There are 65 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 -001 -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. | |
|
2019 AARP MedicareComplete Access (HMO)
| $0.00 |
$3,600 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H2802 -024 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Access (HMO)
| $0.00 |
$3,600 |
$100 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H8768 -010 -0 | | | | | |
|
|
|
|
2020 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$5,900 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $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 Better Health Premier Plan (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2506 -001 -0 | 0% | 0% | 0% | | 3,164
2019 Formulary |
-- |
-- |
|
|
2020 Aetna Better Health Premier Plan (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,184 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3192 -001 -0 | | | | | |
new |
new |
|
|
2020 Aetna Medicare Prime (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Aetna Medicare Value Plan (PPO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5521 -086 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Value (PPO)
| $0.00 |
$3,750 |
$0 | 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 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1475 -001 -0 | $0.00 | $6.00 | $39.00 | $39.00 | 3,811
2019 Formulary |
new |
new |
|
|
2020 Allwell Medicare (HMO)
| $0.00 |
$2,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $39.00 | $39.00 | 3,959 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7399 -001 -0 | | | | | |
new |
new |
|
|
2020 Ascension Complete Illinois Reward (HMO)
| $0.00 |
$6,700 |
$430 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $20.00 | $47.00 | $47.00 | 3,959 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7399 -002 -0 | | | | | |
new |
new |
|
|
2020 Ascension Complete Illinois Secure (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 3,959 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 Blue Medicare Advantage (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0927 -001 -0 | 0% | 0% | 0% | | 3,064
2019 Formulary |
-- |
-- |
|
|
2020 Blue Cross Community MMAI (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 2,736 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3822 -001 -0 | $0.00 | $8.00 | $39.00 | $39.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,487 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Basic Plus (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H3822 -007 -0 | $0.00 | $8.00 | $39.00 | $39.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Basic Plus (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,487 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 |
$5,400 |
No Rx Coverage |
H1415 -013 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Cigna-HealthSpring Primary (HMO)
| $9.40 |
$4,900 |
$415 | No additional gap coverage, only the Donut Hole Discount |
H1415 -024 -0 | 25% | 25% | 25% | 25% | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$2,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $42.00 | $42.00 | 3,383 2020 Formulary |
|
2019 Cigna-HealthSpring Premier (HMO-POS)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1415 -021 -0 | $5.00 | $10.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring Premier (HMO-POS)
| $0.00 |
$3,400 |
$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 --
|
H7849 -002 -0 | | | | | |
new |
new |
|
|
2020 Cigna-HealthSpring True Choice (PPO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $40.00 | $40.00 | 3,383 2020 Formulary |
|
2019 Clear Spring Health Essential (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5454 -002 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,133
2019 Formulary |
new |
new |
|
|
2020 Clear Spring Health Essential (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,305 2020 Formulary |
|
2019 Community Advantage (HMO)
| $0.00 |
$3,950 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3071 -002 -0 | $1.00 | $5.00 | $35.00 | $35.00 | 3,151
2019 Formulary |
|
|
|
|
2020 Community Advantage (HMO)
| $0.00 |
$3,950 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $47.00 | $47.00 | 3,173 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 Community HMO Diabetes and Heart (HMO SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1468 -017 -0 | $1.00 | $5.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Community HMO Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $5.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Humana Gold Plus H1468-013 (HMO)
| $0.00 |
$2,750 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1468 -013 -0 | $1.00 | $5.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus H1468-013 (HMO)
| $0.00 |
$2,750 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0336 -001 -0 | 0% | 0% | 0% | 0% | 2,972
2019 Formulary |
-- |
-- |
|
|
2020 Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | 0% | 3,084 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 H5216-178 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -178 -1 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 HumanaChoice H5216-178 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 HumanaChoice R5361-001 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R5361 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
-- |
|
|
