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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Senior Care Plus: Freedom Rx Plan (PPO) - H2906-006-0 Benefit Details |
Storey | $64.00 | $0 | Many Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $3,400 Browse Formulary | |||||
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Today's Options Premier 600 (PFFS) - H5421-056-0 Benefit Details |
Storey | $80.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
Today's Options Premier 300 (PFFS) - H5421-210-0 Benefit Details |
Storey | $115.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a | ||||||
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 | |||||||||
Today's Options Premier Plus 650D (PFFS) - H5421-074-0 Benefit Details |
Storey | $118.00 | $85 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00 Non-Preferred Generic: $12.00 Preferred Brand: $45.00 Non-Preferred Brand: $95.00 Specialty Tier: 29% | n/a Browse Formulary | |||||
Senior Care Plus: Freedom Rx Select Plan (PPO) - H2906-005-0 Benefit Details |
Storey | $162.00 | $0 | Many Generics | Preferred Generic: $2.00 Non-Preferred Generic: $6.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Select Diabetic Drugs: $10.00 | $3,000 Browse Formulary | |||||
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Today's Options Premier Plus 350A (PFFS) - H5421-068-0 Benefit Details |
Storey | $175.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00 Non-Preferred Generic: $7.00 Preferred Brand: $40.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% | n/a Browse Formulary | |||||
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