There are 81 Medicare Advantage plans meeting your criteria.
2019 / 2020 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 |
2019 Lasso Healthcare (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 Lasso Healthcare (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2019 --
|
H2228 -085 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 AARP Medicare Advantage Choice Plan 2 (PPO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 AdvantraOne (PPO)
| $0.00 |
$6,700 |
$395 | Yes, some additional gap coverage. |
H5522 -017 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
|
2020 Aetna Medicare Advantra Credit Value (PPO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. | $3.00 | $7.00 | $47.00 | $47.00 | 3,763 2020 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 |
2019 Advantra Southeast Prime (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3959 -052 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Advantra Value (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,880 2020 Formulary |
|
2019 Aetna Medicare Choice Plan (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3931 -112 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Elite (HMO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Aetna Medicare Main Line Health Prime Plan (HMO)
| $0.00 |
$6,200 |
$0 | Yes, some additional gap coverage. |
H3931 -105 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Main Line Health Prime (HMO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,763 2020 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 |
2019 Aetna Medicare Silver (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -263 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Value (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Allwell Medicare (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2915 -006 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,811
2019 Formulary |
-- |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Allwell Medicare (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,959 2020 Formulary |
|
2019 Cigna-HealthSpring Achieve (HMO SNP)
| $29.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3949 -024 -0 | $1.00 | $5.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Cigna-HealthSpring Achieve (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $5.00 | $42.00 | $42.00 | 3,383 2020 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 |
2019 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$6,700 |
No Rx Coverage |
H3949 -026 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2019 --
|
H7849 -006 -0 | | | | | |
new |
new |
|
|
2020 Cigna-HealthSpring True Choice (PPO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $40.00 | $40.00 | 3,383 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3954 -159 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Classic Essential Rx (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $3.00 | $20.00 | $47.00 | $47.00 | 3,787 2020 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 2019 --
|
H3924 -060 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Preferred Complete Rx (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $3.00 | $20.00 | $47.00 | $47.00 | 3,787 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H9207 -011 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Health Partners Medicare Simple (HMO-POS)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $20.00 | $47.00 | $47.00 | 3,697 2020 Formulary |
|
2019 Humana Gold Plus H6622-037 (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6622 -037 -0 | $3.00 | $15.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Humana Gold Plus H6622-037 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $15.00 | $47.00 | $47.00 | 3,369 2020 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 2019 --
|
H5216 -221 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 HumanaChoice H5216-116 (PPO)
| $0.00 |
$4,500 |
No Rx Coverage |
H5216 -116 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice H5216-116 (PPO)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 HumanaChoice H5525-038 (PPO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5525 -038 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice H5525-038 (PPO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,369 2020 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 2019 --
|
H5525 -047 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice H5525-047 (PPO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $15.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 HumanaChoice R0923-001 (Regional PPO)
| $0.00 |
$4,500 |
No Rx Coverage |
R0923 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice R0923-001 (Regional PPO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Keystone 65 Basic Rx (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3952 -056 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,897
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone 65 Basic Rx (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 4,073 2020 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 2019 --
|
H3909 -015 -0 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Personal Choice 65 Prime Rx PPO (PPO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 4,073 2020 Formulary |
|
2019 Sunrise Advantage Plan I-SNP (HMO SNP)
| $37.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4236 -001 -0 | $4.00 | $15.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
2020 Sunrise Advantage Plan (HMO I-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,926 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3907 -002 -0 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UPMC for Life HMO No Rx (HMO)
