There are 71 Medicare Advantage plans meeting your criteria.
2020 / 2021 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 2020 --
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H1924 -001 -0 | | | | | |
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2021 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2020 --
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H1924 -004 -0 | | | | | |
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2021 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2020 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,900 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2406 -016 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,601
2020 Formulary |
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2021 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,900 |
$150 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $45.00 | $45.00 | 3,604 2021 Formulary |
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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 |
2020 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R0759 -001 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
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2021 AARP Medicare Advantage Choice Plan 2 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $14.00 | $47.00 | $47.00 | 3,604 2021 Formulary |
|
2020 AARP Medicare Advantage Choice Essential (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R0759 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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2021 AARP Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2020 --
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H2962 -029 -0 | | | | | |
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2021 Advantage Care by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 4,004 2021 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 2020 --
|
H2962 -030 -0 | | | | | |
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2021 Advantage Care COPD by Ultimate (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 4,004 2021 Formulary |
|
2020 Aetna Medicare Choice (HMO-POS)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. |
H1609 -028 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
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2021 Aetna Medicare Choice (HMO-POS)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,659 2021 Formulary |
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2020 Aetna Medicare Premier (PPO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. |
H5521 -033 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
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2021 Aetna Medicare Premier (PPO)
| $0.00 |
$6,700 |
$300 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,659 2021 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 |
2020 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. |
H5521 -271 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
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2021 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,659 2021 Formulary |
|
2020 Aetna Medicare Summit Select (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1609 -021 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,880
2020 Formulary |
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2021 Aetna Medicare Select (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,679 2021 Formulary |
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2020 BlueMedicare Classic (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H1035 -019 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,308
2020 Formulary |
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2021 BlueMedicare Classic (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,450 2021 Formulary |
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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 2020 --
|
H5434 -038 -0 | | | | | |
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2021 BlueMedicare Patriot (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2020 --
|
H1035 -043 -0 | | | | | |
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2021 BlueMedicare Premier (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 4,319 2021 Formulary |
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-- This plan not offered in 2020 --
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H5434 -036 -0 | | | | | |
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2021 BlueMedicare Value (PPO)
| $0.00 |
$5,400 |
$150 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 2,744 2021 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 2020 --
|
H1019 -107 -0 | | | | | |
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2021 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $35.00 | $35.00 | 3,382 2021 Formulary |
|
2020 CareFree (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1019 -092 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,369
2020 Formulary |
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2021 CareFree (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $35.00 | $35.00 | 3,382 2021 Formulary |
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-- This plan not offered in 2020 --
|
H1019 -112 -0 | | | | | |
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2021 CareOne PLATINUM (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,382 2021 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 |
2020 CareOne PLUS (HMO)
| $0.00 |
$2,750 |
$0 | Yes, some additional gap coverage. |
H1019 -057 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,369
2020 Formulary |
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2021 CareOne PLUS (HMO-POS)
| $0.00 |
$2,750 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,382 2021 Formulary |
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-- This plan not offered in 2020 --
|
H1290 -027 -0 | | | | | |
|
new |
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2021 Devoted Health Core (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,173 2021 Formulary |
|
2020 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5427 -060 -0 | $0.00 | $35.00 | $85.00 | $85.00 | 3,302
2020 Formulary |
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|
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2021 Freedom Medicare Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $85.00 | $85.00 | 3,322 2021 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 |
2020 Freedom Platinum Plan Rx (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H5427 -094 -0 | $0.00 | $30.00 | $70.00 | $70.00 | 3,302
2020 Formulary |
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2021 Freedom Platinum Plan Rx (HMO)
| $0.00 |
$2,250 |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $70.00 | $70.00 | 3,322 2021 Formulary |
|
2020 Freedom Platinum Rewards Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5427 -096 -0 | $0.00 | $35.00 | $85.00 | $85.00 | 3,302
2020 Formulary |
