MN - H1924-001-0 Benefit Details			Stevens	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Swift	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Todd	$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 MN - H1924-001-0 Benefit Details			Traverse	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Wabasha	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Wadena	$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 MN - H1924-001-0 Benefit Details			Waseca	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Watonwan	$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 MN - H1924-001-0 Benefit Details			Wilkin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Winona	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MN - H1924-001-0 Benefit Details			Wright	$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 MN - H1924-001-0 Benefit Details			Yellow Medicine	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Big Horn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Broadwater	$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 - H1924-001-0 Benefit Details			Carbon	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Cascade	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Chouteau	$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 - H1924-001-0 Benefit Details			Custer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Deer Lodge	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Fergus	$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 - H1924-001-0 Benefit Details			Flathead	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Gallatin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 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 MT - H1924-001-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Lake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Lewis and Clark	$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 - H1924-001-0 Benefit Details			Lincoln	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Mineral	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Missoula	$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 - H1924-001-0 Benefit Details			Musselshell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Pondera	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Powell	$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 - H1924-001-0 Benefit Details			Ravalli	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Rosebud	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Sanders	$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 - H1924-001-0 Benefit Details			Silver Bow	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Stillwater	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Sweet Grass	$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 - H1924-001-0 Benefit Details			Teton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Treasure	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in MT - H1924-001-0 Benefit Details			Wheatland	$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 - H1924-001-0 Benefit Details			Yellowstone	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Alamance	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Alexander	$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 - H1924-001-0 Benefit Details			Anson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Burke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Cabarrus	$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 - H1924-001-0 Benefit Details			Caldwell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Caswell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Catawba	$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 - H1924-001-0 Benefit Details			Chatham	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Cleveland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Cumberland	$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 - H1924-001-0 Benefit Details			Davidson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Davie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Durham	$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 - H1924-001-0 Benefit Details			Forsyth	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Gaston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Guilford	$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 - H1924-001-0 Benefit Details			Henderson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Iredell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Johnston	$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 - H1924-001-0 Benefit Details			Lincoln	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Mecklenburg	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Orange	$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 - H1924-001-0 Benefit Details			Person	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Randolph	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Rockingham	$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 - H1924-001-0 Benefit Details			Rowan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Stanly	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Stokes	$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 - H1924-001-0 Benefit Details			Surry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Union	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Wake	$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 - H1924-001-0 Benefit Details			Wilkes	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NC - H1924-001-0 Benefit Details			Yadkin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-001-0 Benefit Details			Burleigh	$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 - H1924-001-0 Benefit Details			Cass	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-001-0 Benefit Details			Grand Forks	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-001-0 Benefit Details			Morton	$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 - H1924-001-0 Benefit Details			Richland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in ND - H1924-001-0 Benefit Details			Stutsman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Bernalillo	$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 NM - H1924-001-0 Benefit Details			Cibola	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Dona Ana	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Grant	$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 NM - H1924-001-0 Benefit Details			Hidalgo	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Luna	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Otero	$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 NM - H1924-001-0 Benefit Details			Rio Arriba	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Sandoval	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			San Miguel	$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 NM - H1924-001-0 Benefit Details			Santa Fe	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Sierra	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Socorro	$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 NM - H1924-001-0 Benefit Details			Torrance	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NM - H1924-001-0 Benefit Details			Valencia	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NV - H1924-001-0 Benefit Details			Churchill	$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 NV - H1924-001-0 Benefit Details			Clark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NV - H1924-001-0 Benefit Details			Douglas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NV - H1924-001-0 Benefit Details			Lyon	$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 NV - H1924-001-0 Benefit Details			Nye	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NV - H1924-001-0 Benefit Details			Storey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in NV - H1924-001-0 Benefit Details			Washoe	$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 NV - H1924-001-0 Benefit Details			Carson City	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Adams	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Allen	$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 OH - H1924-001-0 Benefit Details			Ashland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Ashtabula	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Athens	$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 OH - H1924-001-0 Benefit Details			Auglaize	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Belmont	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Brown	$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 OH - H1924-001-0 Benefit Details			Butler	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Carroll	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Champaign	$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 OH - H1924-001-0 Benefit Details			Clark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Clermont	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Clinton	$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 OH - H1924-001-0 Benefit Details			Columbiana	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Coshocton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Crawford	$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 OH - H1924-001-0 Benefit Details			Cuyahoga	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Darke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Defiance	$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 OH - H1924-001-0 Benefit Details			Delaware	