There are 60 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 Plan 1 (HMO)
| $0.00 |
$3,400 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H4527 -037 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
|
|
|
|
2020 AARP Medicare Advantage Plan 1 (HMO-POS)
| $0.00 |
$3,900 |
$195 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $14.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 AARP MedicareComplete Plan 2 (HMO)
| $0.00 |
$5,900 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H4514 -007 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,516
2019 Formulary |
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|
|
|
2020 AARP Medicare Advantage Plan 2 (HMO)
| $0.00 |
$5,900 |
$195 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $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 |
-- This plan not offered in 2019 --
|
H3288 -006 -0 | | | | | |
new |
new |
|
|
2020 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,700 |
$350 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$6,700 |
$295 | Yes, some additional gap coverage. |
H4523 -015 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
2020 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Allwell Medicare (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0062 -009 -0 | $1.00 | $8.00 | $42.00 | $42.00 | 3,811
2019 Formulary |
|
-- |
|
|
2020 Allwell Medicare (HMO)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $8.00 | $42.00 | $42.00 | 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 Amerivantage Classic (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H2593 -028 -1 | $5.00 | $12.00 | $42.00 | $42.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Amerivantage Classic (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $5.00 | $12.00 | $42.00 | $42.00 | 3,780 2020 Formulary |
|
2019 Amerivantage Select (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H2593 -029 -0 | $3.00 | $10.00 | $42.00 | $42.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Amerivantage Select (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $3.00 | $10.00 | $42.00 | $42.00 | 3,780 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H8133 -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 |
|
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 |
$3,400 |
No Rx Coverage |
H4513 -009 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 Cigna-HealthSpring Advantage (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4513 -025 -0 | $0.00 | $4.00 | $40.00 | $40.00 | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring Preferred (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $40.00 | $40.00 | 3,383 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7993 -001 -0 | | | | | |
new |
new |
|
|
2020 Devoted Health Greater Houston (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,275 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 H0028-042 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0028 -042 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
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|
|
|
2020 Humana Gold Plus H0028-042 (HMO)
| $0.00 |
$3,400 |
$195 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $14.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 HumanaChoice H5216-128 (PPO)
| $0.00 |
$5,400 |
No Rx Coverage |
H5216 -128 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 HumanaChoice H5216-128 (PPO)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 HumanaChoice R4182-001 (Regional PPO)
| $0.00 |
$5,700 |
No Rx Coverage |
R4182 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 HumanaChoice R4182-001 (Regional PPO)
| $0.00 |
$5,700 |
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 KelseyCare Advantage Essential (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H0332 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 KelseyCare Advantage Essential (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 KelseyCare Advantage Essential+Choice (HMO-POS)
| $0.00 |
$3,400 |
No Rx Coverage |
H0332 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 KelseyCare Advantage Essential+Choice (HMO-POS)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 KelseyCare Advantage Rx (HMO)
| $0.00 |
$3,400 |
$50 | Yes, some additional gap coverage. |
H0332 -002 -0 | $3.00 | $17.00 | $40.00 | $40.00 | 3,608
2019 Formulary |
|
|
|
|
2020 KelseyCare Advantage Rx (HMO)
| $0.00 |
$3,400 |
$100 | Yes, some additional gap coverage. | $3.00 | $5.00 | $40.00 | $40.00 | 3,667 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 Memorial Hermann Advantage (HMO)
| $0.00 |
$3,900 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H7115 -001 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,538
2019 Formulary |
|
|
|
|
2020 Memorial Hermann Advantage (HMO)
| $0.00 |
$3,900 |
$300 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $39.00 | $39.00 | 3,560 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5126 -001 -0 | | | | | |
new |
new |
|
|
2020 Oscar Easy Care (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $40.00 | $40.00 | 3,270 2020 Formulary |
|
2019 UnitedHealthcare Medicare Silver (Regional PPO SNP)
| $0.00 |
n/a |
$364 | No additional gap coverage, only the Donut Hole Discount |
R6801 -008 -0 | | | | | n/a |
|
|
|
|
2020 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $0.00 |
n/a |
$403 | 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 Dividend Prime (HMO)
