There are 67 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. | |
|
2019 AARP MedicareComplete Plan 1 (HMO)
| $0.00 |
$6,700 |
$215 | No additional gap coverage, only the Donut Hole Discount |
H8748 -002 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Plan 1 (HMO-POS)
| $0.00 |
$5,900 |
$0 | 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 --
|
H2577 -005 -0 | | | | | |
new |
new |
|
|
2020 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$6,700 |
$95 | 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 Absolute Total Care (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1723 -001 -0 | 0% | 0% | 0% | | 3,315
2019 Formulary |
-- |
-- |
|
|
2020 Absolute Total Care (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,451 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5521 -279 -0 | | | | | |
|
|
|
|
2020 Aetna Medicare Core Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,500 |
$95 | Yes, some additional gap coverage. |
H5521 -140 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $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 AFC Care Rx (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8170 -001 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,176
2019 Formulary |
-- |
-- |
|
|
2020 AFC Care Rx (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,302 2020 Formulary |
|
2019 AFC Special Care Rx (HMO SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8170 -002 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,176
2019 Formulary |
-- |
-- |
|
|
2020 AFC Special Care Rx (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,302 2020 Formulary |
|
2019 Allwell Medicare (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1436 -004 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,811
2019 Formulary |
|
|
|
|
2020 Allwell Medicare (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $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 BlueCross Secure (HMO)
| $0.00 |
$6,700 |
$70 | Yes, some additional gap coverage. |
H7165 -001 -0 | $3.00 | $15.00 | $37.00 | $37.00 | 3,278
2019 Formulary |
-- |
-- |
|
|
2020 BlueCross Secure (HMO)
| $0.00 |
$6,700 |
$70 | Yes, some additional gap coverage. | $5.00 | $15.00 | $37.00 | $37.00 | 4,225 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7409 -001 -0 | | | | | |
new |
new |
|
|
2020 Bright Advantage (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $39.00 | $39.00 | 3,320 2020 Formulary |
|
2019 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$6,700 |
No Rx Coverage |
H7020 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 Cigna-HealthSpring Advantage (HMO)
| $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 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H7020 -004 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,383 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7020 -007 -0 | | | | | |
|
|
|
|
2020 Cigna-HealthSpring Preferred Part B Savings (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,383 2020 Formulary |
|
2019 EON CHOICE (PPO)
| $25.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2334 -003 -0 | $2.00 | $10.00 | $45.00 | $45.00 | 4,104
2019 Formulary |
-- |
-- |
|
|
2020 EON CHOICE (PPO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 4,225 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 EON SELECT (HMO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H9403 -004 -0 | $2.00 | $10.00 | $45.00 | $45.00 | 4,104
2019 Formulary |
-- |
-- |
|
|
2020 EON SELECT (HMO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 4,225 2020 Formulary |
|
2019 EON SILVER (HMO SNP)
| $0.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H9403 -003 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 4,104
2019 Formulary |
-- |
-- |
|
|
2020 EON SILVER (HMO C-SNP)
| $0.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 4,225 2020 Formulary |
|
2019 First Choice VIP Care Plus (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8213 -001 -0 | 0% | 0% | 0% | | 3,335
2019 Formulary |
-- |
-- |
|
|
2020 First Choice VIP Care Plus (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,430 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 - Diabetes and Heart (HMO SNP)
| $0.00 |
n/a |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5619 -087 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$195 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Humana Gold Plus H5619-086 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5619 -086 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus H5619-086 (HMO)
| $0.00 |
$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 --
|
H5216 -217 -0 | | | | | |
|
|
|
|
2020 Humana Honor (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 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 |
|
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 -208 -0 | | | | | |
|
|
|
|
2020 HumanaChoice H5216-208 (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 |
-- This plan not offered in 2019 --
|
H5216 -210 -0 | | | | | |
|
|
|
|
2020 HumanaChoice H5216-210 (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. | |
|
2019 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2533 -001 -0 | 0% | 0% | 0% | | 3,163
2019 Formulary |
-- |
-- |
|
|
2020 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,184 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 -005 -0 | | | | | |
|
|
|
|
2020 UnitedHealthcare Medicare Advantage Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2019 --
|
H7326 -003 -0 | | | | | |
|
|
|
|
2020 WellCare Absolute (PPO)
| $0.00 |
$6,700 |
$90 | Yes, some additional gap coverage. | $0.00 | $15.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H1416 -059 -0 | | | | | |
|
|
|
|
2020 WellCare Advance (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2019 WellCare Elite (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H4847 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
new |
new |
|
|
2020 WellCare Elite (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 WellCare Premier (PPO)
| $0.00 |
$6,000 |
$50 | Yes, some additional gap coverage. |
