2013 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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New West Medicare Value (PPO) - H2701-003-0 Benefit Details |
Beaverhead | $17.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $20.00 Preferred Brand: $45.00 Non-Preferred Brand: 25% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Standard (PPO) - H2701-004-0 Benefit Details |
Beaverhead | $59.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00 Non-Preferred Generic: $15.00 Preferred Brand: $40.00 Non-Preferred Brand: 20% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
New West Medicare Enhanced (PPO) - H2701-001-0 Benefit Details |
Beaverhead | $120.00 | $0 | Many Generics | Preferred Generic: $0.00 Non-Preferred Generic: $5.00 Preferred Brand: $35.00 Non-Preferred Brand: 15% Specialty Tier: 33% | $3,400 Browse Formulary | |||||
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