There are 56 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 |
2018 Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8026 -001 -0 | 0% | 0% | 0% | | 3,152
2018 Formulary |
-- |
-- |
-- |
|
2019 Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,164 2019 Formulary |
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-- This plan not offered in 2018 --
|
H5521 -214 -0 | | | | | |
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2019 Aetna Medicare Value Plan (PPO)
| $0.00 |
$4,600 |
$95 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
2018 AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0192 -001 -0 | 0% | 0% | 0% | | 3,353
2018 Formulary |
-- |
-- |
-- |
|
2019 AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,335 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 BCN Advantage HMO HealthyValue (HMO)
| $0.00 |
$4,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5883 -011 -3 | $2.00 | $11.00 | $42.00 | $42.00 | 3,868
2018 Formulary |
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|
|
2019 BCN Advantage HMO HealthyValue (HMO)
| $0.00 |
$4,500 |
$250 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $11.00 | $42.00 | $42.00 | 3,624 2019 Formulary |
|
2018 BCN Advantage HMO-POS Basic (HMO-POS)
| $0.00 |
$4,700 |
$395 | No additional gap coverage, only the Donut Hole Discount |
H5883 -004 -5 | $3.00 | $11.00 | $42.00 | $42.00 | 3,868
2018 Formulary |
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2019 BCN Advantage HMO-POS Basic (HMO-POS)
| $0.00 |
$4,500 |
$405 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $11.00 | $42.00 | $42.00 | 3,624 2019 Formulary |
|
2018 HAP Midwest MI Health Link (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H9712 -001 -0 | 0% | 0% | | | 3,821
2018 Formulary |
-- |
-- |
-- |
|
2019 HAP Empowered MI Health Link (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | | | 3,568 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 --
|
H2354 -024 -0 | | | | | |
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2019 HAP Primary Choice Medicare (HMO)
| $0.00 |
$4,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 HAP Senior Plus (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2354 -015 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
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2019 HAP Senior Plus (HMO)
| $0.00 |
$4,800 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 HAP Senior Plus Medical Only (HMO)
| $0.00 |
$4,500 |
No Rx Coverage |
H2354 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 HAP Senior Plus Medical Only (HMO)
| $0.00 |
$4,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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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 Humana Gold Plus H8908-004 (HMO)
| $0.00 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H8908 -004 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 Humana Gold Plus H8908-004 (HMO)
| $0.00 |
$5,200 |
$100 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5216 -178 -2 | | | | | |
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2019 HumanaChoice H5216-178 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2018 --
|
H5216 -190 -0 | | | | | |
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2019 HumanaChoice H5216-190 (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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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 HumanaChoice R3887-001 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R3887 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 HumanaChoice R3887-001 (Regional PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2018 MeridianCare Enhanced (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5475 -007 -0 | $4.00 | $20.00 | $47.00 | $47.00 | 3,881
2018 Formulary |
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2019 MeridianCare Enhanced (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $20.00 | $47.00 | $47.00 | 3,575 2019 Formulary |
|
2018 MeridianCare Essential (HMO)
| $0.00 |
$4,250 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5475 -006 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,881
2018 Formulary |
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2019 MeridianCare Essential (HMO)
| $0.00 |
$4,250 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 3,575 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 --
|
H5475 -026 -0 | | | | | |
|
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|
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2019 MeridianCare Essential Clarity (HMO)
| $0.00 |
$4,250 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 3,575 2019 Formulary |
|
2018 Michigan Complete Health (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H9487 -001 -0 | 0% | 0% | 0% | | 3,521
2018 Formulary |
-- |
-- |
-- |
|
2019 Michigan Complete Health (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,315 2019 Formulary |
|
2018 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H7844 -001 -0 | 0% | 0% | 0% | | 3,154
2018 Formulary |
-- |
-- |
-- |
|
2019 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,163 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 PriorityMedicare Key (HMO-POS)
| $0.00 |
$4,200 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2320 -022 -5 | $5.00 | $15.00 | $42.00 | $42.00 | 3,996
2018 Formulary |
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2019 PriorityMedicare Key (HMO-POS)
| $0.00 |
$4,200 |
$125 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $42.00 | $42.00 | 3,842 2019 Formulary |
|
2018 Medicare Plus Blue PPO Essential (PPO)
| $24.00 |
$6,400 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H9572 -004 -6 | $2.00 | $11.00 | $42.00 | $42.00 | 3,834
2018 Formulary |
