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Texas Medicare Advantage Plans with Prescription Drug Coverage in HAYS County

Plan Name Contract ID/Plan ID Star Rating Monthly Premium Deductible Gap Coverage? CoPay/Coinsurance Amts for 30-day Supply Details
Humana Gold Plus H4510-027 (HMO) H4510 / 027 3.5 out of 5 stars $0.00 $0 Yes Preferred Generic-$5.00
Non-Preferred Generic-$10.00
Preferred Brand-$42.00
Non-Preferred Brand-$85.00
Specialty Tier-33%
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Physicians Health Choice Total (HMO) H4527 / 002 3 out of 5 stars $0.00 $0 Yes Preferred Generic-$3.00
Non-Preferred Generic-$33.00
Preferred Brand-$45.00
Non-Preferred Brand-$90.00
Specialty Tier-33%
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Care Improvement Plus Gold Rx (Regional PPO SNP) R6801 / 009 3 out of 5 stars $0.00 $0 No Generic-$8.00
Preferred Brand-$45.00
Non-Preferred Brand-$95.00
Specialty Tier-33%
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Care Improvement Plus Medicare Advantage (Regional PPO) R6801 / 012 3 out of 5 stars $0.00 $0 No Generic-$8.00
Preferred Brand-$45.00
Non-Preferred Brand-$95.00
Specialty Tier-33%
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Care Improvement Plus Copper RX (Regional PPO SNP) R6801 / 022 3 out of 5 stars $0.00 $0 No Generic-$8.00
Preferred Brand-$45.00
Non-Preferred Brand-$95.00
Specialty Tier-33%
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Physicians Health Choice Select (HMO SNP) H4527 / 003 3 out of 5 stars $19.50 $325.00 No Tier 1-NA
Tier 2-NA
Tier 3-NA
Tier 4-NA
Tier 5-NA
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UnitedHealthcare Dual Complete (HMO SNP) H4514 / 001 3 out of 5 stars $29.40 $325.00 No Tier 1-15%
Tier 2-15%
Tier 3-15%
Tier 4-15%
Tier 5-15%
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Care Improvement Plus Chrome RX (Regional PPO SNP) R6801 / 021 3 out of 5 stars $31.80 $325.00 No Tier 1-25%
Tier 2-25%
Tier 3-25%
Tier 4-25%
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Care Improvement Plus Silver Rx (Regional PPO SNP) R6801 / 008 3 out of 5 stars $31.80 $325.00 No Tier 1-25%
Tier 2-25%
Tier 3-25%
Tier 4-25%
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Care Improvement Plus Dual Advantage (Regional PPO SNP) R6801 / 011 3 out of 5 stars $31.80 $325.00 No Tier 1-NA
Tier 2-NA
Tier 3-NA
Tier 4-NA
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Humana Prime Choice H4520-006 (PPO) H4520 / 006 3 out of 5 stars $57.00 $0 Yes Preferred Generic-$7.00
Non-Preferred Generic-$12.00
Preferred Brand-$42.00
Non-Preferred Brand-$83.00
Specialty Tier-33%
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HumanaChoice R5826-012 (Regional PPO) R5826 / 012 3.5 out of 5 stars $59.00 $125.00 No Preferred Generic-$7.00
Non-Preferred Generic-$12.00
Preferred Brand-$45.00
Non-Preferred Brand-$89.00
Specialty Tier-30%
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Blue Medicare Advantage (PPO) H1666 / 001 Plan too new to be measured $69.90 $325.00 No Preferred Generic-$3.00
Non-Preferred Generic-$10.00
Preferred Brand-$43.00
Non-Preferred Brand-$95.00
Specialty Tier-25%
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Humana Gold Choice H8145-084 (PFFS) H8145 / 084 3.5 out of 5 stars $87.00 $0 Yes Preferred Generic-$6.00
Non-Preferred Generic-$12.00
Preferred Brand-$39.00
Non-Preferred Brand-$80.00
Specialty Tier-33%
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