| $0.00 |
$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 |
2019 Advantra Cares (HMO SNP)
| $35.50 |
n/a |
$270 | No additional gap coverage, only the Donut Hole Discount |
H3959 -035 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Advantra Cares (HMO D-SNP)
| $16.40 |
n/a |
$275 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3907 -044 -0 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UPMC for Life HMO Deductible with Rx (HMO)
| $16.50 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,470 2020 Formulary |
|
2019 Keystone 65 Focus Rx (HMO-POS)
| $35.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3952 -054 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,897
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone 65 Focus Rx (HMO-POS)
| $19.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 4,073 2020 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 |
2019 Cigna-HealthSpring Preferred (HMO)
| $15.00 |
$6,700 |
$280 | No additional gap coverage, only the Donut Hole Discount |
H3949 -030 -0 | $1.00 | $10.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Cigna-HealthSpring Preferred (HMO)
| $20.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $10.00 | $42.00 | $42.00 | 3,383 2020 Formulary |
|
2019 UnitedHealthcare Dual Complete (HMO SNP)
| $25.90 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3113 -009 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,516
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UnitedHealthcare Dual Complete (HMO D-SNP)
| $22.90 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $0.00 | $0.00 | 3,601 2020 Formulary |
|
2019 Humana Gold Plus SNP-DE H6622-038 (HMO SNP)
| $31.40 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount |
H6622 -038 -0 | $0.00 | $19.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Humana Gold Plus SNP-DE H6622-038 (HMO D-SNP)
| $28.20 |
n/a |
$410 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $19.00 | $47.00 | $47.00 | 3,369 2020 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 |
2019 AARP MedicareComplete (HMO)
| $23.00 |
$6,700 |
$230 | No additional gap coverage, only the Donut Hole Discount |
H1944 -009 -0 | $3.00 | $12.00 | $45.00 | $45.00 | 3,516
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 AARP Medicare Advantage (HMO)
| $29.00 |
$6,700 |
$200 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3954 -156 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Classic Advantage (HMO)
| $30.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Allwell Dual Medicare (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H2915 -002 -0 | $0.00 | | | | 3,297
2019 Formulary |
-- |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Allwell Dual Medicare (HMO D-SNP)
| $34.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 3,451 2020 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 |
2019 Cigna-HealthSpring TotalCare (HMO SNP)
| $33.50 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3949 -009 -0 | 15% | 15% | 15% | 15% | 3,346
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Cigna-HealthSpring TotalCare (HMO D-SNP)
| $34.30 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 15% | 15% | 15% | 15% | 3,383 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5533 -003 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UPMC for Life PPO High Deductible with Rx (PPO)
| $35.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,470 2020 Formulary |
|
2019 UnitedHealthcare Nursing Home Plan 2 (PPO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0710 -017 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,601 2020 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 |
2019 Cigna-HealthSpring Traditions (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3949 -016 -0 | 25% | 25% | 25% | 25% | 3,346
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Cigna-HealthSpring Traditions (HMO I-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,383 2020 Formulary |
|
2019 Gateway Health Medicare Assured Diamond (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H5932 -001 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,113
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Gateway Health Medicare Assured Diamond (HMO D-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,167 2020 Formulary |
|
2019 Gateway Health Medicare Assured Ruby (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H5932 -009 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,113
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Gateway Health Medicare Assured Ruby (HMO D-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,167 2020 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 2019 --
|
H3954 -097 -0 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Secure Rx (HMO D-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 15% | | | | 3,787 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H9207 -002 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Health Partners Medicare Prime (HMO-POS)
| $35.60 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $20.00 | $47.00 | $47.00 | 3,697 2020 Formulary |
|
2019 Health Partners Medicare Special (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H9207 -004 -0 | 15% | | | | 3,557
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Health Partners Medicare Special (HMO D-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 15% | | | | 3,628 2020 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 |
2019 Keystone First VIP Choice (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H4227 -001 -0 | $6.00 | 25% | | | 3,335
