There are 97 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. | |
|
-- This plan not offered in 2020 --
|
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 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2406 -018 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
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2021 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 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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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 |
|
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 --
|
H1609 -053 -0 | | | | | |
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|
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2021 Aetna Medicare Credit (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,659 2021 Formulary |
|
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 |
|
2020 Aetna Medicare Summit Select (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H1609 -016 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,880
2020 Formulary |
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2021 Aetna Medicare Select (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,682 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 --
|
H9917 -002 -0 | | | | | |
new |
new |
new |
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2021 Align Connect (HMO C-SNP)
| $0.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,941 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H9917 -001 -0 | | | | | |
new |
new |
new |
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2021 Align Thrive (HMO I-SNP)
| $0.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,941 2021 Formulary |
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-- This plan not offered in 2020 --
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H1016 -025 -0 | | | | | |
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2021 AvMed Medicare Access (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 3,339 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 AvMed Medicare Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1016 -001 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,270
2020 Formulary |
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2021 AvMed Medicare Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,339 2021 Formulary |
|
2020 AvMed Medicare Circle (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1016 -023 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,270
2020 Formulary |
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2021 AvMed Medicare Circle (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,339 2021 Formulary |
|
2020 BlueMedicare Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1035 -017 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 4,205
2020 Formulary |
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2021 BlueMedicare Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 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 BlueMedicare Premier (HMO)
| $0.00 |
$2,000 |
$0 | Yes, some additional gap coverage. |
H1035 -024 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 4,205
2020 Formulary |
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|
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2021 BlueMedicare Premier (HMO)
| $0.00 |
$2,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 4,319 2021 Formulary |
|
2020 BlueMedicare Saver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1035 -039 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 2,665
2020 Formulary |
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|
|
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2021 BlueMedicare Saver (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 2,744 2021 Formulary |
|
2020 BlueMedicare Value (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5434 -032 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 2,665
2020 Formulary |
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|
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2021 BlueMedicare Value (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $2.00 | $10.00 | $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 -105 -0 | | | | | |
|
|
|
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2021 CareComplete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,382 2021 Formulary |
|
2020 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1019 -076 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
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|
|
|
2021 CareFree PLUS (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,382 2021 Formulary |
|
2020 CareOne PLUS (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H1019 -006 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,369
2020 Formulary |
|
|
|
|
2021 CareOne PLUS (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 Devoted Health Miami-Dade (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H1290 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,275
2020 Formulary |
|
new |
|
|
2021 Devoted Health Core Miami-Dade (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,173 2021 Formulary |
|
2020 Devoted Health Essentials Miami-Dade (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1290 -013 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,275
2020 Formulary |
|
new |
|
|
2021 Devoted Health Essentials Miami-Dade (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $30.00 | $30.00 | 3,173 2021 Formulary |
|
