There are 69 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 |
-- This plan not offered in 2019 --
|
H1924 -002 -0 | | | | | |
|
|
|
|
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 --
|
H1111 -009 -1 | | | | | |
|
|
|
|
2020 AARP Medicare Advantage Walgreens Plan 1 (HMO)
| $0.00 |
$6,700 |
$275 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3288 -034 -0 | | | | | |
new |
new |
|
|
2020 Aetna Medicare Basics Plan (PPO)
| $0.00 |
$5,900 |
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 |
2019 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$5,900 |
$95 | Yes, some additional gap coverage. |
H5521 -091 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$5,900 |
$200 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3288 -045 -0 | | | | | |
new |
new |
|
|
2020 Aetna Medicare Plus Plan (PPO)
| $0.00 |
$6,300 |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,490 2020 Formulary |
|
2019 Aetna Medicare Select Plan (HMO)
| $0.00 |
$5,900 |
$95 | Yes, some additional gap coverage. |
H1109 -005 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Select Plan (HMO)
| $0.00 |
$5,900 |
$200 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 Allwell Medicare (HMO)
| $0.00 |
$5,900 |
$280 | No additional gap coverage, only the Donut Hole Discount |
H7173 -002 -0 | $0.00 | $7.00 | $47.00 | $47.00 | 3,811
2019 Formulary |
|
|
|
|
2020 Allwell Medicare (HMO)
| $0.00 |
$5,900 |
$280 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $37.00 | $37.00 | 3,959 2020 Formulary |
|
2019 Allwell Medicare Premier (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7173 -007 -0 | $5.00 | $16.00 | $42.00 | $42.00 | 3,811
2019 Formulary |
|
|
|
|
2020 Allwell Medicare Premier (HMO)
| $0.00 |
$6,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $37.00 | $37.00 | 3,959 2020 Formulary |
|
2019 Anthem MediBlue Access Basic (PPO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H7728 -006 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Anthem MediBlue Access Basic (PPO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $4.00 | $13.00 | $42.00 | $42.00 | 3,780 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 Anthem MediBlue Plus (HMO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H5422 -011 -0 | $4.00 | $11.00 | $42.00 | $42.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Anthem MediBlue Plus (HMO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $4.00 | $11.00 | $42.00 | $42.00 | 3,780 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H0439 -007 -0 | | | | | |
|
|
|
|
2020 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $42.00 | $42.00 | 3,383 2020 Formulary |
|
2019 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H0439 -003 -1 | $3.00 | $12.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring Preferred GA (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $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 Humana Gold Plus H4141-015 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4141 -015 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus H4141-015 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5216 -217 -0 | | | | | |
|
|
|
|
2020 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 HumanaChoice H5216-154 (PPO)
| $0.00 |
$6,700 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5216 -154 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,098
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-154 (PPO)
| $0.00 |
$6,700 |
$400 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,117 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 H5216-157 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -157 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 HumanaChoice H5216-157 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2019 --
|
H5216 -203 -1 | | | | | |
|
|
|
|
2020 HumanaChoice H5216-203 (PPO)
| $0.00 |
$6,700 |
$75 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 HumanaChoice R3392-001 (Regional PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
R3392 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 HumanaChoice R3392-001 (Regional PPO)
| $0.00 |
$6,700 |
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 Kaiser Permanente Senior Advantage Basic (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H1170 -009 -0 | $2.00 | $8.00 | $47.00 | $47.00 | 5,885
2019 Formulary |
|
|
|
|
2020 Kaiser Permanente Senior Advantage Basic (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 4,833 2020 Formulary |
|
2019 PHP (HMO SNP)
| $0.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3572 -001 -0 | 25% | 25% | 25% | 25% | 3,154
2019 Formulary |
-- |
-- |
|
|
2020 PHP (HMO C-SNP)
| $0.00 |
n/a |
$435 | Yes, some additional gap coverage. | 20% | 15% | 25% | 25% | 3,181 2020 Formulary |
|
-- This plan not offered in 2019 --
|
R2604 -005 -0 | | | | | |
|
|
|
|
2020 UnitedHealthcare Medicare Advantage Essential (Regional PPO)
| $0.00 |
$6,700 |
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 WellCare Advance (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage |
H1112 -034 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 WellCare Advance (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2019 --
|
H1112 -042 -0 | | | | | |
|
|
|
|
2020 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H1112 -040 -0 | | | | | |
|
|
|
|
2020 WellCare Focus (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $44.00 | $44.00 | 3,274 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 --
|
H1112 -037 -0 | | | | | |
|
|
|
|
2020 WellCare Guardian (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $10.00 | $10.00 | 3,274 2020 Formulary |
|
2019 WellCare Premier (PPO)
| $0.00 |
$5,500 |
$75 | Yes, some additional gap coverage. |
H0111 -001 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Premier (PPO)
