There are 92 Medicare Advantage plans meeting your criteria.
2018 / 2019 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 |
-- This plan not offered in 2018 --
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H2406 -018 -0 | | | | | |
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2019 AARP MedicareComplete Choice (PPO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
|
2018 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R7444 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 AARP MedicareComplete Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2018 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R7444 -003 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,779
2018 Formulary |
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2019 AARP MedicareComplete Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount | | | | | 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 |
2018 Aetna Medicare Choice Plan (HMO-POS)
| $0.00 |
$6,700 |
$200 | Yes, some additional gap coverage. |
H1609 -028 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 5,223
2018 Formulary |
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|
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2019 Aetna Medicare Choice Plan (HMO-POS)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
2018 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. |
H5521 -033 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 5,223
2018 Formulary |
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2019 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,700 |
$295 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
2018 Allwell Medicare (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H9276 -004 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,096
2018 Formulary |
-- |
-- |
-- |
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2019 Allwell Medicare (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,811 2019 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 |
2018 AvMed Medicare Choice (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H1016 -001 -0 | $0.00 | $3.00 | $40.00 | $40.00 | 3,205
2018 Formulary |
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2019 AvMed Medicare Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,078 2019 Formulary |
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-- This plan not offered in 2018 --
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H1016 -023 -0 | | | | | |
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2019 AvMed Medicare Circle (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,078 2019 Formulary |
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-- This plan not offered in 2018 --
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H1035 -017 -0 | | | | | |
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2019 BlueMedicare Classic (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 4,088 2019 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 2018 --
|
H1035 -024 -0 | | | | | |
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2019 BlueMedicare Premier (HMO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,088 2019 Formulary |
|
2018 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1019 -076 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,671
2018 Formulary |
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2019 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 CareOne PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1019 -006 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,671
2018 Formulary |
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2019 CareOne PLUS (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,368 2019 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 |
2018 Coventry Medicare Summit Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1609 -016 -0 | $0.00 | $0.00 | $3.00 | $3.00 | 5,215
2018 Formulary |
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2019 Coventry Medicare Summit Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,864 2019 Formulary |
|
2018 Coventry Medicare Vista Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1609 -014 -0 | $0.00 | $0.00 | $3.00 | $3.00 | 5,215
2018 Formulary |
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2019 Coventry Medicare Vista Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $3.00 | $3.00 | 3,864 2019 Formulary |
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-- This plan not offered in 2018 --
|
H1290 -001 -0 | | | | | |
new |
new |
new |
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2019 Devoted Health Miami-Dade (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,250 2019 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 2018 --
|
H4140 -003 -0 | | | | | |
new |
new |
new |
|
2019 DrCare (HMO-POS SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $20.00 | $20.00 | 3,826 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H4140 -004 -0 | | | | | |
new |
new |
new |
|
2019 DrExtra (HMO-POS SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $20.00 | $20.00 | 3,826 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H4140 -001 -0 | | | | | |
new |
new |
new |
|
2019 DrMax (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,826 2019 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 |
2018 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5427 -060 -0 | $0.00 | $40.00 | $85.00 | $85.00 | 3,205
2018 Formulary |
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2019 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $85.00 | $85.00 | 3,176 2019 Formulary |
|
2018 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5427 -052 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2018 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 | 3,205
2018 Formulary |
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2019 Freedom VIP Care (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 3,176 2019 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 |
2018 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 | 3,205
2018 Formulary |
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|
