There are 68 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 --
|
H3219 -001 -0 | | | | | |
new |
new |
new |
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2019 Allina Health | Aetna Medicare Discover Plus (PPO)
| $0.00 |
$5,900 |
$295 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
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-- This plan not offered in 2018 --
|
H5959 -013 -1 | | | | | |
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2019 Blue Cross Medicare Advantage Core (PPO)
| $0.00 |
$5,900 |
$415 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $13.00 | 22% | 22% | 3,238 2019 Formulary |
|
2018 HumanaChoice H5216-086 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -086 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 HumanaChoice H5216-086 (PPO)
| $0.00 |
$6,700 |
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 UCare for Seniors Prime (HMO-POS)
| $5.00 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2459 -020 -0 | | | | | 3,644
2018 Formulary |
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2019 UCare Prime (HMO-POS)
| $0.00 |
$5,000 |
$400 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | 17% | 17% | 3,408 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H4882 -002 -0 | | | | | |
-- |
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|
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2019 HealthPartners Journey Pace (PPO)
| $9.00 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $14.00 | $47.00 | $47.00 | 3,116 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H7404 -001 -0 | | | | | |
new |
new |
new |
|
2019 AARP MedicareComplete Headwaters (PPO)
| $24.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 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 Medica Advantage Solution Edge (HMO-POS)
| $65.40 |
$5,900 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H6154 -001 -0 | $0.00 | $4.00 | $40.00 | $40.00 | 2,881
2018 Formulary |
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2019 Medica Advantage Solution H6154-001 (HMO-POS)
| $26.40 |
$6,700 |
$270 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $41.00 | $41.00 | 3,282 2019 Formulary |
|
2018 HumanaChoice H5216-092 (PPO)
| $29.00 |
$6,700 |
$385 | No additional gap coverage, only the Donut Hole Discount |
H5216 -092 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 HumanaChoice H5216-092 (PPO)
| $27.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 SecureBlue (HMO) SNP (HMO SNP)
| $22.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2425 -001 -0 | | | | | 2,842
2018 Formulary |
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|
|
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2019 SecureBlue (HMO SNP)
| $27.50 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 2,742 2019 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 |
-- This plan not offered in 2018 --
|
H5216 -176 -0 | | | | | |
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2019 Humana Value Plus H5216-176 (PPO)
| $28.90 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H9952 -001 -0 | | | | | |
new |
new |
new |
|
2019 Medica AccessAbility Solution Enhanced (HMO SNP)
| $35.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 3,151 2019 Formulary |
|
2018 Medica DUAL Solution (HMO SNP)
| $33.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2458 -002 -0 | | | | | 3,112
2018 Formulary |
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2019 Medica DUAL Solution (HMO SNP)
| $35.20 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 3,151 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 UCare Connect + Medicare (HMO SNP)
| $30.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5937 -001 -0 | | | | | 3,644
2018 Formulary |
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2019 UCare Connect + Medicare (HMO SNP)
| $35.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 3,396 2019 Formulary |
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2018 UCare's Minnesota Senior Health Options (HMO SNP)
| $30.10 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2456 -002 -0 | | | | | 3,644
2018 Formulary |
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2019 UCare's Minnesota Senior Health Options (HMO SNP)
| $35.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 3,396 2019 Formulary |
