Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Bedford |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Benton |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Bledsoe |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Bradley |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Cannon |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Carroll |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Cheatham |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Chester |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Clay |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Coffee |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Crockett |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Cumberland |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Davidson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Decatur |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
DeKalb |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Dickson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Fayette |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Fentress |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Gibson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Giles |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Grundy |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Hamilton |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Hardeman |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Hardin |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Haywood |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Henderson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Hickman |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Houston |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Humphreys |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Jackson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Lauderdale |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Lawrence |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Lewis |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Lincoln |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
McNairy |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Macon |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Madison |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Marion |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Marshall |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Maury |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
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|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Montgomery |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Moore |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Overton |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Perry |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Pickett |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Polk |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Putnam |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Robertson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
|
|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Rutherford |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Sequatchie |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Shelby |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Smith |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Stewart |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Sumner |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Tipton |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Trousdale |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Van Buren |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Warren |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Wayne |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
White |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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|
|
Higher cost-sharing at standard network pharmacies. Details:
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Williamson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
|
Cigna Premier Medicare (HMO-POS) in TN - H4513-036-0
Benefits & Contact Info
|
Wilson |
$55.00 |
$0 |
Yes, some additional gap coverage. | Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $99.00 Specialty Tier: 33%
all covered insulin pay $35 or less | $6,300 Browse Formulary |
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Higher cost-sharing at standard network pharmacies. Details:
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