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2019 Freedom VIP Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $80.00 | $80.00 | 3,176 2019 Formulary |
|
2018 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 | 3,205
2018 Formulary |
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|
|
2019 Freedom VIP Savings COPD (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $80.00 | $80.00 | 3,176 2019 Formulary |
|
2018 HealthSun SunPlus Advantage Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5431 -001 -0 | $0.00 | $0.00 | $5.00 | $5.00 | 3,572
2018 Formulary |
|
-- |
|
|
2019 HealthSun SunPlus Advantage Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,453 2019 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 |
2018 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1036 -054 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,671
2018 Formulary |
|
|
|
|
2019 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$2,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,368 2019 Formulary |
|
2018 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1036 -237 -2 | $0.00 | $20.00 | $47.00 | $47.00 | 3,671
2018 Formulary |
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|
|
|
2019 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,368 2019 Formulary |
|
2018 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5216 -068 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,368 2019 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 |
2018 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
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|
|
2019 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2018 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $9.00 | $20.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $20.00 | $47.00 | $47.00 | tbd |
|
2018 Leon Medical Centers Health Plans - Leon Cares (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5410 -001 -0 | $0.00 | $0.00 | 33% | | 4,429
2018 Formulary |
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|
2019 Leon Medical Centers Health Plans - Leon Cares (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | 33% | | 4,200 2019 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 |
2018 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5420 -001 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,779
2018 Formulary |
|
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|
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2019 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3293 -001 -0 | | | | | |
new |
new |
new |
|
2019 MMM - ELITE DADE (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,250 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3293 -003 -0 | | | | | |
new |
new |
new |
|
2019 MMM - EXTRA (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,250 2019 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 |
2018 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5594 -001 -0 | $0.00 | $40.00 | $85.00 | $85.00 | 3,205
2018 Formulary |
|
|
|
|
2019 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $85.00 | $85.00 | 3,176 2019 Formulary |
|
2018 Optimum Platinum Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5594 -002 -0 | $0.00 | $10.00 | $69.00 | $69.00 | 3,205
2018 Formulary |
|
|
|
|
2019 Optimum Platinum Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $65.00 | $65.00 | 3,176 2019 Formulary |
|
2018 PHP (HMO SNP)
| $0.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H3132 -001 -0 | 25% | 25% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
2019 PHP (HMO SNP)
| $0.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,154 2019 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 |
2018 Preferred Choice Dade (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1045 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,779
2018 Formulary |
|
|
|
|
2019 Preferred Choice Dade (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,516 2019 Formulary |
|
2018 Preferred Special Care Miami-Dade (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1045 -018 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,779
2018 Formulary |
|
|
|
|
2019 Preferred Special Care Miami-Dade (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5471 -069 -0 | | | | | |
|
|
|
|
2019 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,848 2019 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 2018 --
|
H5471 -065 -0 | | | | | |
|
|
|
|
2019 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,848 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H0982 -001 -0 | | | | | |
new |
new |
new |
|
2019 Solis Health Plans (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 5,065 2019 Formulary |
|
2018 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -040 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 2,933
2018 Formulary |
|
|
|
|
2019 WellCare Dividend (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,254 2019 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 |
2018 WellCare Guardian (HMO SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -186 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 2,933
2018 Formulary |
|
|
|
|
2019 WellCare Guardian (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,254 2019 Formulary |
|
2018 CareNeeds PLUS (HMO SNP)
| $6.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1019 -024 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,671
2018 Formulary |
|
|
|
|
2019 CareNeeds PLUS (HMO SNP)
| $6.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 CareExtra (HMO)
| $12.50 |
$3,400 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1019 -089 -0 | 24% | 24% | 24% | 24% | 3,671
2018 Formulary |
|
|
|
|
2019 CareExtra (HMO)
| $12.00 |
$1,500 |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | 24% | 24% | 3,368 2019 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 |
2018 CareNeeds (HMO SNP)
| $11.20 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1019 -083 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,671
2018 Formulary |
|
|
|
|
2019 CareNeeds (HMO SNP)
| $17.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 Humana Value Plus H1036-264 (HMO)
| $16.30 |