| $0.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0174 -007 -0 | $0.00 | $7.00 | $30.00 | $30.00 | 3,254
2019 Formulary |
-- |
-- |
|
|
2020 WellCare Dividend Prime (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $30.00 | $30.00 | 3,274 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7323 -003 -0 | | | | | |
new |
new |
|
|
2020 WellCare Premier (PPO)
| $0.00 |
$6,700 |
$200 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,274 2020 Formulary |
|
2019 WellCare TexanPlus Choice (HMO-POS)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H4506 -029 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare TexanPlus Choice (HMO-POS)
| $0.00 |
$3,400 |
$250 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 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 WellCare TexanPlus Classic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4506 -003 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,254
2019 Formulary |
|
|
|
|
2020 WellCare TexanPlus Classic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,274 2020 Formulary |
|
2019 WellCare TexanPlus Value (HMO)
| $0.00 |
$3,000 |
No Rx Coverage |
H4506 -010 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2020 WellCare TexanPlus Value (HMO)
| $0.00 |
$3,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2019 WellCare Value (HMO-POS)
| $0.00 |
$4,500 |
$200 | Yes, some additional gap coverage. |
H0174 -005 -0 | $0.00 | $5.00 | $30.00 | $30.00 | 3,254
2019 Formulary |
-- |
-- |
|
|
2020 WellCare Value (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $30.00 | $30.00 | 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 --
|
H3288 -018 -0 | | | | | |
new |
new |
|
|
2020 Aetna Medicare Choice II Plan (PPO)
| $15.00 |
$6,700 |
$300 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
2019 Cigna-HealthSpring TotalCare (HMO SNP)
| $17.70 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H4513 -010 -0 | 15% | 15% | 15% | 15% | 3,346
2019 Formulary |
|
|
|
|
2020 Cigna-HealthSpring TotalCare (HMO D-SNP)
| $15.90 |
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 --
|
H8597 -003 -0 | | | | | |
new |
new |
|
|
2020 Aetna Medicare Dual Complete Plan (HMO D-SNP)
| $16.50 |
n/a |
$275 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,763 2020 Formulary |
|
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 H5216-043 (PPO)
| $15.00 |
$6,700 |
$295 | No additional gap coverage, only the Donut Hole Discount |
H5216 -043 -1 | $3.00 | $10.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-043 (PPO)
| $18.00 |
$6,700 |
$295 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 UnitedHealthcare Dual Complete (HMO SNP)
| $23.40 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H4514 -001 -0 | 15% | 15% | 15% | 15% | 3,516
2019 Formulary |
|
|
|
|
2020 UnitedHealthcare Dual Complete (HMO D-SNP)
| $19.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 15% | 15% | 15% | 15% | 3,601 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Choice Plus (PPO)
| $20.00 |
$6,700 |
$415 | Yes, some additional gap coverage. |
H1666 -006 -0 | $0.00 | $14.00 | $42.00 | $42.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Choice Plus (PPO)
| $20.00 |
$6,700 |
$435 | Yes, some additional gap coverage. | $0.00 | $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 Amerivantage Dual Coordination (HMO SNP)
| $24.00 |
n/a |
$415 | Yes, some additional gap coverage. |
H2593 -030 -1 | $0.00 | $20.00 | $47.00 | $47.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Amerivantage Dual Coordination (HMO D-SNP)
| $20.30 |
n/a |
$435 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,780 2020 Formulary |
|
2019 UnitedHealthcare Dual Complete Choice (Regional PPO SNP)
| $19.20 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
R6801 -011 -0 | | | | | n/a |
|
|
|
|
2020 UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP)
| $20.40 |
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 H0028-031 (HMO SNP)
| $23.90 |
n/a |
$310 | No additional gap coverage, only the Donut Hole Discount |
H0028 -031 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)
| $20.70 |
n/a |
$430 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $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 Humana Gold Plus SNP-DE H0028-033 (HMO SNP)
| $23.90 |
n/a |
$365 | No additional gap coverage, only the Donut Hole Discount |
H0028 -033 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)
| $20.70 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $18.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Allwell Dual Medicare (HMO SNP)
| $24.00 |
n/a |
$185 | No additional gap coverage, only the Donut Hole Discount |
H5294 -007 -0 | $0.00 | $19.00 | $47.00 | $47.00 | 3,297
2019 Formulary |
|
|
|
|
2020 Allwell Dual Medicare (HMO D-SNP)
| $20.80 |
n/a |
$245 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $19.00 | $47.00 | $47.00 | 3,451 2020 Formulary |
|
2019 Amerivantage Dual Premier (HMO SNP)
| $24.00 |
n/a |
$415 | Yes, some additional gap coverage. |
H2593 -032 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,606
2019 Formulary |
|
|
|
|
2020 Amerivantage Dual Premier (HMO D-SNP)
| $20.80 |
n/a |
$435 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 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 --
|
H9826 -001 -0 | | | | | |
new |
new |
|
|
2020 Community Health Choice (HMO D-SNP)
| $20.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | | | | 3,741 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7993 -002 -0 | | | | | |
new |
new |
|