|
2018 HealthPartners Minnesota Senior Health Options (HMO SNP)
| $34.00 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2422 -002 -0 | | | | | 3,235
2018 Formulary |
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2019 HealthPartners Minnesota Senior Health Options (HMO SNP)
| $35.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $0.00 | $0.00 | 3,116 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 --
|
H0710 -041 -0 | | | | | |
|
-- |
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2019 UnitedHealthcare Nursing Home Plan (PPO SNP)
| $35.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H0422 -001 -0 | | | | | |
new |
new |
new |
|
2019 Care Core with Fairview & North Memorial (HMO-POS)
| $37.00 |
$5,000 |
$400 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $15.00 | $42.00 | $42.00 | 3,408 2019 Formulary |
|
2018 UCare for Seniors Value (HMO-POS)
| $39.00 |
$3,400 |
No Rx Coverage |
H2459 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
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|
|
2019 UCare Value (HMO-POS)
| $39.00 |
$3,400 |
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 |
2018 HealthPartners Journey Stride (PPO)
| $44.30 |
$3,400 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H4882 -001 -0 | $6.00 | $20.00 | $47.00 | $47.00 | 3,235
2018 Formulary |
-- |
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2019 HealthPartners Journey Stride (PPO)
| $45.70 |
$4,500 |
$300 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $12.00 | $47.00 | $47.00 | 3,116 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3219 -002 -0 | | | | | |
new |
new |
new |
|
2019 Allina Health | Aetna Medicare Discover Premier (PPO)
| $47.00 |
$3,800 |
$195 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
2018 HumanaChoice H5216-080 (PPO)
| $47.00 |
$5,900 |
$280 | No additional gap coverage, only the Donut Hole Discount |
H5216 -080 -1 | $4.00 | $15.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 HumanaChoice H5216-080 (PPO)
| $47.00 |
$5,900 |
$350 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $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 --
|
H7404 -004 -0 | | | | | |
new |
new |
new |
|
2019 UnitedHealthcare Sync (PPO)
| $54.00 |
$5,900 |
$295 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
|
2018 UCare for Seniors Essentials Rx (HMO-POS)
| $56.00 |
$3,400 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H2459 -023 -1 | $2.00 | $10.00 | $40.00 | $40.00 | 3,644
2018 Formulary |
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|
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2019 UCare Essentials Rx (HMO-POS)
| $56.00 |
$3,400 |
$400 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $40.00 | $40.00 | 3,408 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5959 -007 -1 | | | | | |
|
|
|
|
2019 Blue Cross Medicare Advantage Choice MA Only (PPO)
| $57.50 |
$4,900 |
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 |
-- This plan not offered in 2018 --
|
H7404 -002 -0 | | | | | |
new |
new |
new |
|
2019 AARP MedicareComplete Lakeshore (PPO)
| $58.00 |
$4,900 |
$295 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H2446 -001 -0 | | | | | |
new |
new |
new |
|
2019 Blue Cross Strive Medicare Advantage Choice (HMO-POS)
| $68.70 |
$4,900 |
$390 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | 20% | 20% | 2,591 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5959 -014 -1 | | | | | |
|
|
|
|
2019 Blue Cross Medicare Advantage Choice (PPO)
| $85.70 |
$4,900 |
$415 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | 20% | 20% | 3,238 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 --
|
H5216 -167 -0 | | | | | |
|
|
|
|
2019 HumanaChoice H5216-167 (PPO)
| $87.00 |
$4,500 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3219 -003 -0 | | | | | |
new |
new |
new |
|
2019 Allina Health | Aetna Medicare Discover Grand (PPO)
| $97.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,744 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H8889 -001 -0 | | | | | |
|
|
|
|
2019 Medica Advantage Solution H8889-001 (PPO)
| $98.50 |
$3,000 |
$265 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $46.00 | $46.00 | 3,282 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 --
|
H2459 -026 -1 | | | | | |
|
|
|