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Erie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Fairfield	$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 OH - H1924-001-0 Benefit Details			Fayette	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Franklin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 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 OH - H1924-001-0 Benefit Details			Gallia	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Geauga	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Greene	$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 OH - H1924-001-0 Benefit Details			Guernsey	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Hamilton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Hancock	$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 OH - H1924-001-0 Benefit Details			Hardin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Harrison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Henry	$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 OH - H1924-001-0 Benefit Details			Highland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Hocking	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Holmes	$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 OH - H1924-001-0 Benefit Details			Huron	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Jackson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Jefferson	$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 OH - H1924-001-0 Benefit Details			Knox	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Lake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 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 OH - H1924-001-0 Benefit Details			Licking	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Logan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Lorain	$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 OH - H1924-001-0 Benefit Details			Lucas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Madison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Mahoning	$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 OH - H1924-001-0 Benefit Details			Marion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Medina	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Meigs	$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 OH - H1924-001-0 Benefit Details			Mercer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Miami	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Monroe	$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 OH - H1924-001-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Morgan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Morrow	$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 OH - H1924-001-0 Benefit Details			Muskingum	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Noble	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Ottawa	$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 OH - H1924-001-0 Benefit Details			Paulding	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Perry	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Pickaway	$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 OH - H1924-001-0 Benefit Details			Pike	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Portage	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Preble	$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 OH - H1924-001-0 Benefit Details			Putnam	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Richland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Ross	$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 OH - H1924-001-0 Benefit Details			Sandusky	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Scioto	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Seneca	$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 OH - H1924-001-0 Benefit Details			Shelby	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Stark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Summit	$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 OH - H1924-001-0 Benefit Details			Trumbull	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Tuscarawas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 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 OH - H1924-001-0 Benefit Details			Van Wert	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Vinton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 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 OH - H1924-001-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Wayne	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Williams	$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 OH - H1924-001-0 Benefit Details			Wood	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in OH - H1924-001-0 Benefit Details			Wyandot	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Allegheny	$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 - H1924-001-0 Benefit Details			Armstrong	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Beaver	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Bedford	$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 - H1924-001-0 Benefit Details			Blair	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Butler	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Cambria	$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 - H1924-001-0 Benefit Details			Cameron	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Clarion	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Clearfield	$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 - H1924-001-0 Benefit Details			Crawford	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Cumberland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Dauphin	$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 - H1924-001-0 Benefit Details			Elk	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Erie	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 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 PA - H1924-001-0 Benefit Details			Forest	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Greene	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Huntingdon	$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 - H1924-001-0 Benefit Details			Indiana	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Lackawanna	$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 - H1924-001-0 Benefit Details			Lancaster	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Lawrence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Lebanon	$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 - H1924-001-0 Benefit Details			McKean	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Mercer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Potter	$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 - H1924-001-0 Benefit Details			Somerset	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Susquehanna	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Venango	$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 - H1924-001-0 Benefit Details			Warren	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 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 PA - H1924-001-0 Benefit Details			Westmoreland	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			Wyoming	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in PA - H1924-001-0 Benefit Details			York	$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 RI - H1924-001-0 Benefit Details			Bristol	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in RI - H1924-001-0 Benefit Details			Kent	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in RI - H1924-001-0 Benefit Details			Newport	$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 RI - H1924-001-0 Benefit Details			Providence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in RI - H1924-001-0 Benefit Details			Washington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Aurora	$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 - H1924-001-0 Benefit Details			Bon Homme	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Brookings	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Butte	$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 - H1924-001-0 Benefit Details			Clark	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Clay	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Codington	$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 - H1924-001-0 Benefit Details			Custer	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Davison	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Day	$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 - H1924-001-0 Benefit Details			Deuel	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Fall River	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Grant	$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 - H1924-001-0 Benefit Details			Hamlin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Hutchinson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Kingsbury	$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 - H1924-001-0 Benefit Details			Lake	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Lawrence	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 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 SD - H1924-001-0 Benefit Details			Meade	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Miner	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Minnehaha	$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 - H1924-001-0 Benefit Details			Moody	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Pennington	