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2019 Medicare Plus Blue PPO Essential (PPO)
| $14.00 |
$6,400 |
$405 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $11.00 | $42.00 | $42.00 | 3,539 2019 Formulary |
|
2018 PriorityMedicare Ideal (PPO)
| $18.00 |
$6,400 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H4875 -018 -5 | $4.00 | $13.00 | $42.00 | $42.00 | 3,996
2018 Formulary |
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2019 PriorityMedicare Ideal (PPO)
| $14.00 |
$6,000 |
$125 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $13.00 | $42.00 | $42.00 | 3,842 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 HAP Senior Plus Option 1 (PPO)
| $15.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2322 -011 -0 | 25% | 25% | 25% | 25% | 3,731
2018 Formulary |
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|
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2019 HAP Senior Plus Option 1 (PPO)
| $15.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 BCN Advantage HMO HealthySaver (HMO)
| $23.00 |
$4,500 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H5883 -009 -3 | $2.00 | $11.00 | $42.00 | $42.00 | 3,868
2018 Formulary |
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|
|
|
2019 BCN Advantage HMO HealthySaver (HMO)
| $22.00 |
$4,500 |
$100 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $11.00 | $42.00 | $42.00 | 3,624 2019 Formulary |
|
2018 Humana Value Plus H5216-133 (PPO)
| $26.90 |
$6,700 |
$280 | No additional gap coverage, only the Donut Hole Discount |
H5216 -133 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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|
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2019 HumanaChoice H5216-133 (PPO)
| $23.00 |
$6,400 |
$270 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $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 |
-- This plan not offered in 2018 --
|
H8908 -005 -0 | | | | | |
|
|
|
|
2019 Humana Gold Plus SNP-DE H8908-005 (HMO SNP)
| $28.80 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $19.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 Molina Medicare Options Plus (HMO SNP)
| $33.30 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5926 -001 -0 | $0.00 | $0.00 | $38.00 | $38.00 | 3,156
2018 Formulary |
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|
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2019 Molina Medicare Options Plus (HMO SNP)
| $30.10 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,163 2019 Formulary |
|
2018 MeridianCare Extra (HMO SNP)
| $33.30 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5475 -001 -0 | 25% | 25% | 25% | 25% | 3,881
2018 Formulary |
|
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|
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2019 MeridianCare Extra (HMO SNP)
| $32.90 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,575 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 --
|
H5475 -023 -0 | | | | | |
|
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|
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2019 MeridianCare Extra Smile (HMO SNP)
| $32.90 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,575 2019 Formulary |
|
2018 PriorityMedicare Value (HMO-POS)
| $63.00 |
$4,500 |
$75 | No additional gap coverage, only the Donut Hole Discount |
H2320 -021 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,996
2018 Formulary |
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|
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2019 PriorityMedicare Value (HMO-POS)
| $42.00 |
$4,500 |
$75 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,842 2019 Formulary |
|
2018 HAP Senior Plus Option 1 (HMO-POS)
| $45.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2354 -020 -0 | $6.00 | $15.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
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|
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2019 HAP Senior Plus Option 1 (HMO-POS)
| $45.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 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 H8908-001 (HMO)
| $47.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8908 -001 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 Humana Gold Plus H8908-001 (HMO)
| $45.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5521 -217 -0 | | | | | |
|
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|
|
2019 Aetna Medicare Standard Plan (PPO)
| $47.00 |
$4,500 |
$95 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
2018 MeridianCare Elite (HMO)
| $47.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5475 -003 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,881
2018 Formulary |
|
|
|
|
2019 MeridianCare Elite (HMO)
| $47.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 3,575 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 --
|
H5475 -025 -0 | | | | | |
|
|
|
|
2019 MeridianCare Elite Clarity (HMO)
| $47.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 3,575 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5475 -024 -0 | | | | | |
|
|
|
|
2019 MeridianCare Elite Smile (HMO)
| $47.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 3,575 2019 Formulary |
|
2018 BCN Advantage HMO-POS Elements (HMO-POS)
| $69.00 |
$4,500 |
No Rx Coverage |
H5883 -001 -5 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2019 BCN Advantage HMO-POS Elements (HMO-POS)
| $49.00 |
$4,500 |
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 |
2018 BCN Advantage HMO ConnectedCare (HMO)
| $56.00 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5883 -007 -0 | $1.00 | $10.00 | $42.00 | $42.00 | 3,868
2018 Formulary |
|
|
|
|
2019 BCN Advantage HMO ConnectedCare (HMO)
