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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Community HealthFirst MA Plan with Pharmacy (HMO) - H5826-009-0 Benefit Details |
Chelan | $30.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Generic Drugs: $10.00 Brand Drugs: $39.00 Specialty Tier Drugs: 33% | $2,800 Browse Formulary | |||||
Community HealthFirst Medicare Advantage Premium (HMO-POS) - H5826-011-0 Benefit Details |
Chelan | $61.00 | $0 | Many Generics | Generic Drugs: $5.00 Preferred Brand Drugs: $30.00 Non-Preferred Brand Drugs: $55.00 Specialty Tier Drugs: 33% | $1,000 Browse Formulary | |||||
Community HealthFirst MA Plan, Enhanced Pharmacy (HMO) - H5826-012-0 Benefit Details |
Chelan | $66.00 | $0 | Many Generics | Generic Drugs: $7.00 Brand Drugs: $37.00 Specialty Tier Drugs: 33% | $2,300 Browse Formulary | |||||
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