There are 58 Medicare Advantage plans meeting your criteria.
2016 / 2017 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 AARP MedicareComplete (HMO)
| $0.00 |
$5,200 |
$220 | No additional gap coverage, only the Donut Hole Discount |
H1045 -028 -0 | $2.00 | $8.00 | $45.00 | $45.00 | 3,529
2016 Formulary |
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-- |
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2017 AARP MedicareComplete (HMO)
| $0.00 |
$4,900 |
$220 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $45.00 | $45.00 | 3,683 2017 Formulary |
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-- This plan not offered in 2016 --
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R7444 -004 -0 | | | | | |
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2017 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2016 --
|
R7444 -003 -0 | | | | | |
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2017 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$230 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | tbd |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2016 --
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H5521 -033 -0 | | | | | |
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2017 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,894 2017 Formulary |
|
2016 BlueMedicare HMO MyTime (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H1026 -057 -0 | $4.00 | $15.00 | $42.00 | $42.00 | 3,993
2016 Formulary |
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|
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2017 BlueMedicare HMO MyTime (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | $4.00 | $13.00 | $40.00 | $40.00 | 4,112 2017 Formulary |
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-- This plan not offered in 2016 --
|
H1026 -059 -0 | | | | | |
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2017 BlueMedicare HMO MyTime Select (HMO)
| $0.00 |
$5,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $35.00 | $35.00 | 4,112 2017 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 CareFree (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1019 -060 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,607
2016 Formulary |
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|
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2017 CareFree (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,826 2017 Formulary |
|
2016 CareOne PLUS (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H1019 -054 -0 | $0.00 | $0.00 | $20.00 | $20.00 | 3,607
2016 Formulary |
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2017 CareOne PLUS (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,826 2017 Formulary |
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-- This plan not offered in 2016 --
|
H1609 -022 -0 | | | | | |
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2017 Coventry Summit Ideal (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,894 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Freedom Platinum Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5427 -092 -0 | $0.00 | $30.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
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|
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2017 Freedom Platinum Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $69.00 | $69.00 | 3,148 2017 Formulary |
|
2016 Freedom VIP Care (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -070 -0 | $0.00 | $25.00 | $75.00 | $75.00 | 2,955
2016 Formulary |
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|
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2017 Freedom VIP Care (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $25.00 | $75.00 | $75.00 | 3,148 2017 Formulary |
|
2016 Freedom VIP Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -072 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
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2017 Freedom VIP Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,148 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Freedom VIP Savings COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -077 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
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|
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2017 Freedom VIP Savings COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,148 2017 Formulary |
|
2016 Humana Gold Plus H1036-230 (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1036 -230 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,607
2016 Formulary |
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2017 Humana Gold Plus H1036-230 (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $45.00 | $45.00 | 3,826 2017 Formulary |
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-- This plan not offered in 2016 --
|
H5415 -071 -0 | | | | | |
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2017 HumanaChoice Florida H5415-071 (PPO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. | $4.00 | $17.00 | $47.00 | $47.00 | 3,820 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
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2017 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2016 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $7.00 | $17.00 | $47.00 | $47.00 | n/a |
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2017 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$400 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $17.00 | $47.00 | $47.00 | tbd |
|
2016 Optimum Diamond Rewards (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -030 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
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|