2020 DrCare (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4140 -003 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,987
2020 Formulary |
|
new |
|
|
2021 DrCare (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 3,975 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 DrExtra (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4140 -004 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,987
2020 Formulary |
|
new |
|
|
2021 DrExtra (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 3,975 2021 Formulary |
|
2020 DrMax (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4140 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,987
2020 Formulary |
|
new |
|
|
2021 DrMax (HMO-POS)
| $0.00 |
$7,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,975 2021 Formulary |
|
2020 DrValue (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H4140 -005 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,987
2020 Formulary |
|
new |
|
|
2021 DrValue (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,975 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 HealthSun SunPlus Advantage Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5431 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,579
2020 Formulary |
|
-- |
|
|
2021 HealthSun HealthAdvantage Plan (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,581 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1036 -121 -0 | | | | | |
|
|
|
|
2021 Humana Gold Plus - Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $40.00 | $40.00 | 3,382 2021 Formulary |
|
2020 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H1036 -054 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Gold Plus H1036-054C (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 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 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1036 -237 -2 | $0.00 | $0.00 | $40.00 | $40.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Gold Plus H1036-237 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,382 2021 Formulary |
|
2020 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$5,500 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5216 -068 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice Florida H5216-068 (PPO)
| $0.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $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. | |
|
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 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 |
|
2020 Leon Medical Centers Health Plans - Leon Cares (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5410 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 4,217
2020 Formulary |
|
|
|
|
2021 Leon Medicare (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 4,157 2021 Formulary |
|
2020 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5420 -001 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,601
2020 Formulary |
|
|
|
|
2021 Medica HealthCare Plans MedicareMax (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 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 MMM PLUS (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3293 -005 -0 | $0.00 | $0.00 | $5.00 | $5.00 | 3,270
2020 Formulary |
|
new |
|
|
2021 MMM ELITE (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $5.00 | $5.00 | 3,340 2021 Formulary |
|
2020 MMM EXTRA (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3293 -003 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,270
2020 Formulary |
|
new |
|
|
2021 MMM EXTRA (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,340 2021 Formulary |
|
2020 PHP (HMO C-SNP)
| $0.00 |
n/a |
$435 | Yes, some additional gap coverage. |
H3132 -001 -0 | 20% | 15% | 25% | 25% | 3,181
2020 Formulary |
|
|
|
|
2021 PHP (HMO C-SNP)
| $0.00 |
n/a |
$445 | Yes, some additional gap coverage. | 15% | 15% | 25% | 25% | 3,207 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 Preferred Choice Dade (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H1045 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,601
2020 Formulary |
|
|
|
|
2021 Preferred Choice Dade (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,604 2021 Formulary |
|
2020 Preferred Special Care Miami-Dade (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1045 -018 -0 | $0.00 | $0.00 | $15.00 | $15.00 | 3,601
2020 Formulary |
|
|
|
|
2021 Preferred Special Care Miami-Dade (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $15.00 | $15.00 | 3,604 2021 Formulary |
|
2020 Simply Care (HMO I-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5471 -067 -0 | $4.00 | $5.00 | 25% | 25% | 3,911
2020 Formulary |
|
|
|
|
2021 Simply Care (HMO I-SNP)
| $0.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $5.00 | 25% | 25% | 3,912 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 Simply Comfort (HMO I-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H5471 -068 -0 | $0.00 | $5.00 | 25% | 25% | 3,911
2020 Formulary |
|
|
|
|
2021 Simply Comfort (HMO I-SNP)
| $0.00 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $5.00 | 25% | 25% | 3,912 2021 Formulary |
|
2020 Simply Extra (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -103 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,911
2020 Formulary |
|
|
|
|
2021 Simply Extra (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,912 2021 Formulary |
|
2020 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5471 -069 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,911
2020 Formulary |
|
|
|
|
2021 Simply Level (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,912 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 Simply More (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5471 -065 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,911