$3,400 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1036 -264 -0 | 24% | 24% | 24% | 24% | 3,671
2018 Formulary |
|
|
|
|
2019 Humana Value Plus H1036-264 (HMO)
| $20.20 |
$3,400 |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | 24% | 24% | 24% | 3,368 2019 Formulary |
|
2018 Humana Gold Plus SNP-DE H1036-257 (HMO SNP)
| $21.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1036 -257 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,671
2018 Formulary |
|
|
|
|
2019 Humana Gold Plus SNP-DE H1036-257 (HMO SNP)
| $20.50 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,368 2019 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 |
2018 Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
| $17.40 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1036 -077 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,671
2018 Formulary |
|
|
|
|
2019 Humana Gold Plus SNP-DE H1036-077A (HMO SNP)
| $20.60 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $19.80 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
R7444 -012 -0 | | | | | 3,779
2018 Formulary |
|
|
|
|
2019 UnitedHealthcare Dual Complete RP (Regional PPO SNP)
| $25.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | | | | | tbd |
|
2018 UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
| $26.90 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
R7444 -013 -0 | | | | | 3,779
2018 Formulary |
|
|
|
|
2019 UnitedHealthcare Dual Complete RP ONE (Regional PPO SNP)
| $25.30 |
n/a |
$415 | 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 |
2018 Coventry Medicare Vista Plan (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H1609 -015 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 5,215
2018 Formulary |
|
|
|
|
2019 Coventry Medicare Vista Plan (HMO SNP)
| $25.40 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,864 2019 Formulary |
|
2018 Coventry Medicare Summit Plan (HMO SNP)
| $21.40 |
n/a |
$0 | Yes, some additional gap coverage. |
H1609 -017 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 5,215
2018 Formulary |
|
|
|
|
2019 Coventry Medicare Summit Plan (HMO SNP)
| $25.50 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,864 2019 Formulary |
|
2018 WellCare Select (HMO SNP)
| $22.40 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1032 -061 -0 | $0.00 | $3.00 | $47.00 | $47.00 | 3,119
2018 Formulary |
|
|
|
|
2019 WellCare Select (HMO SNP)
| $26.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $47.00 | $47.00 | 3,254 2019 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 |
2018 Preferred Medicare Assist (HMO SNP)
| $16.00 |
n/a |
$405 | Yes, some additional gap coverage. |
H1045 -012 -0 | $0.00 | $0.00 | 25% | 25% | 3,779
2018 Formulary |
|
|
|
|
2019 Preferred Medicare Assist (HMO SNP)
| $27.00 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,516 2019 Formulary |
|
2018 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $21.40 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,779
2018 Formulary |
|
-- |
|
|
2019 UnitedHealthcare Assisted Living Plan (PPO SNP)
| $27.70 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
|
2018 WellCare Access (HMO SNP)
| $28.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1032 -170 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,119
2018 Formulary |
|
|
|
|
2019 WellCare Access (HMO SNP)
| $28.10 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $47.00 | $47.00 | 3,254 2019 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 2018 --
|
H1032 -206 -0 | | | | | |
|
|
|
|
2019 WellCare Reserve (HMO SNP)
| $28.20 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,254 2019 Formulary |
|
2018 Molina Medicare Options Plus (HMO SNP)
| $29.10 |
n/a |
$405 | Yes, some additional gap coverage. |
H8130 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,156
2018 Formulary |
|
|
|
|
2019 Molina Medicare Options Plus (HMO SNP)
| $30.20 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,163 2019 Formulary |
|
2018 Allwell Dual Medicare (HMO SNP)
| $29.00 |
n/a |
$405 | Yes, some additional gap coverage. |
H5190 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,470
2018 Formulary |
|
-- |
|
|
2019 Allwell Dual Medicare (HMO SNP)
| $30.30 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,297 2019 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 2018 --
|
H1035 -027 -0 | | | | | |
|
|
|
|
2019 BlueMedicare Complete (HMO SNP)
| $30.30 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 4,088 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H1290 -006 -0 | | | | | |
new |
new |
new |
|
2019 Devoted Health Prime Miami-Dade (HMO)
| $30.30 |
$3,400 |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,250 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H4140 -002 -0 | | | | | |
new |
new |
new |
|
2019 DrPlus (HMO-POS SNP)
| $30.30 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,826 2019 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 |
2018 Freedom Medi-Medi Full (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5427 -087 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,205
2018 Formulary |
|
|
|
|
2019 Freedom Medi-Medi Full (HMO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,176 2019 Formulary |
|
2018 Freedom Medi-Medi Partial (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5427 -078 -0 | | | | | 3,205
2018 Formulary |
|
|
|
|
2019 Freedom Medi-Medi Partial (HMO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,176 2019 Formulary |
|
2018 HealthSun MediMax (HMO)
| $29.10 |
$3,400 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5431 -006 -0 | 25% | 25% | 25% | 25% | 3,572
2018 Formulary |
|
-- |
|
|
2019 HealthSun MediMax (HMO)
| $30.30 |
$3,400 |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,453 2019 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 |
2018 Medica HealthCare Plans MedicareMax Plus (HMO SNP)
| $25.20 |
n/a |
$405 | Yes, some additional gap coverage. |
H5420 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,779
2018 Formulary |
|
|
|
|
2019 Medica HealthCare Plans MedicareMax Plus (HMO SNP)
| $30.30 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3293 -004 -0 | | | | | |
new |
new |
new |
|
2019 MMM - PLATINUM (HMO SNP)
