HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Allen |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Anderson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Atchison |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Barber |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Barton |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Bourbon |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Brown |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Butler |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Chase |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Chautauqua |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Cherokee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Cheyenne |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Clark |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Clay |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Cloud |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Coffey |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Comanche |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Cowley |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Crawford |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Decatur |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Dickinson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Doniphan |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Douglas |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Edwards |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Elk |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Ellis |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Ellsworth |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Finney |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Ford |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Franklin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Geary |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Gove |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Graham |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Grant |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Gray |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Greeley |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Greenwood |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Hamilton |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Harper |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Harvey |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Haskell |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Hodgeman |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Jackson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Jefferson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Jewell |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Johnson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Kearny |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Kingman |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Kiowa |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Labette |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Lane |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Leavenworth |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Lincoln |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Linn |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Logan |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Lyon |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
McPherson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Marion |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Marshall |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Meade |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Miami |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Mitchell |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Montgomery |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Morris |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Morton |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Nemaha |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Neosho |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Ness |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Norton |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Osage |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Osborne |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Ottawa |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Pawnee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Phillips |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Pottawatomie |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Pratt |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Rawlins |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Reno |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Republic |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Rice |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Riley |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Rooks |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Rush |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Russell |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Saline |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Scott |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Sedgwick |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Seward |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Shawnee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Sheridan |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Sherman |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Smith |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Stafford |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Stanton |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Stevens |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Sumner |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Thomas |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Trego |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Wabaunsee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Wallace |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Washington |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Wichita |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Wilson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Woodson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in KS - R4845-001-0
Benefits & Contact Info
|
Wyandotte |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Adair |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Alfalfa |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Atoka |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Beaver |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Beckham |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Blaine |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Bryan |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Caddo |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Canadian |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Carter |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Cherokee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Choctaw |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Cimarron |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Cleveland |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Coal |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Comanche |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Cotton |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Craig |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Creek |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Custer |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Delaware |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Dewey |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Ellis |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Garfield |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Garvin |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Grady |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Grant |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Greer |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Harmon |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Harper |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Haskell |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Hughes |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Jackson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Jefferson |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Johnston |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Kay |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Kingfisher |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Kiowa |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Latimer |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Le Flore |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Lincoln |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Logan |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Love |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
McClain |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
McCurtain |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
McIntosh |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Major |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Marshall |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Mayes |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Murray |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Muskogee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Noble |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Nowata |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Okfuskee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Oklahoma |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Okmulgee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Osage |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Ottawa |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Pawnee |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Payne |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Pittsburg |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Pontotoc |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Pottawatomie |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Pushmataha |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Roger Mills |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Rogers |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Seminole |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Sequoyah |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Stephens |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Texas |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Tillman |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Tulsa |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Wagoner |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Washington |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Washita |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
Plan Name |
County |
Monthly Prem. |
Deduct- ible |
Additional Gap Coverage |
Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
Service |
Exper. |
Cost Info |
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Woods |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|
HumanaChoice R4845-001 (Regional PPO) in OK - R4845-001-0
Benefits & Contact Info
|
Woodward |
$0.00 |
No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
|
|
|
|