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Constant Care Silver 4 250

Field Data
Health Insurance Plan ID40047MI0010004
Health Insurance Plan Year2022
StateMichigan
Health Insurance IssuerMolina Healthcare of Michigan, Inc.
Plan Formulary Description URLFormulary URL
Plan Marketing Materials URLMarketing URL
Last Plan Update DateTue, 24 Aug 2021 00:00 GMT
Last Import DateTue, 21 Mar 2023 13:10 GMT
 
Available Variants of the Health Plan

40047MI0010004-00

40047MI0010004-01

40047MI0010004-02

40047MI0010004-03

40047MI0010004-04

40047MI0010004-05

40047MI0010004-06

Copay & Coinsurance of Constant Care Silver 4 250 Health Insurance Plan, 40047MI0010004

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order
Five preventive 1 month in retail $0 No charge 0% No charge YES
Five preventive 3 month in mail $0 No charge 0% No charge YES
Four specialty 1 month in retail $0 0% After deductible NO
One preferred generic 1 month in retail $0 0% YES
One preferred generic 3 month in mail $0 0% YES
Three non preferred brand and generic 1 month in retail $0 0% After deductible YES
Three non preferred brand and generic 3 month in mail $0 0% After deductible YES
Two preferred brand 1 month in retail $0 0% YES
Two preferred brand 3 month in mail $0 0% YES

Frequently Asked Questions(FAQ) about Constant Care Silver 4 250, 40047MI0010004 Health Insurance Plan, 40047MI0010004

Does Constant Care Silver 4 250 Health Insurance Plan, 40047MI0010004 support Mail Ordering?

Yes, Constant Care Silver 4 250 Health Insurance Plan, 40047MI0010004 supports mail ordering for the next drug tiers: Five preventive, One preferred generic, Three non preferred brand and generic, Two preferred brand

 

Disclaimer: This is based on the import(Date: Tue, 21 Mar 2023 13:10 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API