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Texas Medicare Advantage Plans with Prescription Drug Coverage in HOOD County

Plan Name Contract ID/Plan ID Star Rating Monthly Premium Deductible Gap Coverage? CoPay/Coinsurance Amts for 30-day Supply Details
Care Improvement Plus Medicare Advantage (PPO) H0084 / 001 2.5 out of 5 stars $0.00 $0 No Generic-$6.00
Preferred Brand-$45.00
Non-Preferred Brand-$95.00
Specialty Tier-33%
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Care Improvement Plus Gold Rx (PPO SNP) H0084 / 004 2.5 out of 5 stars $0.00 $0 No Generic-$6.00
Preferred Brand-$45.00
Non-Preferred Brand-$95.00
Specialty Tier-33%
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Care Improvement Plus Copper RX (PPO SNP) H0084 / 027 2.5 out of 5 stars $0.00 $0 No Generic-$6.00
Preferred Brand-$45.00
Non-Preferred Brand-$95.00
Specialty Tier-33%
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HealthSpring Preferred (HMO) H4528 / 001 2.5 out of 5 stars $0.00 $0 Yes Preferred Generic-$0
Non-Preferred Generic-$4.00
Preferred Brand-$35.00
Non-Preferred Brand-$70.00
Specialty Tier-33%
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HealthSpring Achieve (HMO SNP) H4528 / 014 2.5 out of 5 stars $0.00 $0 No Preferred Generic-$3.00
Non-Preferred Generic-$8.00
Preferred Brand-$35.00
Non-Preferred Brand-$70.00
Specialty Tier-33%
Select Diabetic Drugs-$5.00
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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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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 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 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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HealthSpring TotalCare (HMO SNP) H4528 / 002 2.5 out of 5 stars $31.80 $325.00 No Tier 1-15%
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Care Improvement Plus Dual Advantage (PPO SNP) H0084 / 005 2.5 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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Care Improvement Plus Chrome RX (PPO SNP) H0084 / 026 2.5 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 (PPO SNP) H0084 / 003 2.5 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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Fresenius Health Partners (PPO SNP) H8558 / 017 Not enough data available $31.83 $325.00 No Tier 1-25%
Tier 2-25%
Tier 3-25%
Tier 4-25%
Tier 5-25%
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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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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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