|
2020 Devoted Health Prime Greater Houston (HMO)
| $20.80 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,275 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H7678 -001 -0 | | | | | |
|
|
|
|
2020 Molina Medicare Complete Care (HMO D-SNP)
| $20.80 |
n/a |
$435 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,185 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 --
|
H3467 -001 -0 | | | | | |
new |
new |
|
|
2020 ProCare Advantage (HMO I-SNP)
| $20.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,717 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H5015 -001 -0 | | | | | |
new |
new |
|
|
2020 Texas Independence Health Plan, Inc. (HMO I-SNP)
| $20.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | | | | 3,603 2020 Formulary |
|
-- This plan not offered in 2019 --
|
H0710 -020 -0 | | | | | |
|
-- |
|
|
2020 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $20.80 |
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)
| $24.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0174 -004 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
-- |
-- |
|
|
2020 WellCare Access (HMO D-SNP)
| $20.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $14.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 WellCare Liberty (HMO SNP)
| $24.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0174 -006 -0 | $0.00 | $18.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
-- |
-- |
|
|
2020 WellCare Liberty (HMO D-SNP)
| $20.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $16.00 | $47.00 | $47.00 | 3,274 2020 Formulary |
|
2019 WellCare TexanPlus Star (HMO SNP)
| $24.00 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount |
H0174 -001 -0 | $0.00 | $18.00 | $47.00 | $47.00 | 3,254
2019 Formulary |
-- |
-- |
|
|
2020 WellCare TexanPlus Star (HMO D-SNP)
| $20.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $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 UnitedHealthcare Medicare Gold (Regional PPO SNP)
| $14.00 |
n/a |
$295 | No additional gap coverage, only the Donut Hole Discount |
R6801 -009 -0 | | | | | n/a |
|
|
|
|
2020 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $29.00 |
n/a |
$295 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 UnitedHealthcare MedicareComplete Choice (Regional PPO)
| $38.00 |
$6,700 |
$325 | No additional gap coverage, only the Donut Hole Discount |
R6801 -012 -0 | | | | | n/a |
|
|
|
|
2020 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $42.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,601 2020 Formulary |
|
2019 HumanaChoice R4182-004 (Regional PPO)
| $48.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount |
R4182 -004 -0 | $6.00 | $13.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2020 HumanaChoice R4182-004 (Regional PPO)
| $54.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $13.00 | $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 KelseyCare Advantage Rx+Choice (HMO-POS)
| $77.00 |
$3,400 |
$50 | Yes, some additional gap coverage. |
H0332 -004 -0 | $3.00 | $17.00 | $40.00 | $40.00 | 3,608
2019 Formulary |
|
|
|
|
2020 KelseyCare Advantage Rx+Choice (HMO-POS)
| $77.00 |
$3,400 |
$100 | Yes, some additional gap coverage. | $3.00 | $5.00 | $40.00 | $40.00 | 3,667 2020 Formulary |
|
2019 Blue Cross Medicare Advantage Choice Premier (PPO)
| $90.00 |
$5,900 |
$415 | Yes, some additional gap coverage. |
H1666 -003 -0 | $0.00 | $14.00 | $42.00 | $42.00 | 3,511
2019 Formulary |
|
|
|
|
2020 Blue Cross Medicare Advantage Choice Premier (PPO)
| $90.00 |
$5,900 |
$435 | Yes, some additional gap coverage. | $0.00 | $14.00 | $42.00 | $42.00 | 3,487 2020 Formulary |
|
2019 HumanaChoice H5216-042 (PPO)
| $87.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount |
H5216 -042 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
2020 HumanaChoice H5216-042 (PPO)
| $92.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $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 HumanaChoice R4182-003 (Regional PPO)
| $89.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount |
R4182 -003 -0 | $7.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2020 HumanaChoice R4182-003 (Regional PPO)
| $95.00 |
$6,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Humana Gold Choice H8145-084 (PFFS)
| $116.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H8145 -084 -0 | $6.00 | $12.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
-- |
|
|
2020 Humana Gold Choice H8145-084 (PFFS)
| $134.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $12.00 | $47.00 | $47.00 | 3,369 2020 Formulary |
|
2019 Humana Gold Plus H0028-038 (HMO)
| $0.00 |
$6,700 |
$360 | No additional gap coverage, only the Donut Hole Discount |
H0028 -038 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,368
2019 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H0028-042 (HMO) H0028-042-0 --
| | | | | |
|
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 Aetna Medicare Prime Plan (HMO)
| $0.00 |
$3,400 |
$195 | Yes, some additional gap coverage. |
H4523 -024 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Aetna Medicare Choice Plan (PPO)
| $15.00 |
$6,700 |
$245 | Yes, some additional gap coverage. |
H5521 -060 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|
2019 Aetna Medicare Value Plan (PPO)
| $150.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -094 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,744
2019 Formulary |
|
|
|
|
-- This plan not offered in 2020 --
|
| | | | |
|