|
2019 UCare Complete (HMO-POS)
| $99.00 |
$3,000 |
$200 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $40.00 | $40.00 | 3,408 2019 Formulary |
|
2018 HumanaChoice H5216-063 (PPO)
| $107.00 |
$3,000 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5216 -063 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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|
|
|
2019 HumanaChoice H5216-063 (PPO)
| $107.00 |
$3,000 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H4882 -003 -0 | | | | | |
-- |
|
|
|
2019 HealthPartners Journey Steady (PPO)
| $130.90 |
$4,000 |
$300 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $10.00 | $47.00 | $47.00 | 3,116 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 --
|
H0422 -002 -0 | | | | | |
new |
new |
new |
|
2019 Care Advantage with Fairview & North Memorial (HMO-POS)
| $137.00 |
$3,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $15.00 | $42.00 | $42.00 | 3,408 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H2446 -002 -0 | | | | | |
new |
new |
new |
|
2019 Blue Cross Strive Medicare Advantage Complete (HMO-POS)
| $142.00 |
$3,700 |
$390 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $9.00 | 20% | 20% | 2,591 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3219 -004 -0 | | | | | |
new |
new |
new |
|
2019 Allina Health | Aetna Medicare Discover Elite (PPO)
| $147.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,744 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 --
|
H5959 -010 -1 | | | | | |
|
|
|
|
2019 Blue Cross Medicare Advantage Complete (PPO)
| $167.50 |
$3,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $9.00 | 15% | 15% | 3,238 2019 Formulary |
|
2018 UCare for Seniors Classic (HMO-POS)
| $187.00 |
$3,400 |
$200 | Yes, some additional gap coverage. |
H2459 -021 -1 | $0.00 | $7.00 | $35.00 | $35.00 | 3,644
2018 Formulary |
|
|
|
|
2019 UCare Classic (HMO-POS)
| $180.00 |
$3,400 |
$200 | Yes, some additional gap coverage. | $0.00 | $7.00 | $35.00 | $35.00 | 3,408 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H8889 -003 -0 | | | | | |
|
|
|
|
2019 Medica Advantage Solution H8889-003 (PPO)
| $194.50 |
$3,000 |
$135 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $44.00 | $44.00 | 3,282 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 --
|
H2459 -025 -1 | | | | | |
|
|
|
|
2019 UCare Total (HMO-POS)
| $250.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $35.00 | $35.00 | 3,408 2019 Formulary |
|
2018 HealthPartners Freedom Balance (Cost)
| $90.30 |
$3,000 |
No Rx Coverage |
H2462 -007 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to HealthPartners Freedom Balance (Cost) H2462-016 --
| | | | | |
|
2018 HealthPartners Freedom Active (Cost)
| $70.20 |
$3,000 |
No Rx Coverage |
H2462 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to HealthPartners Freedom Balance (Cost) H2462-016 --
| | | | | |
|
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 HealthPartners Freedom Balance with Rx (Cost)
| $138.80 |
$3,000 |
$175 | Yes, some additional gap coverage. |
H2462 -008 -0 | $5.00 | $16.00 | $47.00 | $47.00 | 3,235
2018 Formulary |
|
|
|
|
-- Members will be assigned to HealthPartners Freedom Balance with Rx (Cost) H2462-017 --
| | | | | |
|
2018 HealthPartners Freedom Active with Rx (Cost)
| $109.40 |
$3,000 |
$180 | Yes, some additional gap coverage. |
H2462 -021 -0 | $6.00 | $17.00 | $47.00 | $47.00 | 3,235
2018 Formulary |
|
|
|
|
-- Members will be assigned to HealthPartners Freedom Balance with Rx (Cost) H2462-017 --
| | | | | |
|
2018 HealthPartners Freedom Ultimate with Enhanced Rx (Cost)
| $375.90 |
$3,000 |
$115 | Yes, some additional gap coverage. |
H2462 -012 -0 | $5.00 | $14.00 | $47.00 | $47.00 | 3,235
2018 Formulary |
|
|
|
|
-- Members will be assigned to HealthPartners Freedom Ultimate (Cost) H2462-010 --
| | | | | |
|
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 HealthPartners Freedom Ultimate with Rx (Cost)
| $232.90 |
$3,000 |
$115 | No additional gap coverage, only the Donut Hole Discount |
H2462 -011 -0 | $5.00 | $14.00 | $47.00 | $47.00 | 3,235
2018 Formulary |
|
|
|
|
-- Members will be assigned to HealthPartners Freedom Ultimate (Cost) H2462-010 --
| | | | | |
|
2018 Medica Prime Solution Value w/Rx 2 (Cost)
| $118.60 |
$4,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2450 -023 -0 | $2.00 | $8.00 | $35.00 | $35.00 | 3,114