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone First VIP Choice (HMO D-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $6.00 | 25% | | | 3,430 2020 Formulary |
|
2019 Provider Partners Pennsylvania Advantage Plan (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H4093 -001 -0 | 25% | | | | 3,615
2019 Formulary |
-- |
-- |
![Medicare Part D Plan Rating - 2 Stars (Below Average)](https://q1medicare.com/pics/2star.gif) |
|
2020 Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,603 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7123 -001 -0 | | | | | |
new |
new |
|
|
2020 UPMC for Life Dual (HMO D-SNP)
| $35.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $10.00 | $10.00 | 3,415 2020 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 2019 --
|
H3954 -158 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Classic Complete Rx (HMO)
| $38.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $3.00 | $20.00 | $47.00 | $47.00 | 3,787 2020 Formulary |
|
2019 Humana Gold Choice H8145-055 (PFFS)
| $29.00 |
n/a |
No Rx Coverage |
H8145 -055 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Humana Gold Choice H8145-055 (PFFS)
| $38.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Sunrise Advantage Plan C-SNP (HMO SNP)
| $49.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4236 -002 -0 | $4.00 | $15.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
2020 Reflections (HMO C-SNP)
| $39.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,926 2020 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 |
2019 Sunrise Advantage Plan (HMO)
| $39.00 |
$5,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4236 -003 -0 | $4.00 | $15.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
2020 Sunrise Advantage Community Plan (HMO)
| $39.00 |
$5,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,926 2020 Formulary |
|
2019 Advantra Silver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3959 -033 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Advantra Premier (HMO)
| $43.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,880 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3924 -062 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Preferred Enhanced Rx (PPO)
| $45.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $3.00 | $20.00 | $47.00 | $47.00 | 3,787 2020 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 |
2019 Keystone 65 Select Medical Only (HMO)
| $66.00 |
$5,500 |
No Rx Coverage |
H3952 -050 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone 65 Select Medical Only (HMO)
| $49.50 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 HumanaChoice H5525-005 (PPO)
| $45.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5525 -005 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice H5525-005 (PPO)
| $53.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 AARP MedicareComplete Choice (PPO)
| $58.00 |
$6,700 |
$325 | No additional gap coverage, only the Donut Hole Discount |
H2228 -037 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 AARP Medicare Advantage Choice Plan 1 (PPO)
| $58.00 |
$6,700 |
$295 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,601 2020 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 |
2019 Aetna Medicare Silver Plan (HMO)
| $47.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3931 -070 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,864
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Silver (HMO)
| $59.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7849 -007 -0 | | | | | |
new |
new |
|
|
2020 Cigna-HealthSpring True Choice Plus (PPO)
| $59.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $40.00 | $40.00 | 3,383 2020 Formulary |
|
2019 Advantra Gold (PPO)
| $67.00 |
$6,600 |
$0 | Yes, some additional gap coverage. |
H5522 -014 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,864
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
|
2020 Aetna Medicare Advantra Premier Plus (PPO)
| $66.00 |
$6,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,880 2020 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 |
2019 HumanaChoice R0923-002 (Regional PPO)
| $75.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
R0923 -002 -0 | $6.00 | $20.00 | $47.00 | $47.00 | n/a |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice R0923-002 (Regional PPO)
| $71.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $20.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Humana Gold Choice H8145-052 (PFFS)
| $58.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount |
H8145 -052 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
-- |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Humana Gold Choice H8145-052 (PFFS)
| $74.00 |
n/a |
$360 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Keystone 65 Select Rx (HMO)
| $98.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3952 -051 -0 | $1.00 | $9.00 | $47.00 | $47.00 | 3,897
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone 65 Select Rx (HMO)
| $80.50 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $9.00 | $47.00 | $47.00 | 4,073 2020 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 2019 --
|
H3907 -048 -0 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UPMC for Life HMO Rx (HMO)
| $82.40 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,470 2020 Formulary |
|
2019 Aetna Medicare Standard Plan (HMO)
| $73.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H3931 -064 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,864
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Premier (HMO)
| $86.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3924 -059 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Preferred Advantage Rx (PPO)
