There are 59 Medicare Advantage plans meeting your criteria.
2017 / 2018 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 |
2017 AARP MedicareComplete Plan 8 (HMO)
| $0.00 |
$4,500 |
$225 | No additional gap coverage, only the Donut Hole Discount |
H5253 -057 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,683
2017 Formulary |
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|
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2018 AARP MedicareComplete Plan 8 (HMO)
| $0.00 |
$4,500 |
$255 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
|
2017 Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H7172 -001 -0 | 0% | 0% | 0% | | 3,410
2017 Formulary |
-- |
-- |
-- |
|
2018 Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,152 2018 Formulary |
|
2017 Aetna Medicare Value Plan (PPO)
| $0.00 |
$6,100 |
$150 | Yes, some additional gap coverage. |
H5521 -088 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
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|
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2018 Aetna Medicare Value Plan (PPO)
| $0.00 |
$5,200 |
$95 | Yes, some additional gap coverage. | $2.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 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 |
2017 Anthem MediBlue Essential (HMO)
| $0.00 |
$4,900 |
$60 | Yes, some additional gap coverage. |
H3655 -032 -0 | $4.00 | $15.00 | $42.00 | $42.00 | 3,666
2017 Formulary |
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|
|
|
2018 Anthem MediBlue Essential (HMO)
| $0.00 |
$4,900 |
$60 | Yes, some additional gap coverage. | $4.00 | $15.00 | $42.00 | $42.00 | 3,752 2018 Formulary |
|
2017 Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0022 -001 -0 | 0% | 0% | 0% | | 3,382
2017 Formulary |
-- |
-- |
-- |
|
2018 Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,521 2018 Formulary |
|
2017 CareSource Advantage Zero Premium (HMO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H6396 -004 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,098
2017 Formulary |
new |
new |
new |
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2018 CareSource Advantage Zero Premium (HMO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,153 2018 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 |
2017 Gateway Health Medicare Assured Select (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H9190 -019 -0 | $3.00 | $16.00 | $45.00 | $45.00 | 3,021
2017 Formulary |
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|
|
2018 Gateway Health Medicare Assured Select (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $16.00 | $45.00 | $45.00 | 3,150 2018 Formulary |
|
-- This plan not offered in 2017 --
|
R5495 -001 -0 | | | | | |
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2018 HumanaChoice R5495-001 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 MedMutual Advantage Classic (HMO)
| $0.00 |
$3,950 |
$195 | Yes, some additional gap coverage. |
H6723 -001 -1 | $5.00 | $19.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
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2018 MedMutual Advantage Classic (HMO)
| $0.00 |
$4,300 |
$195 | Yes, some additional gap coverage. | $5.00 | $19.00 | $47.00 | $47.00 | 3,863 2018 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 2017 --
|
H5475 -011 -0 | | | | | |
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|
|
2018 MeridianCare Essential (HMO)
| $0.00 |
$4,250 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,881 2018 Formulary |
|
2017 Paramount Elite - Standard Medical and Drug (HMO)
| $10.00 |
$6,100 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3653 -015 -0 | $4.00 | $20.00 | $45.00 | $45.00 | 3,184
2017 Formulary |
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|
|
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2018 Paramount Elite - Standard Medical and Drug (HMO)
| $0.00 |
$6,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $20.00 | $45.00 | $45.00 | 3,112 2018 Formulary |
|
2017 SummaCare Medicare Topaz (HMO)
| $0.00 |
$3,800 |
$150 | Yes, some additional gap coverage. |
H3660 -049 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,740
2017 Formulary |
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2018 SummaCare Medicare Topaz (HMO)
| $0.00 |
$3,800 |
$150 | Yes, some additional gap coverage. | $0.00 | $15.00 | $47.00 | $47.00 | 3,817 2018 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 |
2017 Humana Gold Plus H6622-016 (HMO)
| $17.90 |
$6,700 |
$175 | Yes, some additional gap coverage. |
H6622 -016 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
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|
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2018 Humana Gold Plus H6622-016 (HMO)
| $16.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 Anthem MediBlue Access Core (Regional PPO)