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2021 Freedom Platinum Rewards Plan Rx (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $35.00 | $85.00 | $85.00 | 3,322 2021 Formulary |
|
2020 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5427 -052 -0 | This plan does NOT include Prescription Drug coverage. | |
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|
|
2021 Freedom Savings Plan (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2020 Freedom VIP Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -070 -0 | $0.00 | $20.00 | $60.00 | $60.00 | 3,302
2020 Formulary |
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|
|
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2021 Freedom VIP Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 3,327 2021 Formulary |
|
2020 Freedom VIP Savings (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -072 -0 | $0.00 | $30.00 | $80.00 | $80.00 | 3,302
2020 Formulary |
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|
|
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2021 Freedom VIP Savings (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $80.00 | $80.00 | 3,327 2021 Formulary |
|
2020 Freedom VIP Savings COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5427 -077 -0 | $0.00 | $20.00 | $60.00 | $60.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Freedom VIP Savings COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $20.00 | $60.00 | $60.00 | 3,322 2021 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 |
2020 Humana Gold Plus H1036-269 (HMO)
| $0.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1036 -269 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,369
2020 Formulary |
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|
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2021 Humana Gold Plus H1036-269 (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $45.00 | $45.00 | 3,382 2021 Formulary |
|
2020 Humana Gold Plus H1036-277 (HMO)
| $0.00 |
$2,750 |
$0 | Yes, some additional gap coverage. |
H1036 -277 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,369
2020 Formulary |
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|
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2021 Humana Gold Plus H1036-277 (HMO)
| $0.00 |
$2,750 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,382 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1036 -290 -0 | | | | | |
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|
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2021 Humana Honor (HMO)
| $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 |
2020 HumanaChoice Florida H5216-074 (PPO)
| $0.00 |
$5,500 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5216 -074 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
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2021 HumanaChoice Florida H5216-074 (PPO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
2020 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R5826 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2021 HumanaChoice R5826-018 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2020 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$6,700 |
$395 | No additional gap coverage, only the Donut Hole Discount |
R5826 -074 -0 | $6.00 | $20.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice R5826-074 (Regional PPO)
| $0.00 |
$7,550 |
$395 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $20.00 | $47.00 | $47.00 | 3,386 2021 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 |
2020 Optimum Diamond Rewards (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -030 -0 | $0.00 | $30.00 | $80.00 | $80.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Optimum Diamond Rewards (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $80.00 | $80.00 | 3,327 2021 Formulary |
|
2020 Optimum Diamond Rewards COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5594 -031 -0 | $0.00 | $30.00 | $80.00 | $80.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Optimum Diamond Rewards COPD (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $80.00 | $80.00 | 3,322 2021 Formulary |
|
2020 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5594 -026 -0 | $0.00 | $35.00 | $85.00 | $85.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Optimum Gold Rewards Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $85.00 | $85.00 | 3,322 2021 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 2020 --
|
H2962 -028 -0 | | | | | |
|
|
|
|
2021 Premier by Ultimate (HMO)
| $0.00 |
$2,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $35.00 | $60.00 | $60.00 | 4,004 2021 Formulary |
|
2020 Ascend Plus by Ultimate (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H2962 -016 -0 | $0.00 | $8.00 | $30.00 | $30.00 | 3,994
2020 Formulary |
|
|
|
|
2021 Premier Plus by Ultimate (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $30.00 | $70.00 | $70.00 | 4,004 2021 Formulary |
|
2020 UnitedHealthcare Medicare Advantage Walgreens (HMO C-SNP)
| $0.00 |
n/a |
$150 | No additional gap coverage, only the Donut Hole Discount |
H1045 -048 -4 | $0.00 | $5.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
|
|
|
|
2021 UnitedHealthcare Medicare Advantage Walgreens (HMO C-SNP)
| $0.00 |
n/a |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,604 2021 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 |
2020 UnitedHealthcare The Villages Medicare Advantage 1 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1045 -025 -0 | $3.00 | $7.00 | $45.00 | $45.00 | 3,601
2020 Formulary |
|
|
|
|
2021 UnitedHealthcare The Villages Medicare Advantage (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $7.00 | $45.00 | $45.00 | 3,604 2021 Formulary |
|
2020 WellCare Dividend Prime (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1032 -193 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Dividend Prime (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,348 2021 Formulary |
|
2020 WellCare Elite (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1032 -194 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Elite (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,348 2021 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 |
2020 WellCare Premier (PPO)
| $0.00 |
$6,000 |
$175 | Yes, some additional gap coverage. |
H5199 -008 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
new |
new |
|
|
2021 WellCare Premier (PPO)
| $0.00 |
$4,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,348 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1019 -026 -0 | | | | | |
|
|
|
|
2021 CareNeeds PLUS (HMO D-SNP)
| $14.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $47.00 | $47.00 | 3,382 2021 Formulary |
|
2020 Humana Fully Integrated H1036-283 (HMO D-SNP)
| $18.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -283 -0 | $0.00 | $3.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Fully Integrated H1036-283 (HMO D-SNP)
| $19.50 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | $47.00 | $47.00 | 3,382 2021 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 |
2020 Aetna Medicare Assure (HMO D-SNP)
| $28.50 |
n/a |