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Roberts	$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 - H1924-001-0 Benefit Details			Sanborn	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Spink	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Turner	$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 - H1924-001-0 Benefit Details			Union	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in SD - H1924-001-0 Benefit Details			Yankton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Anderson	$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 - H1924-001-0 Benefit Details			Angelina	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Aransas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Atascosa	$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 - H1924-001-0 Benefit Details			Austin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Bandera	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Bastrop	$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 - H1924-001-0 Benefit Details			Bee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Bell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Bexar	$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 - H1924-001-0 Benefit Details			Bosque	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Brazoria	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Brazos	$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 - H1924-001-0 Benefit Details			Caldwell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Cameron	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Chambers	$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 - H1924-001-0 Benefit Details			Cherokee	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Collin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Comal	$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 - H1924-001-0 Benefit Details			Cooke	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Coryell	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 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 TX - H1924-001-0 Benefit Details			Delta	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Denton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Ellis	$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 - H1924-001-0 Benefit Details			El Paso	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Falls	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Fannin	$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 - H1924-001-0 Benefit Details			Fort Bend	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Galveston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Grayson	$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 - H1924-001-0 Benefit Details			Gregg	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Grimes	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Guadalupe	$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 - H1924-001-0 Benefit Details			Hamilton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Hardin	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Harris	$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 - H1924-001-0 Benefit Details			Hays	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Henderson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Hidalgo	$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 - H1924-001-0 Benefit Details			Hill	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Hood	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Hopkins	$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 - H1924-001-0 Benefit Details			Houston	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Hunt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 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 TX - H1924-001-0 Benefit Details			Jefferson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Jim Wells	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 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 TX - H1924-001-0 Benefit Details			Kaufman	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Kendall	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Kleberg	$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 - H1924-001-0 Benefit Details			Lampasas	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Liberty	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Llano	$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 - H1924-001-0 Benefit Details			McLennan	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Matagorda	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 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 - H1924-001-0 Benefit Details			Medina	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Milam	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Mills	$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 - H1924-001-0 Benefit Details			Montgomery	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Nacogdoches	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Navarro	$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 - H1924-001-0 Benefit Details			Newton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Nueces	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Orange	$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 - H1924-001-0 Benefit Details			Panola	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Parker	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 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 TX - H1924-001-0 Benefit Details			Rains	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Robertson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Rockwall	$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 - H1924-001-0 Benefit Details			Rusk	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			San Augustine	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			San Jacinto	$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 - H1924-001-0 Benefit Details			San Patricio	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			San Saba	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Shelby	$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 - H1924-001-0 Benefit Details			Smith	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Starr	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Tarrant	$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 - H1924-001-0 Benefit Details			Travis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Trinity	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Tyler	$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 - H1924-001-0 Benefit Details			Upshur	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Van Zandt	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 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 - H1924-001-0 Benefit Details			Walker	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Waller	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Webb	$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 - H1924-001-0 Benefit Details			Wharton	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Willacy	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Williamson	$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 - H1924-001-0 Benefit Details			Wilson	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Wise	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in TX - H1924-001-0 Benefit Details			Wood	$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 - H1924-001-0 Benefit Details			Zavala	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-001-0 Benefit Details			Davis	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-001-0 Benefit Details			Salt Lake	$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 - H1924-001-0 Benefit Details			Utah	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a
Lasso Healthcare (MSA) in UT - H1924-001-0 Benefit Details			Weber	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	n/a

• 2020 PDP-Finder (Drug Only Plans)
• Compare 2019 & 2020 Plans
• 2020 PDP-DrugFinder (Formulary Drug Search)

Review 2020 Medicare Advantage plans

Chart Legend:

Below are a few notes to help with the understanding of the 2020 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 initial deductible is $435. 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: In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $5,019 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2020, all formulary drugs will have at least a 75% discount in the coverage gap (Donut Hole). The Gap Coverage Types discussed in this section are supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
  • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $5,019 depending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Read more...
  • Yes: This plan offers some supplemental gap coverage in addition to the 75% Donut Hole Discount. See plan details for a description of the gap coverage. The description may 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 - This is what you will pay for formulary drugs in 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: July 2020 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: July 2020 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.
  
  
• Initial Coverage Limit (ICL) - The Initial Coverage 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 2020 is $4,020 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. You should always verify cost and coverage information with your Medicare plan provider.