| $55.00 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $10.00 | $42.00 | $42.00 | 3,624 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H2322 -012 -0 | | | | | |
|
|
|
|
2019 HAP Senior Plus Option 2 (PPO)
| $55.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 HAP Senior Plus Henry Ford Tiered Access (HMO)
| $60.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2354 -018 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
|
|
|
|
2019 HAP Senior Plus Henry Ford Tiered Access (HMO)
| $65.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 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 HAP Senior Plus Option 2 (HMO-POS)
| $85.00 |
$4,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2354 -021 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
|
|
|
|
2019 HAP Senior Plus Option 2 (HMO-POS)
| $75.00 |
$4,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 Medicare Plus Blue PPO Vitality (PPO)
| $109.50 |
$5,400 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H9572 -002 -6 | $2.00 | $11.00 | $42.00 | $42.00 | 3,834
2018 Formulary |
|
|
|
|
2019 Medicare Plus Blue PPO Vitality (PPO)
| $78.40 |
$5,000 |
$350 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $11.00 | $42.00 | $42.00 | 3,539 2019 Formulary |
|
2018 PriorityMedicare Merit (PPO)
| $86.00 |
$3,750 |
$75 | No additional gap coverage, only the Donut Hole Discount |
H4875 -016 -3 | $2.00 | $10.00 | $42.00 | $42.00 | 3,996
2018 Formulary |
|
|
|
|
2019 PriorityMedicare Merit (PPO)
| $85.00 |
$4,000 |
$75 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,842 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 Aetna Medicare Premier Plan (PPO)
| $92.00 |
$4,900 |
$115 | No additional gap coverage, only the Donut Hole Discount |
H5521 -149 -0 | $2.00 | $5.00 | $42.00 | $42.00 | 5,223
2018 Formulary |
|
|
|
|
2019 Aetna Medicare Premier Plan (PPO)
| $87.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
2018 HumanaChoice H5216-011 (PPO)
| $106.00 |
$6,700 |
$105 | No additional gap coverage, only the Donut Hole Discount |
H5216 -011 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
|
|
|
|
2019 HumanaChoice H5216-011 (PPO)
| $99.00 |
$4,900 |
$105 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 PriorityMedicare (HMO-POS)
| $140.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2320 -019 -0 | $1.00 | $8.00 | $38.00 | $38.00 | 3,996
2018 Formulary |
|
|
|
|
2019 PriorityMedicare (HMO-POS)
| $113.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $8.00 | $38.00 | $38.00 | 3,842 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 HAP Senior Plus Option 2 (PPO)
| $118.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2322 -008 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
|
|
|
|
2019 HAP Senior Plus Option 3 (PPO)
| $118.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 HumanaChoice R3887-002 (Regional PPO)
| $133.00 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
R3887 -002 -0 | 19% | 25% | 25% | 25% | 3,666
2018 Formulary |
|
|
|
|
2019 HumanaChoice R3887-002 (Regional PPO)
| $120.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $13.00 | $47.00 | $47.00 | tbd |
|
2018 BCN Advantage HMO-POS Classic (HMO-POS)
| $164.00 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5883 -002 -7 | $1.00 | $7.00 | $38.00 | $38.00 | 3,868
2018 Formulary |
|
|
|
|
2019 BCN Advantage HMO-POS Classic (HMO-POS)
| $127.40 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $38.00 | $38.00 | 3,624 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 Medicare Plus Blue PPO Signature (PPO)
| $172.50 |
$4,700 |
$105 | No additional gap coverage, only the Donut Hole Discount |
H9572 -001 -6 | $1.00 | $10.00 | $42.00 | $42.00 | 3,834
2018 Formulary |
|
|
|
|
2019 Medicare Plus Blue PPO Signature (PPO)
| $143.00 |
$4,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $10.00 | $42.00 | $42.00 | 3,539 2019 Formulary |
|
2018 HAP Senior Plus Option 3 (HMO-POS)
| $170.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H2354 -022 -0 | $4.00 | $10.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
|
|
|
|
2019 HAP Senior Plus Option 3 (HMO-POS)
| $170.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 2019 Formulary |
|
2018 HAP Senior Plus Option 3 (PPO)
| $190.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H2322 -004 -0 | $4.00 | $10.00 | $45.00 | $45.00 | 3,731
2018 Formulary |
|
|
|
|
2019 HAP Senior Plus Option 4 (PPO)
| $190.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,567 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 PriorityMedicare Select (PPO)
| $198.00 |
$3,750 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4875 -017 -5 | $1.00 | $7.00 | $37.00 | $37.00 | 3,996
2018 Formulary |
|
|
|
|
2019 PriorityMedicare Select (PPO)
| $197.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $37.00 | $37.00 | 3,842 2019 Formulary |
|
2018 BCN Advantage HMO-POS Prestige (HMO-POS)
| $301.50 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5883 -003 -5 | $1.00 | $7.00 | $38.00 | $38.00 | 3,868
2018 Formulary |
|
|
|
|
2019 BCN Advantage HMO-POS Prestige (HMO-POS)
| $282.00 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $38.00 | $38.00 | 3,624 2019 Formulary |
|
2018 Medicare Plus Blue PPO Assure (PPO)
| $312.50 |
$4,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9572 -003 -6 | $1.00 | $9.00 | $38.00 | $38.00 | 3,834
2018 Formulary |
|
|
|
|
2019 Medicare Plus Blue PPO Assure (PPO)
| $313.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $37.00 | $37.00 | 3,539 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 H5216-012 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -012 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-178 (PPO) H5216-178 --
| | | | | |
|
2018 Blue Cross Medicare Private Fee for Service (PFFS)
| $220.00 |
n/a |
No Rx Coverage |
H4262 -001 -6 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|