$250 | Yes, some additional gap coverage. |
H1609 -039 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,880
2020 Formulary |
|
|
|
|
2021 Aetna Medicare Assure (HMO D-SNP)
| $25.30 |
n/a |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,679 2021 Formulary |
|
2020 WellCare Access (HMO D-SNP)
| $24.20 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -124 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Access (HMO D-SNP)
| $28.10 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,348 2021 Formulary |
|
2020 Aetna Medicare Assure Plus (HMO D-SNP)
| $28.50 |
n/a |
$250 | Yes, some additional gap coverage. |
H1609 -045 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,880
2020 Formulary |
|
|
|
|
2021 Aetna Medicare Assure Plus (HMO D-SNP)
| $29.00 |
n/a |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,679 2021 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 |
2020 Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
| $23.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -213 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)
| $29.60 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,382 2021 Formulary |
|
2020 WellCare Select (HMO D-SNP)
| $22.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -182 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Select (HMO D-SNP)
| $30.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,348 2021 Formulary |
|
2020 WellCare Liberty (HMO D-SNP)
| $26.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -175 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Liberty (HMO D-SNP)
| $30.50 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,348 2021 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 2020 --
|
H1290 -028 -0 | | | | | |
|
new |
|
|
2021 Devoted Health Prime (HMO)
| $30.70 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $20.00 | $20.00 | 3,173 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1035 -031 -0 | | | | | |
|
|
|
|
2021 BlueMedicare Complete (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 4,319 2021 Formulary |
|
2020 Freedom Medi-Medi Full (HMO D-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5427 -087 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Freedom Medi-Medi Full (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,322 2021 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 |
2020 Freedom Medi-Medi Partial (HMO D-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5427 -078 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Freedom Medi-Medi Partial (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,322 2021 Formulary |
|
2020 Optimum Emerald Full (HMO D-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5594 -017 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Optimum Emerald Full (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,322 2021 Formulary |
|
2020 Optimum Emerald Partial (HMO D-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5594 -016 -0 | $0.00 | $45.00 | $95.00 | $95.00 | 3,302
2020 Formulary |
|
|
|
|
2021 Optimum Emerald Partial (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $45.00 | $95.00 | $95.00 | 3,322 2021 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 2020 --
|
H1889 -002 -1 | | | | | |
new |
new |
new |
|
2021 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,604 2021 Formulary |
|
2020 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $28.10 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
R0759 -003 -0 | 15% | 15% | 15% | 15% | 3,601
2020 Formulary |
|
|
|
|
2021 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,604 2021 Formulary |
|
2020 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H0710 -010 -0 | 25% | 25% | 25% | 25% | 3,601
2020 Formulary |
|
-- |
|
|
2021 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,604 2021 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 |
2020 BlueMedicare Choice (Regional PPO)
| $47.90 |
$6,500 |
$250 | Yes, some additional gap coverage. |
R3332 -001 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,308
2020 Formulary |
|
|
|
|
2021 BlueMedicare Choice (Regional PPO)
| $47.90 |
$6,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,450 2021 Formulary |
|
2020 HumanaChoice Florida H7284-001 (PPO)
| $74.00 |
$2,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7284 -001 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
new |
new |
|
|
2021 HumanaChoice Florida H7284-001 (PPO)
| $70.00 |
$2,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
2020 WellCare Prime (PPO)
| $90.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H5199 -013 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
new |
new |
|
|
2021 WellCare Prime (PPO)
| $90.00 |
$1,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,348 2021 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 |
2020 Humana Gold Choice H8145-061 (PFFS)
| $116.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H8145 -061 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
-- |
|
|
2021 Humana Gold Choice H8145-061 (PFFS)
| $101.00 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
2020 HumanaChoice R5826-005 (Regional PPO)
| $101.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount |
R5826 -005 -0 | $5.00 | $15.00 | $45.00 | $45.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice R5826-005 (Regional PPO)
| $105.00 |
$6,700 |
$100 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $45.00 | $45.00 | 3,386 2021 Formulary |
|
2020 BlueMedicare Select (PPO)
| $145.50 |
$5,900 |
$305 | Yes, some additional gap coverage. |
H5434 -002 -0 | $3.00 | $10.00 | $40.00 | $40.00 | 4,205
2020 Formulary |
|
|
|
|
2021 BlueMedicare Select (PPO)
| $146.80 |
$5,900 |
$305 | Yes, some additional gap coverage. | $3.00 | $10.00 | $40.00 | $40.00 | 4,319 2021 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 |
2020 CareNeeds PLUS (HMO D-SNP)
| $12.20 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1019 -028 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
-- Members will be assigned to CareNeeds PLUS (HMO D-SNP) H1019-026-0 --
| | | | | |
|
2020 CareNeeds (HMO D-SNP)
| $15.70 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1019 -077 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
-- Members will be assigned to CareNeeds PLUS (HMO D-SNP) H1019-026-0 --
| | | | | |
|
2020 Humana Gold Plus SNP-DE H1036-247 (HMO D-SNP)
| $26.70 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -247 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP) H1036-213-0 --
| | | | | |
|
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 |
2020 UnitedHealthcare The Villages Medicare Advantage 2 (HMO-POS)
| $83.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1045 -027 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,601
2020 Formulary |
|
|
|
|
-- Members will be assigned to UnitedHealthcare The Villages Medicare Advantage (HMO) H1045-025-0 --
| | | | | |
|
2020 WellCare Dividend (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1032 -223 -2 | $0.00 | $0.00 | $35.00 | $35.00 | 3,274
2020 Formulary |
|
|
|
|
-- This plan not offered in 2021 --
|
| | | | |
|