2020 Formulary |
|
|
|
|
2021 Simply More (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,912 2021 Formulary |
|
2020 SOLIS SPF 001 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0982 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 5,059
2020 Formulary |
new |
new |
|
|
2021 SOLIS SPF 001 (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,920 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H0982 -011 -0 | | | | | |
new |
new |
|
|
2021 SOLIS SPF 011 (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | 0% | 3,920 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 Dividend (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H1032 -040 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Dividend (HMO)
| $0.00 |
$500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,348 2021 Formulary |
|
2020 WellCare Guardian (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1032 -186 -0 | $0.00 | $0.00 | $10.00 | $10.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Guardian (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $10.00 | $10.00 | 3,348 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H5199 -015 -0 | | | | | |
new |
new |
|
|
2021 WellCare Premier (PPO)
| $0.00 |
$3,400 |
$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 CareExtra (HMO)
| $11.80 |
$1,500 |
$435 | Yes, some additional gap coverage. |
H1019 -089 -0 | $0.00 | $0.00 | 24% | 24% | 3,369
2020 Formulary |
|
|
|
|
2021 CareExtra (HMO)
| $16.10 |
$1,500 |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 23% | 23% | 3,382 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1019 -023 -0 | | | | | |
|
|
|
|
2021 CareNeeds PLUS (HMO D-SNP)
| $16.30 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,382 2021 Formulary |
|
2020 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $17.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -280 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Fully Integrated H1036-280 (HMO D-SNP)
| $21.20 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $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 WellCare Reserve (HMO D-SNP)
| $24.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -206 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Reserve (HMO D-SNP)
| $23.00 |
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 Allwell Dual Medicare (HMO D-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H5190 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,451
2020 Formulary |
|
-- |
|
|
2021 Allwell Dual Medicare (HMO D-SNP)
| $23.60 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 3,352 2021 Formulary |
|
2020 Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)
| $18.70 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -077 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)
| $25.70 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $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 Preferred Medicare Assist (HMO D-SNP)
| $20.00 |
n/a |
$435 | Yes, some additional gap coverage. |
H1045 -012 -0 | $0.00 | $0.00 | 25% | 25% | 3,601
2020 Formulary |
|
|
|
|
2021 Preferred Medicare Assist Plan 1 (HMO D-SNP)
| $27.10 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,604 2021 Formulary |
|
2020 Preferred Complete Care (HMO)
| $26.40 |
$2,900 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1045 -046 -0 | 25% | 25% | 25% | 25% | 3,601
2020 Formulary |
|
|
|
|
2021 Preferred Complete Care (HMO)
| $27.20 |
$2,900 |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,604 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1045 -053 -0 | | | | | |
|
|
|
|
2021 Preferred Medicare Assist Plan 2 (HMO D-SNP)
| $27.20 |
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 Aetna Medicare Assure Plus (HMO D-SNP)
| $27.80 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1609 -043 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,880
2020 Formulary |
|
|
|
|
2021 Aetna Medicare Assure Plus (HMO D-SNP)
| $29.50 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,682 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H5431 -015 -0 | | | | | |
|
-- |
|
|
2021 HealthSun MediSun Plus (HMO D-SNP)
| $29.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,581 2021 Formulary |
|
2020 WellCare Access (HMO D-SNP)
| $24.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -170 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Access (HMO D-SNP)
| $29.70 |
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 |
2020 Aetna Medicare Assure (HMO D-SNP)
| $27.80 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1609 -017 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,880
2020 Formulary |
|
|
|
|
2021 Aetna Medicare Assure (HMO D-SNP)
| $30.80 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,682 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H5190 -006 -0 | | | | | |
|
-- |
|
|
2021 Allwell Medicare Nurture (HMO D-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $20.00 | $47.00 | $47.00 | 3,352 2021 Formulary |
|
2020 BlueMedicare Complete (HMO D-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H1035 -027 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 4,205
2020 Formulary |
|
|
|
|
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 |
|
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 -019 -0 | | | | | |
|
new |
|
|
2021 Devoted Health Dual Miami-Dade (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,173 2021 Formulary |
|
2020 Devoted Health Prime Miami-Dade (HMO)
| $28.50 |
$3,400 |
