2017 Medicare Advantage Plan Details Medicare Plan Name: Care Improvement Plus Medicare Advantage (Regional PPO) Location: Clarendon, South Carolina Plan ID: R7444 - 008 - 0 Member Services: 1-800-204-1002 TTY users 711 — This plan information is for research purposes only. — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 — Medicare Plan Features — Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $95 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL): $3,700 Health Plan Type: Regional PPO Maximum Out-of-Pocket Limit for Parts A & B (MOOP): $6,700 Gap Coverage: No Gap Coverage Total Number of Formulary Drugs: 3,817 drugs This plan has 5 drug tiers.. Formulary Drug Details: Tier 1 Tier 2 Tier 3 Tier 4 Tier 5 • Preferred Pharmacy Cost-Sharing during initial coverage phase: $2. Wow Europe New Patch. 00 $12.00 $47.00 $100.00 31% • Number of Drugs per Tier: 312 578 914 1188 825 Plan's Pharmacy Search: Plan Offers Mail Order: Yes Number of Members enrolled in this plan in South Carolina: 13,061 members Number of Members enrolled in this plan in (R7444 - 008): 80,746 members Plan’s Summary Star Rating:.

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• Drug Cost Accuracy Rating:. Tips & Disclaimers • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. • Medicare has neither reviewed nor endorsed the information on our site. • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.