2014 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 Basic Plan (PPO) - H2906-008-0 Benefit Details |
Carson City | $0.00 | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 | ||||||
Senior Care Plus: Freedom Rx Plan (PPO) - H2906-007-0 Benefit Details |
Carson City | $22.00 | $0 | Many Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Tier 6: $10.00 | $3,400 Browse Formulary | |||||
Senior Care Plus: Freedom Rx Enhanced Plan (PPO) - H2906-006-0 Benefit Details |
Carson City | $70.00 | $0 | Many Generics | Preferred Generic: $4.00 Non-Preferred Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Brand: $80.00 Specialty Tier: 33% Tier 6: $10.00 | $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 | |||||||||
Senior Care Plus: Freedom Rx Select Plan (PPO) - H2906-005-0 Benefit Details |
Carson City | $165.00 | $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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