H0271 038 - The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 135 members enrolled in this plan in Sanpete, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:

 
UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Social Security Number (Required for people who are enrolling in D-SNP plans): _ _ Medicare Number Permanent Residence Street Address (P.O. Box is not allowed) City County State ZIP Code Mailing Address (Only if it’s different from above. You can give a P.O. Box.) City. Wiki victoria

UnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00. Guía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Área de servicio: Utah - condados de Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery,Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de Cobertura h0271 023 014 ct in me 020 028 mi 029 030 mt 016 sc 037 sd 038 ut 013 wv 042 wy 039 024 h0321 arizona physicians ipa, inc. az h0423 metroplus health plan, inc. h0432 009 h0439 cigna healthcare of georgia, inc. h0473 humana insurance company of kentucky h0482 centene venture company michigan h0524 kaiser foundation hp, inc. ca h0544 blue cross ... 2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Utah, Utah Click to see other locations. Plan ID: H0271 - 038 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711.2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply.1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445.Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. Check eligibility, explore benefits, and enroll today.2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State.5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Utah, Utah Click to see other locations. Plan ID: H0271 - 038 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. 2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits DetailsEnrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Detailsh0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageResumen de Beneficios 2023 UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud queThe UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply. Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage UnitedHealthcare Dual Complete Choice (PPO D-SNP) in UT - H0271-038-0 Benefits & Contact Info Box Elder: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Tier 1: $0.00 all covered insulin pay $35 or less: n/aUnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools. The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply. Jan 1, 2023 · Y0066_SB_H0271_033_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... Jan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Learn more about the UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-028-000 plan for Michigan. Check eligibility, explore benefits, and enroll today.2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 230 members enrolled in this plan in Washington, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 135 members enrolled in this plan in Sanpete, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de CoberturaThe UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 135 members enrolled in this plan in Sanpete, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_CActivate the column resize button and use the right and left arrow keys to resize a column or use your mouse to drag/resize. Press escape to cancel the resizing.2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000 Subject UnitedHealthcare Dual Complete additional benefit overview for health care professionals.2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncThe average monthly premium for Medicare Advantage plans in Salt Lake is $5.83 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Salt Lake County have an average Medicare Star Rating of 3.83 in 2023.*. Plans rated four stars or higher are considered top-rated ...Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron,Jan 1, 2023 · Y0066_SB_H0271_033_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.H0271 - 038 - 0 Click to see other plans: Member Services: 1-866-480-1086 TTY users 711 — Enrollment Options — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance: Email a copy of the UnitedHealthcare Dual Complete Choice (PPO D-SNP) benefit detailsY0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageH0271-022-000 OR Local PPO UnitedHealthcare Medicare Advantage ... H0609-038-000 NV HMO AARP Medicare Advantage Walgreens Plan 1 Not SNP Neither h0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage. The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 230 members enrolled in this plan in Washington, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ Female Home Phone Number ( ) - Mobile Phone Number ( ) - Social Security NumberH0271-022-000 OR Local PPO UnitedHealthcare Medicare Advantage ... H0609-038-000 NV HMO AARP Medicare Advantage Walgreens Plan 1 Not SNP Neither 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits DetailsThe following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage. UnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00. Cost Sharing Plan Information: When a consumer has partial or inactive Medicaid eligibility you must inform the prospective member of the potential co-pay/co-insurance amounts they could incur if they enroll in a cost-sharing plan without having a level of Medicaid that would help cover plan costs.H0271-038-000 CMS Rating 4 out of 5 stars. Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. This dual ...2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsNumber of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...h0271-037-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details Learn more about the UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-028-000 plan for Michigan. Check eligibility, explore benefits, and enroll today.UnitedHealthcare - H0271 For 2023, UnitedHealthcare - H0271 received the following Star Ratings from Medicare: Overall Star Rating: 4 stars Health Services Rating: 3.5 stars Drug Services Rating: 3 stars Every year, Medicare evaluates plans based on a 5-star rating system. Why Star Ratings are Important Medicare rates plans on their health and ... 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-039-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-039-000The table below outlines some of the specific plan details for UnitedHealthcare Medicare Advantage plans available in Utah in 2023. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare. Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated The average monthly premium for Medicare Advantage plans in Salt Lake is $5.83 per month in 2023, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Salt Lake County have an average Medicare Star Rating of 3.83 in 2023.*. Plans rated four stars or higher are considered top-rated ...Plan ID: H0271-036-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $13.30 Monthly Premium. Oregon Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ...5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete (HMO-POS C-SNP) Toll-free 1-877-370-2843, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0609_042_000_2023_C2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsSummary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.Jan 1, 2023 · Summary of Benefits 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) H0271-034-000 Look inside to take advantage of the health services and drug coverages the plan provides. 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details Guía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Área de servicio: Utah - condados de Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery,Medical Plans. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc.License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc ...Sep 26, 2022 · Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... Utah Health Plans Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Steps to Enroll UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) Steps to Enroll Steps to an easy enrollment.The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage. 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Email a copy of the UnitedHealthcare Dual Complete (PPO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare and ... Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_C

H0271 - 033 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance . Mcdonaldpercent27s promotions

h0271 038

o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) Apellidos Nombre Inicial del segundo nombre Fecha de nacimiento Sexo ¨ Masculino ¨ FemeninoEvidence of Coverage 2023 UnitedHealthcare® Chronic Complete (HMO-POS C-SNP) Toll-free 1-877-370-2843, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0609_042_000_2023_C 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details Plan ID: H0271-036-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $13.30 Monthly Premium. Oregon Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ...UnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00.Plan ID: H0271-038-0 Medicare Advantage Plan Details. $0 /mo. monthly premium. UnitedHealthcare Dual Complete Choice (PPO D-SNP) Additional Coverage. Overall Star ...Jan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ...Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete (HMO-POS C-SNP) Toll-free 1-877-370-2843, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0609_042_000_2023_C Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de Cobertura UnitedHealthcare Dual Complete Choice (PPO D-SNP) in UT - H0271-038-0 Benefits & Contact Info Box Elder: $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole Discount: Tier 1: $0.00 all covered insulin pay $35 or less: n/a Jan 1, 2023 · Y0066_SB_H0271_027_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ... UnitedHealthcare Chronic Complete Assure (PPO C-SNP) 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-027. $ 9.80. Monthly Premium. The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply. .

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