| $0.00 |
$5,500 |
$75 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H1112 -038 -0 | | | | | |
|
|
|
|
2020 WellCare Value (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $44.00 | $44.00 | 3,274 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 --
|
R2604 -002 -0 | | | | | |
|
|
|
|
2020 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $2.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,601 2020 Formulary |
|
2019 Humana Gold Plus H4141-017 (HMO)
| $17.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4141 -017 -4 | $4.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus H4141-017 (HMO)
| $8.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
-- This plan not offered in 2019 --
|
R2604 -003 -0 | | | | | |
|
|
|
|
2020 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $13.00 |
n/a |
$210 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $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 Dual Preferred (HMO SNP)
| $22.50 |
n/a |
$0 | Yes, some additional gap coverage. |
H5302 -012 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
-- |
-- |
|
|
2020 Aetna Medicare Dual Preferred Plan (HMO D-SNP)
| $18.50 |
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 --
|
H1112 -043 -0 | | | | | |
|
|
|
|
2020 WellCare Compass (HMO)
| $20.40 |
$3,400 |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 Humana Gold Plus SNP-DE H4141-003 (HMO SNP)
| $24.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H4141 -003 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)
| $22.00 |
n/a |
$435 | 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 UnitedHealthcare Dual Complete (PPO SNP)
| $21.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H2228 -044 -0 | 15% | 15% | 15% | 15% | 3,516
2019 Formulary |
|
|
|
|
2020 UnitedHealthcare Dual Complete (PPO D-SNP)
| $22.20 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 15% | 15% | 15% | 15% | 3,601 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5216 -206 -0 | | | | | |
|
|
|
|
2020 HumanaChoice SNP-DE H5216-206 (PPO D-SNP)
| $23.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $19.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Cigna-HealthSpring TotalCare (HMO SNP)
| $25.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0439 -002 -0 | 15% | 15% | 15% | 15% | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring TotalCare (HMO D-SNP)
| $23.90 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 15% | 15% | 15% | 15% | 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 |
-- This plan not offered in 2019 --
|
R2604 -004 -0 | | | | | |
|
|
|
|
2020 UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP)
| $24.70 |
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 Senior Advantage Medicare Medicaid Plan (HMO SNP)
| $23.10 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1170 -008 -0 | $8.00 | $15.00 | $45.00 | $45.00 | 5,885
2019 Formulary |
|
|
|
|
2020 Senior Advantage Medicare Medicaid Plan (HMO D-SNP)
| $24.80 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $12.00 | $18.00 | $47.00 | $47.00 | 4,833 2020 Formulary |
|
2019 Cigna-HealthSpring Premier (HMO-POS)
| $49.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0439 -006 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring Premier (HMO-POS)
| $25.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $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 |
-- This plan not offered in 2019 --
|
H5216 -205 -0 | | | | | |
|
|
|
|
2020 HumanaChoice SNP-DE H5216-205 (PPO D-SNP)
| $25.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $17.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Allwell Dual Medicare (HMO SNP)
| $25.70 |
n/a |
$275 | No additional gap coverage, only the Donut Hole Discount |
H7173 -001 -0 | $0.00 | $7.00 | $47.00 | $47.00 | 3,297
2019 Formulary |
|
|
|
|
2020 Allwell Dual Medicare (HMO D-SNP)
| $25.30 |
n/a |
$345 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $47.00 | $47.00 | 3,451 2020 Formulary |
|
2019 Anthem MediBlue Dual Advantage (HMO SNP)
| $25.70 |
n/a |
$415 | Yes, some additional gap coverage. |
H5422 -007 -0 | $0.00 | $5.00 | $46.00 | $46.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $25.30 |
n/a |
$435 | Yes, some additional gap coverage. | $0.00 | $4.00 | $42.00 | $42.00 | 3,780 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 PruittHealth Premier (HMO SNP)
| $25.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3291 -001 -0 | 25% | | | | 3,690
2019 Formulary |
|
-- |
|
|
2020 PruittHealth Premier (HMO I-SNP)
| $25.30 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,717 2020 Formulary |
|
2019 UnitedHealthcare Nursing Home Plan 1 (PPO SNP)
| $25.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H2228 -013 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
|
|
|
|
2020 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
| $25.30 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,601 2020 Formulary |
|
2019 UnitedHealthcare Nursing Home Plan 2 (PPO SNP)
| $25.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0710 -033 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
|
-- |
|
|
2020 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $25.30 |
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 WellCare Access (HMO SNP)
| $25.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H1112 -006 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Access (HMO D-SNP)
| $25.30 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 WellCare Liberty (HMO SNP)
| $25.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H1112 -033 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Liberty (HMO D-SNP)
| $25.30 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 HumanaChoice H5216-145 (PPO)
| $45.00 |