| $17.00 |
$5,400 |
No Rx Coverage |
R5941 -013 -0 | This plan does NOT include Prescription Drug coverage. | |
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2018 Anthem MediBlue Access Core (Regional PPO)
| $18.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 UnitedHealthcare Dual Complete (HMO-POS SNP)
| $32.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5322 -028 -0 | | | | | 3,683
2017 Formulary |
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2018 UnitedHealthcare Dual Complete (HMO-POS SNP)
| $22.30 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 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 2017 --
|
H5216 -108 -0 | | | | | |
|
|
|
|
2018 HumanaChoice H5216-108 (PPO)
| $23.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 AARP MedicareComplete Plan 4 (HMO)
| $26.00 |
$3,900 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H5253 -056 -0 | $2.00 | $8.00 | $45.00 | $45.00 | 3,683
2017 Formulary |
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|
|
2018 AARP MedicareComplete Plan 4 (HMO)
| $24.00 |
$3,600 |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $45.00 | $45.00 | 3,779 2018 Formulary |
|
2017 UnitedHealthcare Assisted Living Plan (HMO-POS SNP)
| $16.30 |
n/a |
$120 | No additional gap coverage, only the Donut Hole Discount |
H5253 -061 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,683
2017 Formulary |
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|
|
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2018 UnitedHealthcare Assisted Living Plan (HMO-POS SNP)
| $24.60 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,779 2018 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 |
2017 Aetna Medicare Select Plan (HMO)
| $29.00 |
$5,500 |
$175 | Yes, some additional gap coverage. |
H3931 -109 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
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|
|
|
2018 Aetna Medicare Select Plan (HMO)
| $29.00 |
$4,900 |
$100 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
2017 Buckeye Health Plan Medicare Advantage (HMO SNP)
| $32.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H0908 -001 -0 | | | | | 3,382
2017 Formulary |
-- |
|
|
|
2018 Allwell Dual Medicare (HMO SNP)
| $31.90 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,470 2018 Formulary |
|
2017 Gateway Health Medicare Assured Diamond (HMO SNP)
| $32.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H9190 -001 -0 | | | | | 3,021
2017 Formulary |
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|
|
|
2018 Gateway Health Medicare Assured Diamond (HMO SNP)
| $31.90 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,150 2018 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 |
2017 Gateway Health Medicare Assured Ruby (HMO SNP)
| $32.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H9190 -002 -0 | | | | | 3,021
2017 Formulary |
|
|
|
|
2018 Gateway Health Medicare Assured Ruby (HMO SNP)
| $31.90 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,150 2018 Formulary |
|
2017 Anthem MediBlue Dual Advantage (HMO SNP)
| $32.30 |
n/a |
$400 | Yes, some additional gap coverage. |
H3655 -033 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,666
2017 Formulary |
|
|
|
|
2018 Anthem MediBlue Dual Advantage (HMO SNP)
| $32.00 |
n/a |
$405 | Yes, some additional gap coverage. | $0.00 | $7.00 | $47.00 | $47.00 | 3,752 2018 Formulary |
|
2017 CareSource Advantage (HMO)
| $32.30 |
$4,600 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6396 -001 -0 | $4.00 | $10.00 | $47.00 | $47.00 | 3,098
2017 Formulary |
new |
new |
new |
|
2018 CareSource Advantage (HMO)
| $32.00 |
$4,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $10.00 | $47.00 | $47.00 | 3,153 2018 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 2017 --
|
H5475 -010 -0 | | | | | |
|
|
|
|
2018 MeridianCare Extra (HMO SNP)
| $32.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,881 2018 Formulary |
|
2017 UnitedHealthcare Nursing Home Plan (HMO-POS SNP)
| $23.10 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5253 -060 -0 | | | | | 3,683
2017 Formulary |
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|
|
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2018 UnitedHealthcare Nursing Home Plan (HMO-POS SNP)
| $32.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 Formulary |
|
2017 MedMutual Advantage Select (PPO)
| $39.00 |
$6,350 |
$195 | Yes, some additional gap coverage. |
H4497 -001 -1 | $5.00 | $19.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
2018 MedMutual Advantage Select (PPO)
| $35.00 |
$6,500 |
$195 | Yes, some additional gap coverage. | $5.00 | $19.00 | $47.00 | $47.00 | 3,863 2018 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 |
2017 MedMutual Advantage Choice (HMO)
