Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Autauga |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Baldwin |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Barbour |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Bibb |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Blount |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Bullock |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Butler |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Calhoun |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Chambers |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Cherokee |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Chilton |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Choctaw |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Clarke |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Clay |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Cleburne |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Coffee |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Colbert |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Conecuh |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Coosa |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Covington |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Crenshaw |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Cullman |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Dale |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Dallas |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
DeKalb |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Elmore |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Escambia |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Etowah |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Fayette |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Franklin |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Geneva |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Greene |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Hale |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Henry |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Houston |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Jackson |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Jefferson |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Lamar |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Lauderdale |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Lawrence |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Lee |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Limestone |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Lowndes |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Macon |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Madison |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Marengo |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Marion |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Marshall |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Mobile |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Monroe |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Montgomery |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Morgan |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Perry |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Pickens |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Pike |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Randolph |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Russell |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
St. Clair |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Shelby |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Sumter |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Talladega |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Tallapoosa |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Tuscaloosa |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Walker |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Washington |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Wilcox |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
Humana Value Plus H5216-179 (PPO) in AL - H5216-179-0
Benefits & Contact Info
|
Winston |
$41.40 |
$545 |
No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00 Generic: $20.00 Preferred Brand: 21% Non-Preferred Drug: 27% Specialty Tier: 25%
all covered insulin pay $35 or less | $3,000 Browse Formulary |
|
|
|
|