$6,700 |
$75 | No additional gap coverage, only the Donut Hole Discount |
H5216 -145 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-145 (PPO)
| $34.00 |
$6,700 |
$75 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $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 Advantra Preferred (PPO)
| $27.00 |
$6,700 |
$95 | Yes, some additional gap coverage. |
H1608 -028 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Advantra Preferred Plan (PPO)
| $38.00 |
$6,700 |
$200 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
-- This plan not offered in 2019 --
|
R2604 -001 -0 | | | | | |
|
|
|
|
2020 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $45.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $14.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 WellCare Prime (PPO)
| $39.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H0111 -002 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Prime (PPO)
| $45.00 |
$5,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $45.00 | $45.00 | 3,274 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 Anthem MediBlue Essential (HMO)
| $45.00 |
$5,800 |
$95 | Yes, some additional gap coverage. |
H5422 -008 -0 | $5.00 | $15.00 | $42.00 | $42.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Anthem MediBlue Essential (HMO)
| $46.00 |
$5,800 |
$95 | Yes, some additional gap coverage. | $5.00 | $15.00 | $42.00 | $42.00 | 3,780 2020 Formulary |
|
2019 HumanaChoice H5216-073 (PPO)
| $49.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount |
H5216 -073 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-073 (PPO)
| $52.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Anthem MediBlue Access (PPO)
| $57.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H7728 -005 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Anthem MediBlue Access (PPO)
| $58.00 |
$5,900 |
$95 | Yes, some additional gap coverage. | $4.00 | $13.00 | $42.00 | $42.00 | 3,780 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 --
|
H1111 -010 -1 | | | | | |
|
|
|
|
2020 AARP Medicare Advantage Walgreens Plan 2 (HMO)
| $59.00 |
$5,500 |
$175 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 Kaiser Permanente Senior Advantage Enhanced (HMO)
| $71.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H1170 -002 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 5,885
2019 Formulary |
|
|
|
|
2020 Kaiser Permanente Senior Advantage Enhanced (HMO)
| $71.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 4,833 2020 Formulary |
|
2019 HumanaChoice R3392-002 (Regional PPO)
| $65.00 |
$6,700 |
$340 | No additional gap coverage, only the Donut Hole Discount |
R3392 -002 -0 | $7.00 | $17.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2020 HumanaChoice R3392-002 (Regional PPO)
| $76.00 |
$6,700 |
$340 | 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 --
|
H0111 -003 -0 | | | | | |
|
|
|
|
2020 WellCare Flex Complete (PPO)
| $90.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 Humana Gold Choice H8145-069 (PFFS)
| $85.00 |
n/a |
$340 | No additional gap coverage, only the Donut Hole Discount |
H8145 -069 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
-- |
|
|
2020 Humana Gold Choice H8145-069 (PFFS)
| $92.00 |
n/a |
$340 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 AARP MedicareComplete Plan 1 (HMO)
| $0.00 |
$6,700 |
$275 | No additional gap coverage, only the Donut Hole Discount |
H1111 -006 -0 | $3.00 | $10.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage Walgreens Plan 1 (HMO) H1111-009-2 --
| | | | | |
|
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 Plan 2 (HMO)
| $56.00 |
$5,500 |
$175 | No additional gap coverage, only the Donut Hole Discount |
H1111 -007 -0 | $3.00 | $10.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage Walgreens Plan 2 (HMO) H1111-010-2 --
| | | | | |
|
2019 HumanaChoice H5216-147 (PPO)
| $0.00 |
$6,700 |
$75 | No additional gap coverage, only the Donut Hole Discount |
H5216 -147 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-203 (PPO) H5216-203-2 --
| | | | | |
|
2019 UnitedHealthcare Dual Complete Choice (Regional PPO SNP)
| $25.20 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
R7444 -011 -0 | | | | | n/a |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP) R2604-004-0 --
| | | | | |
|
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 UnitedHealthcare MedicareComplete Choice (Regional PPO)
| $38.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount |
R7444 -008 -0 | | | | | n/a |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Medicare Advantage Choice (Regional PPO) R2604-001-0 --
| | | | | |
|
2019 UnitedHealthcare Medicare Gold (Regional PPO SNP)
| $18.00 |
n/a |
$210 | No additional gap coverage, only the Donut Hole Discount |
R7444 -010 -0 | | | | | n/a |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Medicare Gold (Regional PPO C-SNP) R2604-003-0 --
| | | | | |
|
2019 UnitedHealthcare Medicare Silver (Regional PPO SNP)
| $2.50 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
R7444 -009 -0 | | | | | n/a |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Medicare Silver (Regional PPO C-SNP) R2604-002-0 --
| | | | | |
|
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 WellCare Value (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1112 -036 -1 | $0.00 | $10.00 | $44.00 | $44.00 | 3,254
2019 Formulary |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Advantra Platinum (HMO)
| $52.00 |
$5,900 |
$95 | Yes, some additional gap coverage. |
H5302 -011 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
-- |
-- |
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Aetna Medicare Basics Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H5521 -179 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|