| $29.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H6723 -002 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
2018 MedMutual Advantage Choice (HMO)
| $38.00 |
$3,950 |
$95 | Yes, some additional gap coverage. | $2.00 | $14.00 | $47.00 | $47.00 | 3,863 2018 Formulary |
|
2017 Paramount Elite - Enhanced Medical Only (HMO)
| $46.00 |
$3,400 |
No Rx Coverage |
H3653 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2018 Paramount Elite - Enhanced Medical Only (HMO)
| $46.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 SummaCare Medicare Ruby (HMO)
| $43.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H3660 -047 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,740
2017 Formulary |
|
|
|
|
2018 SummaCare Medicare Ruby (HMO)
| $55.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $47.00 | $47.00 | 3,817 2018 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 |
2017 CareSource Advantage Plus (HMO)
| $57.60 |
$4,600 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6396 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,098
2017 Formulary |
new |
new |
new |
|
2018 CareSource Advantage Plus (HMO)
| $57.00 |
$4,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,153 2018 Formulary |
|
2017 Anthem MediBlue Plus (HMO)
| $65.00 |
$4,100 |
$60 | Yes, some additional gap coverage. |
H3655 -034 -0 | $4.00 | $15.00 | $42.00 | $42.00 | 3,666
2017 Formulary |
|
|
|
|
2018 Anthem MediBlue Plus (HMO)
| $62.00 |
$4,100 |
$60 | Yes, some additional gap coverage. | $4.00 | $15.00 | $42.00 | $42.00 | 3,752 2018 Formulary |
|
2017 Anthem MediBlue Access (PPO)
| $73.00 |
$5,800 |
$50 | Yes, some additional gap coverage. |
H4036 -010 -2 | $4.00 | $15.00 | $42.00 | $42.00 | 3,666
2017 Formulary |
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|
|
|
2018 Anthem MediBlue Access (PPO)
| $70.00 |
$6,200 |
$50 | Yes, some additional gap coverage. | $4.00 | $15.00 | $42.00 | $42.00 | 3,752 2018 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 |
2017 MedMutual Advantage Preferred (PPO)
| $69.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H4497 -002 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
2018 MedMutual Advantage Preferred (PPO)
| $70.00 |
$5,700 |
$95 | Yes, some additional gap coverage. | $2.00 | $14.00 | $47.00 | $47.00 | 3,863 2018 Formulary |
|
2017 Anthem MediBlue Access (Regional PPO)
| $69.00 |
$6,000 |
$20 | Yes, some additional gap coverage. |
R5941 -014 -0 | $4.00 | $15.00 | $42.00 | $42.00 | n/a |
|
|
|
|
2018 Anthem MediBlue Access Basic (Regional PPO)
| $75.00 |
$6,000 |
$200 | Yes, some additional gap coverage. | $6.00 | $15.00 | $42.00 | $42.00 | 3,752 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5216 -050 -0 | | | | | |
|
|
|
|
2018 HumanaChoice H5216-050 (PPO)
| $85.00 |
$6,200 |
$175 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,666 2018 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 |
2017 Paramount Elite - Enhanced Medical and Drug (HMO)
| $87.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3653 -004 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 4,163
2017 Formulary |
|
|
|
|
2018 Paramount Elite - Enhanced Medical and Drug (HMO)
| $85.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 4,198 2018 Formulary |
|
2017 Aetna Medicare Choice Plan (PPO)
| $90.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H5521 -134 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
|
|
|
|
2018 Aetna Medicare Choice Plan (PPO)
| $92.00 |
$4,100 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
-- This plan not offered in 2017 --
|
R5495 -002 -0 | | | | | |
|
|
|
|
2018 HumanaChoice R5495-002 (Regional PPO)
| $96.00 |
$6,700 |
$320 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,666 2018 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 2017 --
|
H6723 -003 -1 | | | | | |
|
|
|
|
2018 MedMutual Advantage Plus (HMO)
| $99.00 |
$3,400 |
$95 | Yes, some additional gap coverage. | $2.00 | $14.00 | $47.00 | $47.00 | 3,863 2018 Formulary |
|
2017 Humana Gold Plus H6622-020 (HMO)
| $97.00 |
$3,900 |
$100 | Yes, some additional gap coverage. |
H6622 -020 -0 | $1.00 | $4.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
2018 Humana Gold Plus H6622-020 (HMO)
| $103.00 |
$5,900 |
$125 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $4.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 SummaCare Medicare Sapphire (HMO-POS)
| $96.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H3660 -048 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,740
2017 Formulary |
|
|
|
|
2018 SummaCare Medicare Sapphire (HMO-POS)
| $105.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $47.00 | $47.00 | 3,817 2018 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 |
2017 Gateway Health Medicare Assured Prime (HMO)
