There are 58 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 1 (HMO)
| $0.00 |
$3,400 |
$50 | No additional gap coverage, only the Donut Hole Discount |
H4527 -037 -0 | $2.00 | $14.00 | $47.00 | $47.00 | 3,683
2017 Formulary |
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|
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2018 AARP MedicareComplete Plan 1 (HMO)
| $0.00 |
$3,400 |
$75 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $14.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
|
2017 AARP MedicareComplete Plan 2 (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H4514 -007 -0 | $2.00 | $14.00 | $47.00 | $47.00 | 3,683
2017 Formulary |
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2018 AARP MedicareComplete Plan 2 (HMO)
| $0.00 |
$6,700 |
$225 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $14.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
|
2017 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H4523 -015 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
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|
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2018 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$5,000 |
$150 | 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 Aetna Medicare Prime Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4523 -024 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,894
2017 Formulary |
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|
|
2018 Aetna Medicare Prime Plan (HMO)
| $0.00 |
$3,400 |
$350 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 5,215 2018 Formulary |
|
2017 Amerivantage Classic (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5817 -020 -1 | $4.00 | $9.00 | $42.00 | $42.00 | 3,666
2017 Formulary |
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2018 Amerivantage Classic (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $5.00 | $12.00 | $42.00 | $42.00 | 3,752 2018 Formulary |
|
2017 Amerivantage Select (HMO)
| $0.00 |
$2,750 |
$0 | Yes, some additional gap coverage. |
H5817 -023 -0 | $2.00 | $4.00 | $42.00 | $42.00 | 3,666
2017 Formulary |
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2018 Amerivantage Select (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $3.00 | $10.00 | $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 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H8133 -001 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,200
2017 Formulary |
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|
|
2018 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$2,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,261 2018 Formulary |
|
2017 Blue Cross Medicare Advantage Basic Plus (HMO-POS)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. |
H8133 -012 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,200
2017 Formulary |
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2018 Blue Cross Medicare Advantage Basic Plus (HMO-POS)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,261 2018 Formulary |
|
2017 Care Improvement Plus Silver Rx (Regional PPO SNP)
| $5.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
R6801 -008 -0 | | | | | n/a |
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2018 Care Improvement Plus Silver Rx (Regional PPO SNP)
| $0.00 |
n/a |
$340 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,779 2018 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 |
2017 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H4513 -009 -0 | This plan does NOT include Prescription Drug coverage. | |
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2018 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4513 -025 -0 | $0.00 | $4.00 | $40.00 | $40.00 | 3,420
2017 Formulary |
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2018 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $40.00 | $40.00 | 3,508 2018 Formulary |
|
2017 Humana Gold Plus H2649-052 (HMO)
| $0.00 |
$6,700 |
$360 | Yes, some additional gap coverage. |
H2649 -052 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
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-- |
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2018 Humana Gold Plus H2649-052 (HMO)
| $0.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $14.00 | $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 --
|
H2649 -064 -0 | | | | | |
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-- |
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2018 Humana Gold Plus H2649-064 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $14.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5216 -128 -0 | | | | | |
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2018 HumanaChoice H5216-128 (PPO)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2017 --
|
R4182 -001 -0 | | | | | |
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2018 HumanaChoice R4182-001 (Regional PPO)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
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 KelseyCare Advantage Essential (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H0332 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2018 KelseyCare Advantage Essential (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 KelseyCare Advantage Essential+Choice (HMO-POS)
| $0.00 |
$3,400 |
No Rx Coverage |
H0332 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
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2018 KelseyCare Advantage Essential+Choice (HMO-POS)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 KelseyCare Advantage Rx (HMO)
| $0.00 |
$3,400 |
$50 | Yes, some additional gap coverage. |
H0332 -002 -0 | $3.00 | $17.00 | $40.00 | $40.00 | 3,734
2017 Formulary |
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2018 KelseyCare Advantage Rx (HMO)
| $0.00 |
$3,400 |
$50 | Yes, some additional gap coverage. | $3.00 | $17.00 | $40.00 | $40.00 | 3,784 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 Memorial Hermann Advantage (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H7115 -001 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 3,215