| $30.30 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,151 2019 Formulary |
|
2018 Optimum Emerald Full (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5594 -017 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,205
2018 Formulary |
|
|
|
|
2019 Optimum Emerald Full (HMO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,176 2019 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 |
2018 Optimum Emerald Partial (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5594 -016 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,205
2018 Formulary |
|
|
|
|
2019 Optimum Emerald Partial (HMO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,176 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H1045 -046 -0 | | | | | |
|
|
|
|
2019 Preferred Complete Care (HMO)
| $30.30 |
$3,400 |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5471 -067 -0 | | | | | |
|
|
|
|
2019 Simply Care (HMO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | 25% | 25% | 3,848 2019 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 2018 --
|
H5471 -068 -0 | | | | | |
|
|
|
|
2019 Simply Comfort (HMO SNP)
| $30.30 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $5.00 | 25% | 25% | 3,848 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5471 -064 -0 | | | | | |
|
|
|
|
2019 Simply Complete (HMO SNP)
| $30.30 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,848 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H0982 -002 -0 | | | | | |
new |
new |
new |
|
2019 Solis Health Plans (HMO SNP)
| $30.30 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 25% | 25% | 5,065 2019 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 |
2018 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | | | | | 3,779
2018 Formulary |
|
-- |
|
|
2019 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,516 2019 Formulary |
|
2018 WellCare Liberty (HMO SNP)
| $29.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H1032 -176 -0 | $0.00 | $9.00 | $46.00 | $46.00 | 3,119
2018 Formulary |
|
|
|
|
2019 WellCare Liberty (HMO SNP)
| $30.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $11.00 | $47.00 | $47.00 | 3,254 2019 Formulary |
|
2018 UnitedHealthcare Nursing Home Plan (HMO SNP)
| $34.90 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5322 -003 -0 | | | | | 3,779
2018 Formulary |
|
|
|
|
2019 UnitedHealthcare Nursing Home Plan (HMO SNP)
| $36.30 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,516 2019 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 |
2018 BlueMedicare Choice (Regional PPO)
| $41.00 |
$6,700 |
$260 | Yes, some additional gap coverage. |
R3332 -001 -0 | $3.00 | $10.00 | $47.00 | $47.00 | 3,301
2018 Formulary |
|
|
|
|
2019 BlueMedicare Choice (Regional PPO)
| $42.00 |
$6,700 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | tbd |
|
2018 HumanaChoice H5216-065 (PPO)
| $57.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -065 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
|
|
|
|
2019 HumanaChoice H5216-065 (PPO)
| $57.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 HumanaChoice R5826-005 (Regional PPO)
| $98.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount |
R5826 -005 -0 | $9.00 | $20.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
|
|
|
|
2019 HumanaChoice R5826-005 (Regional PPO)
| $96.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 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 |
2018 Humana Gold Choice H8145-061 (PFFS)
| $117.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
|
|
|
|
2019 Humana Gold Choice H8145-061 (PFFS)
| $117.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 BlueMedicare Classic (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H1026 -001 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 4,191
2018 Formulary |
|
|
|
|
-- Members will be assigned to BlueMedicare Classic (HMO) H1035-017 --
| | | | | |
|
2018 BlueMedicare Complete (HMO SNP)
| $29.10 |
n/a |
$405 | Yes, some additional gap coverage. |
H1026 -063 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 4,191
2018 Formulary |
|
|
|
|
-- Members will be assigned to BlueMedicare Complete (HMO SNP) H1035-027 --
| | | | | |
|
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 |
2018 BlueMedicare Premier (HMO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. |
H1026 -060 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,191
2018 Formulary |
|
|
|
|
-- Members will be assigned to BlueMedicare Premier (HMO) H1035-024 --
| | | | | |
|
2018 Simply Care (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -008 -0 | $5.00 | $10.00 | $15.00 | $15.00 | 4,054
2018 Formulary |
|
|
|
|
-- Members will be assigned to Simply Care (HMO SNP) H5471-067 --
| | | | | |
|
2018 Simply Comfort (HMO SNP)
| $29.10 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -009 -0 | $5.00 | $10.00 | $15.00 | $15.00 | 4,054
2018 Formulary |
|
|
|
|
-- Members will be assigned to Simply Comfort (HMO SNP) H5471-068 --
| | | | | |
|
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 |
2018 Simply Complete (HMO SNP)
| $29.10 |
n/a |
$405 | Yes, some additional gap coverage. |
H5471 -001 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 4,054
2018 Formulary |
|
|
|
|
-- Members will be assigned to Simply Complete (HMO SNP) H5471-064 --
| | | | | |
|
2018 Simply Level (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -012 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,054
2018 Formulary |
|
|
|
|
-- Members will be assigned to Simply Level (HMO SNP) H5471-069 --
| | | | | |
|
2018 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -002 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,054
2018 Formulary |
|
|
|
|
-- Members will be assigned to Simply More (HMO) H5471-065 --
| | | | | |
|
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 |
2018 WellCare Essential (HMO-POS)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1032 -174 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 2,933
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Allwell Medicare Premier (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9276 -005 -0 | $0.00 | $0.00 | $20.00 | $20.00 | 4,096
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|