| $92.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H9190 -006 -0 | $0.00 | $20.00 | $45.00 | $45.00 | 3,021
2017 Formulary |
|
|
|
|
2018 Gateway Health Medicare Assured Prime (HMO)
| $107.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $45.00 | $45.00 | 3,150 2018 Formulary |
|
2017 MedMutual Advantage Premium (PPO)
| $109.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H4497 -003 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
2018 MedMutual Advantage Premium (PPO)
| $110.00 |
$3,400 |
$95 | Yes, some additional gap coverage. | $2.00 | $14.00 | $47.00 | $47.00 | 3,863 2018 Formulary |
|
2017 AARP MedicareComplete Plan 3 (HMO)
| $117.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5253 -055 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,683
2017 Formulary |
|
|
|
|
2018 AARP MedicareComplete Plan 3 (HMO)
| $115.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $45.00 | $45.00 | 3,779 2018 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 |
2017 Aetna Medicare Standard Plan (PPO)
| $125.00 |
$5,000 |
$200 | Yes, some additional gap coverage. |
H5521 -020 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
|
|
|
|
2018 Aetna Medicare Standard Plan (PPO)
| $122.00 |
$4,750 |
$150 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
2017 HumanaChoice H5525-030 (PPO)
| $161.00 |
$3,400 |
$100 | Yes, some additional gap coverage. |
H5525 -030 -0 | $1.00 | $4.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
2018 HumanaChoice H5525-030 (PPO)
| $163.00 |
$3,400 |
$100 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $4.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 Aetna Medicare OH Connect Gold 2 (Regional PPO)
| $165.00 |
$3,500 |
$245 | No additional gap coverage, only the Donut Hole Discount |
R6694 -005 -0 | $2.00 | $5.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2018 Aetna Medicare OH Connect Gold 2 (Regional PPO)
| $177.00 |
$3,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 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 |
2017 Aetna Medicare OH Connect Gold (Regional PPO)
| $179.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
R6694 -003 -0 | $2.00 | $5.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2018 Aetna Medicare OH Connect Gold (Regional PPO)
| $187.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
2017 HumanaChoice H6609-084 (PPO)
| $84.00 |
$6,700 |
$175 | Yes, some additional gap coverage. |
H6609 -084 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-050 (PPO) H5216-050 --
| | | | | |
|
2017 HumanaChoice R5826-021 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R5826 -021 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to HumanaChoice R5495-001 (Regional PPO) R5495-001 --
| | | | | |
|
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 |
2017 HumanaChoice R5826-007 (Regional PPO)
| $94.00 |
$6,700 |
$340 | No additional gap coverage, only the Donut Hole Discount |
R5826 -007 -0 | $7.00 | $17.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- Members will be assigned to HumanaChoice R5495-002 (Regional PPO) R5495-002 --
| | | | | |
|
2017 MedMutual Advantage Standard (HMO)
| $29.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H6298 -011 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
-- Members will be assigned to MedMutual Advantage Choice (HMO) H6723-002 --
| | | | | |
|
2017 MedMutual Advantage Value (HMO)
| $0.00 |
$3,950 |
$195 | Yes, some additional gap coverage. |
H6298 -010 -1 | $5.00 | $19.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
-- Members will be assigned to MedMutual Advantage Classic (HMO) H6723-001 --
| | | | | |
|
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 |
2017 MedMutual Advantage Enhanced (HMO)
| $89.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H6298 -012 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,786
2017 Formulary |
|
|
|
|
-- Members will be assigned to MedMutual Advantage Plus (HMO) H6723-003 --
| | | | | |
|
2017 Meridian Easy (HMO)
| $15.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5475 -002 -0 | $0.00 | $20.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- Members will be assigned to MeridianCare Essential (HMO) H5475-006 --
| | | | | |
|
2017 Meridian Extra (HMO SNP)
| $34.20 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5475 -001 -0 | | | | | n/a |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|
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 |
2017 Meridian Elite (HMO)
| $77.00 |
$4,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5475 -003 -0 | $0.00 | $15.00 | $45.00 | $45.00 | n/a |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|
2017 Meridian Essential (HMO)
| $0.00 |
$5,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5475 -006 -0 | $0.00 | $20.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|