2020 HumanaChoice R5361-001 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 IlliniCare Health - MMAI (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0281 -001 -0 | 0% | 0% | 0% | | 3,315
2019 Formulary |
-- |
-- |
|
|
2020 IlliniCare Health - MMAI (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 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 MeridianComplete (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H6080 -001 -0 | 0% | 0% | 0% | | 3,575
2019 Formulary |
-- |
-- |
|
|
2020 MeridianComplete (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,268 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H2678 -002 -0 | | | | | |
new |
new |
|
|
2020 MoreCare + (HMO C-SNP)
| $0.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,181 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H2678 -004 -0 | | | | | |
new |
new |
|
|
2020 MoreCare At Home (HMO I-SNP)
| $0.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,181 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 --
|
H2678 -001 -0 | | | | | |
new |
new |
|
|
2020 MoreCare For You (HMO)
| $0.00 |
$6,700 |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,181 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H2678 -003 -0 | | | | | |
new |
new |
|
|
2020 MoreCare Home (HMO I-SNP)
| $0.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,181 2020 Formulary |
|
2019 Sunrise Advantage Plan I-SNP (HMO SNP)
| $27.40 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4778 -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 |
|
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 |
$3,900 |
No Rx Coverage |
H1416 -053 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 WellCare Advance (HMO-POS)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 MeridianCare Essential (HMO)
| $0.00 |
$3,750 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5779 -005 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,575
2019 Formulary |
|
|
|
|
2020 WellCare Essential (HMO)
| $0.00 |
$3,750 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5779 -007 -0 | | | | | |
|
|
|
|
2020 WellCare Exclusive (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 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 --
|
H1416 -066 -0 | | | | | |
|
|
|
|
2020 WellCare Guardian (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,274 2020 Formulary |
|
2019 WellCare Value (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1416 -009 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Value (HMO-POS)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7330 -001 -0 | | | | | |
new |
new |
|
|
2020 Zing Choice IL (HMO)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 5,085 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 Value Plan (HMO)
| $0.00 |
$4,000 |
$95 | Yes, some additional gap coverage. |
H3931 -106 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Value (HMO)
| $9.00 |
$4,000 |
$150 | Yes, some additional gap coverage. | $5.00 | $7.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 WellCare Rx (HMO)
| $12.50 |
$3,400 |
$415 | Yes, some additional gap coverage. |
H1416 -023 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Rx (HMO)
| $12.60 |
$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 WellCare Plus (HMO)
| $15.90 |
$6,700 |
$415 | Yes, some additional gap coverage. |
H1416 -048 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Plus (HMO)
| $13.20 |
$3,400 |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 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 MeridianCare Edge (HMO)
| $27.40 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount |
H5779 -006 -0 | 25% | 25% | 25% | 25% | 3,575
2019 Formulary |
|
|
|
|
2020 WellCare Edge (HMO)
| $15.30 |
$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 UnitedHealthcare MedicareComplete Assure (PPO)
| $27.40 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0271 -004 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
new |
new |
|
|
2020 UnitedHealthcare Medicare Advantage Assure (PPO)
| $24.20 |
$6,700 |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,601 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H6121 -003 -0 | | | | | |
new |
new |
|
|
2020 Bright Advantage Assist (HMO)
| $25.00 |
$6,700 |
$435 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,320 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 Plan 1 (HMO)
| $26.00 |
$3,900 |
$230 | No additional gap coverage, only the Donut Hole Discount |
H2802 -025 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Plan 1 (HMO)
| $26.00 |
$3,900 |
$195 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 Community Flex-Plan (HMO-POS)
| $27.40 |
$3,950 |
$415 | No additional gap coverage, only the Donut Hole Discount |
H3071 -003 -0 | 25% | 25% | 25% | 25% | 3,151
2019 Formulary |
|
|
|
|
2020 Community Flex-Plan (HMO-POS)
| $26.00 |
$3,950 |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,173 2020 Formulary |
|
2019 Longevity Health Plan (HMO SNP)
| $27.40 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H9590 -001 -0 | 25% | | | | 3,690
2019 Formulary |
new |
new |
|
|
2020 Longevity Health Plan (HMO I-SNP)
| $26.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,717 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 --
|
H3800 -001 -0 | | | | | |
new |
new |
|
|
2020 Provider Partners Illinois Advantage Plan (HMO I-SNP)