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2017 Optimum Diamond Rewards (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,148 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Optimum Diamond Rewards COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -031 -0 | $0.00 | $35.00 | $80.00 | $80.00 | 2,955
2016 Formulary |
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|
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2017 Optimum Diamond Rewards COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $80.00 | $80.00 | 3,148 2017 Formulary |
|
2016 Optimum Platinum Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5594 -019 -0 | $0.00 | $40.00 | $85.00 | $85.00 | 2,955
2016 Formulary |
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2017 Optimum Platinum Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $40.00 | $85.00 | $85.00 | 3,148 2017 Formulary |
|
2016 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -020 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,737
2016 Formulary |
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|
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2017 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,042 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -021 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,737
2016 Formulary |
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|
|
2017 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 4,042 2017 Formulary |
|
-- This plan not offered in 2016 --
|
H9276 -002 -0 | | | | | |
new |
new |
new |
|
2017 Sunshine Health Medicare Advantage (HMO)
| $0.00 |
$5,900 |
$275 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $14.00 | $45.00 | $45.00 | 4,290 2017 Formulary |
|
2016 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -179 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 2,801
2016 Formulary |
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|
|
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2017 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $35.00 | $35.00 | 2,914 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -091 -0 | $0.00 | $13.00 | $36.00 | $36.00 | 2,801
2016 Formulary |
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|
|
2017 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $35.00 | $35.00 | 2,914 2017 Formulary |
|
2016 WellCare Value (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -133 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 2,801
2016 Formulary |
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|
|
|
2017 WellCare Value (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 2,914 2017 Formulary |
|
2016 CareNeeds PLUS (HMO SNP)
| $16.20 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1019 -026 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
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|
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2017 CareNeeds PLUS (HMO SNP)
| $6.40 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,826 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 CareNeeds (HMO SNP)
| $16.30 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1019 -079 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 3,607
2016 Formulary |
|
|
|
|
2017 CareNeeds (HMO SNP)
| $11.40 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | $47.00 | $47.00 | 3,826 2017 Formulary |
|
2016 Molina Medicare Options Plus (HMO SNP)
| $26.10 |
n/a |
$360 | Yes, some additional gap coverage. |
H8130 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,041
2016 Formulary |
|
-- |
|
|
2017 Molina Medicare Options Plus (HMO SNP)
| $12.00 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,142 2017 Formulary |
|
2016 Humana Gold Plus SNP-DE H1036-231 (HMO SNP)
| $20.10 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1036 -231 -0 | $0.00 | $1.00 | $47.00 | $47.00 | 3,615
2016 Formulary |
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|
|
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2017 Humana Gold Plus SNP-DE H1036-231 (HMO SNP)
| $13.80 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $1.00 | $47.00 | $47.00 | 3,820 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2016 --
|
H1609 -019 -0 | | | | | |
|
|
|
|
2017 Coventry Summit Maximum (HMO SNP)
| $14.70 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,894 2017 Formulary |
|
2016 WellCare Select (HMO SNP)
| $21.60 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1032 -061 -0 | $0.00 | $11.00 | $47.00 | $47.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Select (HMO SNP)
| $16.40 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,113 2017 Formulary |
|
2016 Humana Gold Plus SNP-DE H1036-253 (HMO SNP)
| $20.20 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1036 -253 -0 | $0.00 | $2.00 | $47.00 | $47.00 | 3,615
2016 Formulary |
|
|
|
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2017 Humana Gold Plus SNP-DE H1036-253 (HMO SNP)
| $17.70 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $1.00 | $47.00 | $47.00 | 3,820 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 WellCare Access (HMO SNP)
| $17.20 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1032 -124 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Access (HMO SNP)
| $18.00 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,113 2017 Formulary |
|
2016 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $22.90 |
n/a |
$75 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,529
2016 Formulary |
|
-- |
|
|
2017 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $19.20 |
n/a |
$120 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,683 2017 Formulary |
|
2016 WellCare Liberty (HMO SNP)
| $16.30 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1032 -175 -0 | $0.00 | $13.00 | $47.00 | $47.00 | 2,801
2016 Formulary |
|
|
|
|
2017 WellCare Liberty (HMO SNP)