2018 Formulary |
|
|
|
|
-- Members will be assigned to Medica Prime Solution Value w/Rx (Cost) H2450-022 --
| | | | | |
|
2018 UCare for Seniors Value Plus (HMO-POS)
| $141.00 |
$3,400 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H2459 -022 -1 | $1.00 | $7.00 | $35.00 | $35.00 | 3,644
2018 Formulary |
|
|
|
|
-- Members will be assigned to UCare Classic (HMO-POS) H2459-021 --
| | | | | |
|
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 Platinum Blue Choice Plan (Cost)
| $74.00 |
$4,000 |
No Rx Coverage |
H2461 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Platinum Blue Complete Plan (Cost)
| $145.00 |
$4,000 |
No Rx Coverage |
H2461 -007 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Platinum Blue Core Plan (Cost)
| $29.00 |
$6,000 |
No Rx Coverage |
H2461 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
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 HealthPartners Freedom Basic (Cost)
| $32.90 |
n/a |
No Rx Coverage |
H2462 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 HealthPartners Freedom Ultimate (Cost)
| $164.80 |
$3,000 |
No Rx Coverage |
H2462 -010 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Basic w/Rx 2 (Cost)
| $131.70 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2450 -001 -0 | $2.00 | $8.00 | $35.00 | $35.00 | 3,114
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
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 Prime Solution Basic w/Rx (Cost)
| $108.30 |
$3,400 |
$260 | No additional gap coverage, only the Donut Hole Discount |
H2450 -016 -0 | $2.00 | $6.00 | $27.00 | $27.00 | 3,114
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Enhanced w/Rx 2 (Cost)
| $210.70 |
$3,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2450 -002 -0 | $2.00 | $8.00 | $35.00 | $35.00 | 3,114
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Enhanced w/Rx (Cost)
| $192.70 |
$3,000 |
$215 | No additional gap coverage, only the Donut Hole Discount |
H2450 -017 -0 | $2.00 | $6.00 | $25.00 | $25.00 | 3,114
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
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 Prime Solution Value w/Rx (Cost)
| $94.40 |
$4,000 |
$260 | No additional gap coverage, only the Donut Hole Discount |
H2450 -022 -0 | $2.00 | $6.00 | $31.00 | $31.00 | 3,114
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Thrift w/Rx (Cost)
| $77.40 |
$6,700 |
$260 | No additional gap coverage, only the Donut Hole Discount |
H2450 -007 -0 | $2.00 | $6.00 | $28.00 | $28.00 | 3,114
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 HealthPartners Freedom Vital (Cost)
| $38.90 |
$3,400 |
No Rx Coverage |
H2462 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
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 HealthPartners Freedom Vital with Rx (Cost)
| $69.40 |
$3,400 |
$195 | Yes, some additional gap coverage. |
H2462 -019 -0 | $6.00 | $20.00 | $47.00 | $47.00 | 3,235
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Platinum Blue Core Plan with Rx (Cost)
| $49.40 |
$6,000 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2461 -008 -0 | $5.00 | $12.00 | 15% | 15% | 3,301
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Platinum Blue Choice Plan with Rx (Cost)
| $108.30 |
$4,000 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2461 -009 -0 | $5.00 | $10.00 | 20% | 20% | 3,301
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
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 Platinum Blue Complete Plan with Rx (Cost)
| $197.10 |
$4,000 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H2461 -010 -0 | $3.00 | $9.00 | 15% | 15% | 3,301
2018 Formulary |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Thrift (Cost)
| $49.00 |
$6,700 |
No Rx Coverage |
H2450 -030 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Value (Cost)
| $67.00 |
$4,000 |
No Rx Coverage |
H2450 -031 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
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 Prime Solution Basic (Cost)
| $79.00 |
$3,400 |
No Rx Coverage |
H2450 -032 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|
2018 Medica Prime Solution Enhanced (Cost)
| $157.00 |
$3,000 |
No Rx Coverage |
H2450 -033 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2019 --
|
| | | | |
|