2011 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips | |||||||||||
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Plan Name | County | Monthly Prem. (Parts C & D) |
Deduct- ible | (Donut Hole) Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply |
MOOP for Part A & B Benefits | |||||
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
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AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
AARP MedicareComplete Choice Essential (Regional PPO) - R5287-002-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $85.00 Specialty Tier Drugs: 33% | $4,750 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
AARP MedicareComplete Choice Plan 2 (Regional PPO) - R5287-001-0 Benefit Details |
Statewide | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic and Preferred Brand Drugs: $45.00 Non-Preferred Generic and Non-Preferred Brand Drug: $85.00 Specialty Tier Drugs: 33% | $4,750 Browse Formulary | |||||
Advantage Health Florida (HMO SNP) - H5402-035-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Generic Drugs: 0% Preferred Brand Drugs: $15.00 Non-Preferred Brand Drugs: $45.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Any, Any, Any Gold (PFFS) - H8098-001-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $4.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Any, Any, Any Gold MA Only (PFFS) - H8098-003-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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CareOne (HMO) - H1019-027-0 Benefit Details |
Seminole | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $4.00 Non-Preferred Generic and Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $79.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
CareOne Plus (HMO) - H1019-057-0 Benefit Details |
Seminole | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Generic Drugs: $10.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Citrus Basic (HMO) - H5407-024-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Citrus Total (HMO) - H5407-001-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $69.00 Specialty Tier Drugs: 20% | $3,400 Browse Formulary | |||||
e-Any, Any, Any Gold Direct (PFFS) - H8098-005-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $6.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
e-Medicare Masterpiece Direct (HMO) - H5404-141-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
e-Medicare Masterpiece Premier Direct (HMO) - H5404-140-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: $2.00 Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Freedom Medicare Plan Rx (HMO) - H5427-060-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Freedom Savings Plan (HMO) - H5427-052-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Freedom Savings Plan Rx (HMO) - H5427-054-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $25.00 Non-Preferred Generic and Non-Preferred Brand Drug: $65.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Freedom VIP Care (HMO SNP) - H5427-070-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Freedom VIP Care COPD (HMO SNP) - H5427-076-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Freedom VIP Savings (HMO SNP) - H5427-072-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Freedom VIP Savings COPD (HMO SNP) - H5427-077-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $60.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Humana Gold Plus H1036-047 (HMO) - H1036-047-0 Benefit Details |
Seminole | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $4.00 Generic Drugs: $7.00 Non-Preferred Generic and Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $85.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
Humana Gold Plus H1036-146 (HMO) - H1036-146-0 Benefit Details |
Seminole | $0.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: 0% Generic Drugs: $5.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $4,700 Browse Formulary | |||||
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 | ||||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-018 (Regional PPO) - R5826-018-0 Benefit Details |
Statewide | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 | ||||||
Medicare Masterpiece (HMO) - H5404-001-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: $4.00 Preferred Brand Drugs: $39.00 Non-Preferred Brand Drugs: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Medicare Masterpiece MA Only (HMO) - H5404-116-0 Benefit Details |
Seminole | $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 |
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Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier (HMO) - H5404-138-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Medicare Masterpiece Premier SNP - COPD (HMO SNP) - H5404-137-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Medicare Masterpiece Premier SNP - Dementia (HMO SNP) - H5404-136-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Premier SNP - Diabetes (HMO SNP) - H5404-135-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Preferred Generic Drugs: 0% Generic Drugs: 0% Preferred Brand Drugs: $20.00 Non-Preferred Brand Drugs: $50.00 Specialty Tier Drugs: 33% | n/a Browse Formulary | |||||
Optimum Gold Plan (HMO-POS) - H5594-022-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $39.00 Non-Preferred Generic and Non-Preferred Brand Drug: $69.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Optimum Platinum Plus (HMO-POS) - H5594-023-0 Benefit Details |
Seminole | $0.00 | $0 | Many Generics | Generic and Brand Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $20.00 Non-Preferred Generic and Non-Preferred Brand Drug: $50.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