H7326 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Premier (PPO)
| $0.00 |
$6,000 |
$100 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H1416 -056 -0 | | | | | |
|
|
|
|
2020 WellCare Value (HMO)
| $0.00 |
$6,700 |
$0 | 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 |
-- 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 |
|
-- 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 |
|
-- This plan not offered in 2019 --
|
H4847 -005 -0 | | | | | |
new |
new |
|
|
2020 WellCare Compass (HMO)
| $13.90 |
$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 EON GOLD (PPO SNP)
| $25.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H2334 -001 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 4,104
2019 Formulary |
-- |
-- |
|
|
2020 EON GOLD (PPO C-SNP)
| $15.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 4,225 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H4847 -003 -0 | | | | | |
new |
new |
|
|
2020 WellCare Plus (HMO)
| $16.30 |
$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 WellCare Access (HMO SNP)
| $21.90 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H1416 -036 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Access (HMO D-SNP)
| $18.30 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
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 BlueCross Total (PPO)
| $19.00 |
$6,700 |
$70 | Yes, some additional gap coverage. |
H8003 -001 -0 | $3.00 | $15.00 | $37.00 | $37.00 | 3,278
2019 Formulary |
|
|
|
|
2020 BlueCross Total (PPO)
| $19.00 |
$6,700 |
$70 | Yes, some additional gap coverage. | $5.00 | $15.00 | $37.00 | $37.00 | 4,225 2020 Formulary |
|
2019 Humana Gold Plus SNP-DE H5619-082 (HMO SNP)
| $24.50 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5619 -082 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
| $23.50 |
n/a |
$365 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7409 -002 -0 | | | | | |
new |
new |
|
|
2020 Bright Advantage Assist (HMO)
| $23.70 |
$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 |
-- This plan not offered in 2019 --
|
H5619 -117 -0 | | | | | |
|
|
|
|
2020 Humana Gold Plus SNP-DE H5619-117 (HMO D-SNP)
| $23.70 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $11.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 AARP MedicareComplete Plan 2 (HMO)
| $24.60 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount |
H8748 -024 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Premier (HMO-POS)
| $23.80 |
$5,900 |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,601 2020 Formulary |
|
2019 Allwell Dual Medicare (HMO SNP)
| $24.60 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H1436 -005 -0 | $0.00 | | | | 3,297
2019 Formulary |
|
|
|
|
2020 Allwell Dual Medicare (HMO D-SNP)
| $23.80 |
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 EON DELUXE (HMO SNP)
| $24.50 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H9403 -001 -0 | 25% | 25% | 25% | 25% | 4,104
2019 Formulary |
-- |
-- |
|
|
2020 EON DELUXE (HMO D-SNP)
| $23.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 4,225 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H8176 -001 -0 | | | | | |
new |
new |
|
|
2020 Molina Medicare Complete Care (HMO D-SNP)
| $23.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,185 2020 Formulary |
|
-- 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 |
|
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 --
|
H8748 -025 -0 | | | | | |
|
|
|
|
2020 AARP Medicare Advantage Plan 2 (HMO-POS)
| $28.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 Cigna-HealthSpring PreferredPlus (HMO)
| $49.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7020 -006 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring PreferredPlus (HMO)
| $29.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $35.00 | $35.00 | 3,383 2020 Formulary |
|
2019 WellCare Prime (PPO)
| $30.00 |
$6,000 |
$0 | Yes, some additional gap coverage. |
H7326 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare Prime (PPO)
| $30.00 |
$6,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $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 --
|
H5216 -204 -0 | | | | | |
|
|
|
|
2020 HumanaChoice H5216-204 (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 |
|
2019 HumanaChoice H5216-076 (PPO)
| $39.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5216 -076 -0 | $5.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-076 (PPO)
| $43.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $47.00 | $47.00 | 3,369 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 |
|
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 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 |
|
-- This plan not offered in 2019 --
|
H7326 -004 -0 | | | | | |
|
|
|
|
2020 WellCare Flex Complete (PPO)
| $90.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $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 |
|
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 --
|
H7617 -001 -0 | | | | | |
new |
new |
|
|
2020 HumanaChoice H7617-001 (PPO)
| $114.00 |
$6,700 |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,369 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5178 -001 -0 | | | | | |
new |
new |
|
|
2020 Humana Gold Plus H5178-001 (HMO)
| $129.00 |
$6,700 |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,369 2020 Formulary |
|
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. |
H1416 -052 -1 | $0.00 | $20.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 WellCare Advance (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage |
H1416 -054 -2 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Allwell Dual Medicare Essentials (HMO SNP)
| $24.60 |
n/a |
$225 | No additional gap coverage, only the Donut Hole Discount |
H1436 -006 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,297
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 UnitedHealthcare Nursing Home Plan (HMO-POS SNP)
| $32.60 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H5322 -001 -0 | 25% | 25% | 25% | 25% | 3,516
2019 Formulary |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|