| $26.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,603 2020 Formulary |
|
2019 UnitedHealthcare Nursing Home Plan 1 (HMO-POS SNP)
| $27.40 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H2802 -027 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
|
|
|
|
2020 UnitedHealthcare Nursing Home Plan 1 (HMO-POS I-SNP)
| $26.00 |
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)
| $27.40 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0710 -039 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
|
-- |
|
|
2020 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $26.00 |
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 AARP MedicareComplete Choice (PPO)
| $38.00 |
$3,900 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H8768 -005 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Choice (PPO)
| $38.00 |
$3,900 |
$195 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $45.00 | $45.00 | 3,601 2020 Formulary |
|
2019 WellCare Choice (HMO-POS)
| $39.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1416 -024 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Choice (HMO-POS)
| $39.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H3725 -001 -0 | | | | | |
new |
new |
|
|
2020 Bright Advantage Flex Plus (PPO)
| $49.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,320 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 Clear Spring Health Essential Plus (HMO)
| $47.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5454 -004 -0 | $0.00 | $6.00 | $35.00 | $35.00 | 3,133
2019 Formulary |
new |
new |
|
|
2020 Clear Spring Health Essential Plus (HMO)
| $49.00 |
$2,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $35.00 | $35.00 | 3,305 2020 Formulary |
|
2019 Aetna Medicare Standard Plan (PPO)
| $67.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5521 -016 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Premier Plus (PPO)
| $58.00 |
$3,250 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Sunrise Advantage Plan C-SNP (HMO SNP)
| $79.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4778 -002 -0 | $4.00 | $15.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
2020 Reflections (HMO C-SNP)
| $69.00 |
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)
| $69.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4778 -003 -0 | $4.00 | $15.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
2020 Sunrise Advantage Community Plan (HMO)
| $69.00 |
$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 AARP MedicareComplete Plan 2 (HMO)
| $76.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2802 -026 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Plan 2 (HMO)
| $76.00 |
$3,900 |
$60 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $45.00 | $45.00 | 3,601 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Choice Plus (PPO)
| $88.00 |
$6,700 |
$415 | Yes, some additional gap coverage. |
H8634 -003 -0 | $3.00 | $14.00 | $42.00 | $42.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Choice Plus (PPO)
| $79.00 |
$6,700 |
$435 | Yes, some additional gap coverage. | $3.00 | $14.00 | $42.00 | $42.00 | 3,487 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 Blue Cross Medicare Advantage Premier Plus (HMO-POS)
| $83.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H3822 -008 -0 | $0.00 | $8.00 | $39.00 | $39.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Premier Plus (HMO-POS)
| $83.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,487 2020 Formulary |
|
2019 HumanaChoice H5216-013 (PPO)
| $79.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -013 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-013 (PPO)
| $88.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 HumanaChoice R5361-002 (Regional PPO)
| $117.00 |
$6,700 |
$390 | No additional gap coverage, only the Donut Hole Discount |
R5361 -002 -0 | $3.00 | $9.00 | $47.00 | $47.00 | n/a |
|
-- |
|
|
2020 HumanaChoice R5361-002 (Regional PPO)
| $139.00 |
$6,700 |
$420 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $9.00 | $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 Blue Cross Medicare Advantage Choice Premier (PPO)
| $141.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H8634 -004 -0 | $0.00 | $14.00 | $42.00 | $42.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Choice Premier (PPO)
| $141.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $14.00 | $42.00 | $42.00 | 3,487 2020 Formulary |
|
2019 Humana Gold Choice H8145-008 (PFFS)
| $177.00 |
n/a |
$380 | No additional gap coverage, only the Donut Hole Discount |
H8145 -008 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
-- |
|
|
2020 Humana Gold Choice H8145-008 (PFFS)
| $166.00 |
n/a |
$380 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Select (HMO)
| $27.40 |
$3,400 |
$70 | No additional gap coverage, only the Donut Hole Discount |
H3822 -011 -0 | $0.00 | $13.00 | $42.00 | $42.00 | 3,511
2019 Formulary |
|
|
|
|
-- 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 |
H4778 -004 -0 | $0.00 | $9.00 | $45.00 | $45.00 | 3,930
2019 Formulary |
-- |
-- |
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Provider Partners Illinois Advantage Plan (HMO SNP)
| $27.40 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H8067 -002 -0 | 25% | | | | 3,615
2019 Formulary |
-- |
-- |
|
|
-- This plan not offered in 2020 --
|
| | | | |
|