PUP Easy (HMO) - H5696-003-0 Benefit Details |
Seminole | $0.00 | $0 | Some Generics | Preferred Generic Drugs: 0% Generic and Brand Drugs: 0% Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $80.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
PUP Perks (HMO) - H5696-019-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,400 | ||||||
PUP Rewards (HMO) - H5696-004-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic and Brand Drugs: $5.00 Preferred Brand Drugs: $35.00 Non-Preferred Generic and Non-Preferred Brand Drug: $90.00 Specialty Tier Drugs: 33% | $4,300 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Value One Florida (HMO SNP) - H5402-041-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 25% Preferred Brand Drugs: 25% Non-Preferred Generic and Non-Preferred Brand Drug: 25% Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
WellCare Advance (HMO) - H1032-037-0 Benefit Details |
Seminole | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
WellCare Value (HMO-POS) - H1032-091-0 Benefit Details |
Seminole | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 0% Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $75.00 Specialty Tier Drugs: 33% | $4,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Freedom Medi-Medi (HMO SNP) - H5427-078-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
PUP Extra (HMO SNP) - H5696-021-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
CareNeeds (HMO SNP) - H1019-028-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $77.00 Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
CareNeeds Plus (HMO SNP) - H1019-049-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: 0% Non-Preferred Generic and Preferred Brand Drugs: $32.00 Non-Preferred Brand Drugs: $77.00 Specialty Tier Drugs: 25% | n/a Browse Formulary | |||||
Citrus Plus (HMO SNP) - H5407-011-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Evercare Plan IP (PPO SNP) - H5417-001-0 Benefit Details |
Seminole | $25.40 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Evercare Plan RDP (Regional PPO SNP) - R5287-003-0 Benefit Details |
Statewide | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Evercare Plan RDP (Regional PPO SNP) - R5287-003-0 Benefit Details |
Seminole | $ for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | n/a Browse Formulary | |||||
Humana Gold Choice H8145-010 (PFFS) - H8145-010-0 Benefit Details |
Seminole | $29.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 | ||||||
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Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
Medicare Masterpiece Plus (HMO-POS) - H5404-086-0 Benefit Details |
Seminole | $29.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: $4.00 Generic Drugs: $15.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $79.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
WellCare Choice (HMO-POS) - H1032-002-0 Benefit Details |
Seminole | $48.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: 0% Preferred Brand Drugs: $25.00 Non-Preferred Brand Drugs: $60.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Benefit Details |
Seminole | $50.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $4,500 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-074 (Regional PPO) - R5826-074-0 Benefit Details |
Statewide | $50.00 | $310 | No additional gap coverage, only the Donut Hole Discount | Tier 1: tbd | $4,500 Browse Formulary | |||||
PUP Elite (HMO) - H5696-031-0 Benefit Details |
Seminole | $50.00 | $0 | Some Generics | Preferred Generic Drugs: 0% Generic and Brand Drugs: 0% Preferred Brand Drugs: $25.00 Non-Preferred Generic and Non-Preferred Brand Drug: $80.00 Specialty Tier Drugs: 33% | $3,400 Browse Formulary | |||||
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Benefit Details |
Statewide | $63.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $4,500 Browse Formulary | |||||
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Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
BlueMedicare Regional PPO (Regional PPO) - R3332-001-0 Benefit Details |
Seminole | $63.00 | $150 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $6.00 Preferred Brand Drugs: $45.00 Non-Preferred Brand Drugs: $89.00 Specialty Tier Drugs: 25% | $4,500 Browse Formulary | |||||
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Any, Any, Any Platinum (PFFS) - H8098-009-0 Benefit Details |
Seminole | $69.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic Drugs: 0% Generic Drugs: $3.00 Preferred Brand Drugs: $35.00 Non-Preferred Brand Drugs: $65.00 Specialty Tier Drugs: 33% | $6,700 Browse Formulary | |||||
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HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Benefit Details |
Seminole | $80.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,000 Browse Formulary | |||||
Plan Name | County | Monthly Prem. |
Deduct- ible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance |
MOOP for A & B |
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Service | Exper. | Cost Info | |||||||||
HumanaChoice R5826-005 (Regional PPO) - R5826-005-0 Benefit Details |
Statewide | $80.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $8.00 Non-Preferred Generic and Preferred Brand Drugs: $40.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,000 Browse Formulary | |||||
Humana Gold Choice H8145-061 (PFFS) - H8145-061-0 Benefit Details |
Seminole | $87.00 | $0 | Few Generics, Few Brands | Preferred Generic Drugs: $7.00 Non-Preferred Generic and Preferred Brand Drugs: $38.00 Non-Preferred Brand Drugs: $80.00 Specialty Tier Drugs: 33% | $6,300 Browse Formulary | |||||
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