| $19.80 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,113 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Freedom Medi-Medi Full (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5427 -087 -0 | | | | | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom Medi-Medi Full (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,148 2017 Formulary |
|
2016 Freedom Medi-Medi Partial (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5427 -078 -0 | | | | | 2,955
2016 Formulary |
|
|
|
|
2017 Freedom Medi-Medi Partial (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,148 2017 Formulary |
|
2016 Optimum Emerald Full (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5594 -017 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Optimum Emerald Full (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,148 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Optimum Emerald Partial (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5594 -016 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 2,955
2016 Formulary |
|
|
|
|
2017 Optimum Emerald Partial (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,148 2017 Formulary |
|
2016 Simply Complete (HMO SNP)
| $28.10 |
n/a |
$360 | Yes, some additional gap coverage. |
H5471 -007 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,737
2016 Formulary |
|
|
|
|
2017 Simply Complete (HMO SNP)
| $29.10 |
n/a |
$400 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 4,042 2017 Formulary |
|
2016 Sunshine Health Advantage (HMO SNP)
| $28.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5190 -001 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,191
2016 Formulary |
-- |
-- |
|
|
2017 Sunshine Health Medicare Advantage (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $18.00 | $47.00 | $47.00 | 3,382 2017 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 UnitedHealthcare Dual Complete LP (HMO SNP)
| $21.50 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H1045 -039 -0 | | | | | 3,529
2016 Formulary |
|
-- |
|
|
2017 UnitedHealthcare Dual Complete LP (HMO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,683 2017 Formulary |
|
-- This plan not offered in 2016 --
|
R7444 -012 -0 | | | | | |
|
|
|
|
2017 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | tbd |
|
-- This plan not offered in 2016 --
|
R7444 -013 -0 | | | | | |
|
|
|
|
2017 UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | tbd |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $28.10 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | | | | | 3,529
2016 Formulary |
|
-- |
|
|
2017 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $29.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,683 2017 Formulary |
|
2016 BlueMedicare Regional PPO (Regional PPO)
| $39.90 |
$6,700 |
$260 | No additional gap coverage, only the Donut Hole Discount |
R3332 -001 -0 | $10.00 | $15.00 | $42.00 | $42.00 | n/a |
|
|
|
|
2017 BlueMedicare Regional PPO (Regional PPO)
| $41.00 |
$6,700 |
$280 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $13.00 | $40.00 | $40.00 | tbd |
|
2016 HumanaChoice R5826-005 (Regional PPO)
| $95.00 |
$6,700 |
$100 | Yes, some additional gap coverage. |
R5826 -005 -0 | $3.00 | $8.00 | $40.00 | $40.00 | n/a |
|
|
|
|
2017 HumanaChoice R5826-005 (Regional PPO)
| $95.00 |
$6,700 |
$100 | Yes, some additional gap coverage. | $3.00 | $8.00 | $40.00 | $40.00 | tbd |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Humana Gold Choice H8145-061 (PFFS)
| $106.00 |
n/a |
$200 | Yes, some additional gap coverage. |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,615
2016 Formulary |
|
|
|
|
2017 Humana Gold Choice H8145-061 (PFFS)
| $110.00 |
n/a |
$200 | Yes, some additional gap coverage. | $7.00 | $17.00 | $47.00 | $47.00 | 3,820 2017 Formulary |
|
2016 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R5287 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to AARP MedicareComplete Choice Essential (Regional PPO) R7444-004 --
| | | | | |
|
2016 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
R5287 -001 -0 | $2.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- Members will be assigned to AARP MedicareComplete Choice Plan 2 (Regional PPO) R7444-003 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Coventry Summit Ideal (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H5414 -033 -0 | $0.00 | $35.00 | 50% | 50% | 3,543
2016 Formulary |
|
|
|
|
-- Members will be assigned to Coventry Summit Ideal (HMO) H1609-020 --
| | | | | |
|
2016 Coventry Summit Maximum (HMO SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5414 -034 -0 | $0.00 | $47.00 | 50% | 50% | 3,543
2016 Formulary |
|
|
|
|
-- Members will be assigned to Coventry Summit Maximum (HMO SNP) H1609-019 --
| | | | | |
|
2016 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $20.60 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
R5287 -003 -0 | | | | | n/a |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Dual Complete RP (Regional PPO SNP) R7444-012 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 BlueMedicare PPO (PPO)
| $147.80 |
$5,900 |
$285 | No additional gap coverage, only the Donut Hole Discount |
H5434 -002 -0 | $14.00 | $15.00 | $42.00 | $42.00 | 3,993
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 Preferred Secure Option (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1045 -023 -0 | $3.00 | $7.00 | $45.00 | $45.00 | 3,531
2016 Formulary |
|
-- |
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
2016 BlueMedicare HMO LifeTime (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H1026 -040 -0 | $14.00 | $15.00 | $42.00 | $42.00 | 3,993
2016 Formulary |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2016 Eden Gold (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0981 -002 -0 | $0.00 | $8.00 | $20.00 | $20.00 | n/a |
|
|
|
|
-- This plan not offered in 2017 --
|
| | | | |
|