2017 Formulary |
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|
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2018 Memorial Hermann Advantage (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,530 2018 Formulary |
|
2017 TexanPlus Choice (HMO-POS)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H4506 -029 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,098
2017 Formulary |
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2018 TexanPlus Choice (HMO-POS)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,141 2018 Formulary |
|
2017 TexanPlus Classic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4506 -003 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,098
2017 Formulary |
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|
|
|
2018 TexanPlus Classic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,141 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 TexanPlus Value (HMO)
| $0.00 |
$3,000 |
No Rx Coverage |
H4506 -010 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2018 TexanPlus Value (HMO)
| $0.00 |
$3,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2017 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1264 -008 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 2,914
2017 Formulary |
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|
|
|
2018 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 2,933 2018 Formulary |
|
2017 WellCare Dividend Prime (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H1264 -022 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 2,914
2017 Formulary |
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|
|
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2018 WellCare Dividend Prime (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 2,933 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 --
|
H1264 -024 -2 | | | | | |
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|
|
|
2018 WellCare Value (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $30.00 | $30.00 | 2,933 2018 Formulary |
|
2017 Care Improvement Plus Gold Rx (Regional PPO SNP)
| $15.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
R6801 -009 -0 | $4.00 | $11.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2018 Care Improvement Plus Gold Rx (Regional PPO SNP)
| $15.00 |
n/a |
$295 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5216 -043 -1 | | | | | |
|
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2018 HumanaChoice H5216-043 (PPO)
| $15.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $13.00 | $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 Care Improvement Plus Dual Advantage (Regional PPO SNP)
| $23.50 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
R6801 -011 -0 | | | | | n/a |
|
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2018 Care Improvement Plus Dual Advantage (Regional PPO SNP)
| $15.70 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 Formulary |
|
2017 Aetna Medicare Choice Plan (PPO)
| $19.00 |
$6,000 |
$0 | Yes, some additional gap coverage. |
H5521 -060 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
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|
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2018 Aetna Medicare Choice Plan (PPO)
| $16.00 |
$6,700 |
$95 | Yes, some additional gap coverage. | $2.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
2017 Cigna-HealthSpring TotalCare (HMO SNP)
| $22.00 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H4513 -010 -0 | | | | | n/a |
|
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2018 Cigna-HealthSpring TotalCare (HMO SNP)
| $17.80 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,508 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 --
|
H1264 -020 -0 | | | | | |
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|
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2018 WellCare Liberty (HMO SNP)
| $19.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $16.00 | $47.00 | $47.00 | 2,933 2018 Formulary |
|
2017 UnitedHealthcare Dual Complete (HMO SNP)
| $27.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H4514 -001 -0 | | | | | 3,683
2017 Formulary |
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2018 UnitedHealthcare Dual Complete (HMO SNP)
| $20.40 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,779 2018 Formulary |
|
2017 WellCare Access (HMO SNP)
| $12.80 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1264 -007 -0 | $2.00 | $5.00 | $32.00 | $32.00 | 2,914
2017 Formulary |
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|
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2018 WellCare Access (HMO SNP)
| $20.80 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 2,933 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 WellCare Liberty (HMO SNP)
| $12.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1264 -021 -0 | $2.00 | $5.00 | $32.00 | $32.00 | 2,914
2017 Formulary |
|
|
|
|
2018 WellCare Liberty (HMO SNP)
| $21.30 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 2,933 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5817 -024 -1 | | | | | |
|
|
|
|
2018 Amerivantage Dual Coordination (HMO SNP)
| $24.60 |
n/a |
$405 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,752 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5817 -026 -0 | | | | | |
|
|
|
|
2018 Amerivantage Dual Premier (HMO SNP)
| $24.60 |
n/a |
$405 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 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 Humana Gold Plus SNP-DE H2649-048 (HMO SNP)
| $26.10 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H2649 -048 -0 | $0.00 | $19.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
-- |
|
|
2018 Humana Gold Plus SNP-DE H2649-048 (HMO SNP)
| $24.60 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 Humana Kidney Care (HMO-POS SNP)