| $87.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $3.00 | $20.00 | $47.00 | $47.00 | 3,787 2020 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 |
2019 Cigna-HealthSpring PreferredPlus (HMO)
| $125.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3949 -013 -0 | $1.00 | $2.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Cigna-HealthSpring PreferredPlus (HMO)
| $135.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $2.00 | $42.00 | $42.00 | 3,383 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5533 -005 -0 | | | | | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UPMC for Life PPO Rx Enhanced (PPO)
| $135.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,470 2020 Formulary |
|
2019 Aetna Medicare Gold Plan (PPO)
| $147.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5521 -122 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,864
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Gold Plan (PPO)
| $146.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $2.00 | $5.00 | $47.00 | $47.00 | 3,763 2020 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 2019 --
|
H3954 -157 -17 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Geisinger Gold Classic Advantage Rx (HMO)
| $149.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $3.00 | $20.00 | $47.00 | $47.00 | 3,787 2020 Formulary |
|
2019 HumanaChoice H5216-122 (PPO)
| $147.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -122 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 HumanaChoice H5216-122 (PPO)
| $156.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Personal Choice 65 Rx (PPO)
| $160.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3909 -009 -0 | $1.00 | $9.00 | $47.00 | $47.00 | 3,897
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Personal Choice 65 Rx (PPO)
| $159.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $9.00 | $47.00 | $47.00 | 4,073 2020 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 |
2019 Aetna Medicare Premier Plan (HMO)
| $167.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3931 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,864
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 Aetna Medicare Premier Plus (HMO)
| $178.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,880 2020 Formulary |
|
2019 Keystone 65 Preferred Medical Only (HMO)
| $224.00 |
$4,000 |
No Rx Coverage |
H3952 -044 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone 65 Preferred Medical Only (HMO)
| $194.00 |
$4,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Keystone 65 Preferred Rx (HMO)
| $289.00 |
$4,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3952 -045 -0 | $1.00 | $9.00 | $47.00 | $47.00 | 3,897
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
2020 Keystone 65 Preferred Rx (HMO)
| $256.00 |
$4,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $9.00 | $47.00 | $47.00 | 4,073 2020 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 2019 --
|
H3907 -006 -0 | | | | | |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
2020 UPMC for Life HMO Rx Enhanced (HMO)
| $301.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,470 2020 Formulary |
|
2019 Health Partners Medicare Prime (HMO)
| $71.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H9207 -005 -0 | $7.00 | $20.00 | $47.00 | $47.00 | 3,639
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
|
-- Members will be assigned to Health Partners Medicare Prime (HMO-POS) H9207-002-0 --
| | | | | |
|
2019 UnitedHealthcare Dual Complete ONE (HMO SNP)
| $26.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3113 -012 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,516
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
-- Members will be assigned to UnitedHealthcare Dual Complete (HMO D-SNP) H3113-009-0 --
| | | | | |
|
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 |
2019 UPMC for Life HMO Deductible with Rx (HMO)
| $15.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3907 -043 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,417
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
-- Members will be assigned to UPMC for Life HMO Deductible with Rx (HMO) H3907-044-0 --
| | | | | |
|
2019 UPMC for Life HMO Rx (HMO)
| $55.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3907 -042 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,417
2019 Formulary |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
-- Members will be assigned to UPMC for Life HMO Rx (HMO) H3907-048-0 --
| | | | | |
|
2019 Aetna Medicare Basic Plan (HMO)
| $0.00 |
$6,700 |
No Rx Coverage |
H3931 -055 -0 | This plan does NOT include Prescription Drug coverage. | |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 3 Stars (Average)](https://q1medicare.com/pics/3star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
-- This plan not offered in 2020 --
|
| | | | |
|
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 |
2019 Sunrise Advantage Plan Gold (HMO SNP)
| $175.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4236 -004 -0 | $0.00 | $9.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 UPMC for Life Dual (HMO SNP)
| $37.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H4279 -001 -0 | $2.00 | $6.00 | $10.00 | $10.00 | 3,360
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Humana Gold Plus H6622-039 (HMO)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H6622 -039 -0 | $9.00 | $19.00 | $47.00 | $47.00 | 3,098
2019 Formulary |
![Medicare Part D Plan Rating - 5 Stars (Excellent)](https://q1medicare.com/pics/5star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
![Medicare Part D Plan Rating - 4 Stars (Above Average)](https://q1medicare.com/pics/4star.gif) |
|
-- This plan not offered in 2020 --
|
| | | | |
|