| $26.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H2649 -056 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,825
2017 Formulary |
|
-- |
|
|
2018 Humana Kidney Care (HMO-POS SNP)
| $24.60 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $15.00 | $47.00 | $47.00 | 3,671 2018 Formulary |
|
2017 TexanPlus Star (HMO SNP)
| $27.30 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H0174 -001 -0 | | | | | 3,098
2017 Formulary |
-- |
-- |
|
|
2018 TexanPlus Star (HMO SNP)
| $24.60 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,112 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 Memorial Hermann Advantage (PPO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H2968 -001 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 3,215
2017 Formulary |
|
|
|
|
2018 Memorial Hermann Advantage (PPO)
| $25.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,530 2018 Formulary |
|
2017 Care Improvement Plus Medicare Advantage (Regional PPO)
| $36.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount |
R6801 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2018 Care Improvement Plus Medicare Advantage (Regional PPO)
| $37.00 |
$6,700 |
$290 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,779 2018 Formulary |
|
2017 Blue Cross Medicare Advantage Choice Plus (PPO)
| $31.60 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H1666 -006 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,200
2017 Formulary |
|
|
|
|
2018 Blue Cross Medicare Advantage Choice Plus (PPO)
| $42.00 |
$6,700 |
$405 | Yes, some additional gap coverage. | $0.00 | $14.00 | $42.00 | $42.00 | 3,261 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 --
|
R4182 -004 -0 | | | | | |
|
|
|
|
2018 HumanaChoice R4182-004 (Regional PPO)
| $45.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $13.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 Blue Cross Medicare Advantage Premier (HMO)
| $48.00 |
$2,700 |
$0 | Yes, some additional gap coverage. |
H8133 -011 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,200
2017 Formulary |
|
|
|
|
2018 Blue Cross Medicare Advantage Premier (HMO)
| $47.00 |
$2,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,261 2018 Formulary |
|
2017 KelseyCare Advantage Rx+Choice (HMO-POS)
| $77.00 |
$3,400 |
$50 | Yes, some additional gap coverage. |
H0332 -004 -0 | $3.00 | $17.00 | $40.00 | $40.00 | 3,734
2017 Formulary |
|
|
|
|
2018 KelseyCare Advantage Rx+Choice (HMO-POS)
| $77.00 |
$3,400 |
$50 | Yes, some additional gap coverage. | $3.00 | $17.00 | $40.00 | $40.00 | 3,784 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 Blue Cross Medicare Advantage Choice Premier (PPO)
| $74.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H1666 -003 -0 | $0.00 | $9.00 | $39.00 | $39.00 | 3,200
2017 Formulary |
|
|
|
|
2018 Blue Cross Medicare Advantage Choice Premier (PPO)
| $83.00 |
$5,900 |
$405 | Yes, some additional gap coverage. | $0.00 | $14.00 | $42.00 | $42.00 | 3,261 2018 Formulary |
|
-- This plan not offered in 2017 --
|
H5216 -042 -0 | | | | | |
|
|
|
|
2018 HumanaChoice H5216-042 (PPO)
| $87.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
-- This plan not offered in 2017 --
|
R4182 -003 -0 | | | | | |
|
|
|
|
2018 HumanaChoice R4182-003 (Regional PPO)
| $89.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $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 Humana Gold Choice H8145-084 (PFFS)
| $103.00 |
n/a |
$250 | Yes, some additional gap coverage. |
H8145 -084 -0 | $6.00 | $12.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
2018 Humana Gold Choice H8145-084 (PFFS)
| $116.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $12.00 | $47.00 | $47.00 | 3,666 2018 Formulary |
|
2017 Aetna Medicare Value Plan (PPO)
| $124.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -094 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,894
2017 Formulary |
|
|
|
|
2018 Aetna Medicare Value Plan (PPO)
| $123.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $42.00 | $42.00 | 5,223 2018 Formulary |
|
2017 HumanaChoice H6609-108 (PPO)
| $77.00 |
$6,700 |
$200 | Yes, some additional gap coverage. |
H6609 -108 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-042 (PPO) H5216-042 --
| | | | | |
|
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 Texas H6609-151 (PPO)
| $16.90 |
$6,700 |
$360 | Yes, some additional gap coverage. |
H6609 -151 -0 | $6.00 | $13.00 | $47.00 | $47.00 | 3,820
2017 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-043 (PPO) H5216-043 --
| | | | | |
|
2017 HumanaChoice R5826-026 (Regional PPO)
| $0.00 |
$4,900 |
No Rx Coverage |
R5826 -026 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to HumanaChoice R4182-001 (Regional PPO) R4182-001 --
| | | | | |
|
2017 HumanaChoice R5826-012 (Regional PPO)
| $80.00 |
$6,700 |
$200 | Yes, some additional gap coverage. |
R5826 -012 -0 | $7.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- Members will be assigned to HumanaChoice R4182-003 (Regional PPO) R4182-003 --
| | | | | |
|
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 |
2017 HumanaChoice R5826-091 (Regional PPO)
| $42.00 |
$6,700 |
$400 | Yes, some additional gap coverage. |
R5826 -091 -0 | $6.00 | $13.00 | $47.00 | $47.00 | n/a |
|
|
|
|
-- Members will be assigned to HumanaChoice R4182-004 (Regional PPO) R4182-004 --
| | | | | |
|
2017 WellCare Value (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1264 -004 -0 | $4.00 | $20.00 | $47.00 | $47.00 | 2,914
2017 Formulary |
|
|
|
|
-- Members will be assigned to WellCare Value (HMO-POS) H1264-024 --
| | | | | |
|
2017 Amerivantage Dual Coordination (HMO SNP)
| $27.30 |
n/a |
$400 | Yes, some additional gap coverage. |
H5817 -024 -3 | $0.00 | $20.00 | $47.00 | $47.00 | 3,666
2017 Formulary |
|
|
|
|
-- 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 Aetna Medicare TX Connect Plus 2 (PPO)
| $99.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H5521 -106 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,670
2017 Formulary |
|
|
|
|
-- This plan not offered in 2018 --
|
| | | | |
|