$435 | Yes, some additional gap coverage. |
H1290 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,275
2020 Formulary |
|
new |
|
|
2021 Devoted Health Prime Miami-Dade (HMO)
| $30.80 |
$1,500 |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,173 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H4140 -007 -0 | | | | | |
|
new |
|
|
2021 DrChoice (HMO-POS)
| $30.80 |
$3,400 |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,975 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 --
|
H4140 -006 -0 | | | | | |
|
new |
|
|
2021 DrFirst (HMO-POS)
| $30.80 |
$3,400 |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,975 2021 Formulary |
|
2020 DrPlus (HMO-POS D-SNP)
| $28.50 |
n/a |
$0 | Yes, some additional gap coverage. |
H4140 -002 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,987
2020 Formulary |
|
new |
|
|
2021 DrPlus (HMO-POS D-SNP)
| $30.80 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,975 2021 Formulary |
|
2020 HealthSun MediMax (HMO)
| $28.50 |
$3,400 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5431 -006 -0 | 25% | 25% | 25% | 25% | 3,579
2020 Formulary |
|
-- |
|
|
2021 HealthSun MediMax (HMO)
| $30.80 |
$3,450 |
$445 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,581 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 Longevity Health Plan (HMO I-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1644 -001 -0 | 25% | | | | 3,717
2020 Formulary |
new |
new |
new |
|
2021 Longevity Health Plan (HMO I-SNP)
| $30.80 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,764 2021 Formulary |
|
2020 Medica HealthCare Plans MedicareMax Plus (HMO D-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H5420 -006 -0 | $0.00 | $0.00 | 25% | 25% | 3,601
2020 Formulary |
|
|
|
|
2021 Medica HealthCare Plans MedicareMax Plus (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,604 2021 Formulary |
|
2020 MMM PLATINUM (HMO D-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H3293 -004 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,173
2020 Formulary |
|
new |
|
|
2021 MMM PLATINUM (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,234 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 Molina Medicare Complete Care (HMO D-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H8130 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,185
2020 Formulary |
|
|
|
|
2021 Molina Medicare Complete Care (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,245 2021 Formulary |
|
2020 Simply Complete (HMO D-SNP)
| $28.50 |
n/a |
$435 | Yes, some additional gap coverage. |
H5471 -064 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,911
2020 Formulary |
|
|
|
|
2021 Simply Complete (HMO D-SNP)
| $30.80 |
n/a |
$445 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,912 2021 Formulary |
|
2020 SOLIS SPF 002 (HMO D-SNP)
| $28.50 |
n/a |
$0 | Yes, some additional gap coverage. |
H0982 -002 -0 | 0% | 0% | 25% | 25% | 5,059
2020 Formulary |
new |
new |
|
|
2021 SOLIS SPF 002 (HMO D-SNP)
| $30.80 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | 0% | 3,920 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 Assisted Living Plan (PPO I-SNP)
| $16.30 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0710 -012 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
|
-- |
|
|
2021 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $30.80 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,604 2021 Formulary |
|
-- This plan not offered in 2020 --
|
H1889 -002 -2 | | | | | |
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 |
|
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 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 |
|
2020 WellCare Liberty (HMO D-SNP)
| $27.20 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -176 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
2021 WellCare Liberty (HMO D-SNP)
| $30.80 |
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 UnitedHealthcare Nursing Home Plan (HMO I-SNP)
| $34.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5322 -003 -0 | 25% | 25% | 25% | 25% | 3,601
2020 Formulary |
-- |
|
|
|
2021 UnitedHealthcare Nursing Home Plan (HMO I-SNP)
| $35.80 |
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 H5216-065 (PPO)
| $56.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -065 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice H5216-065 (PPO)
| $52.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
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 |
|
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 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 Aetna Medicare Assure Value (HMO D-SNP)
| $28.50 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1609 -050 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,880
2020 Formulary |
|
|
|
|
-- Members will be assigned to Aetna Medicare Assure (HMO D-SNP) H1609-017-0 --
| | | | | |
|
2020 CareNeeds PLUS (HMO D-SNP)
| $7.20 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1019 -024 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
-- Members will be assigned to CareNeeds PLUS (HMO D-SNP) H1019-023-0 --
| | | | | |
|
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 CareNeeds (HMO D-SNP)
| $9.80 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1019 -083 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
-- Members will be assigned to CareNeeds PLUS (HMO D-SNP) H1019-023-0 --
| | | | | |
|
2020 Humana Gold Plus SNP-DE H1036-257 (HMO D-SNP)
| $23.60 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -257 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) H1036-077-0 --
| | | | | |
|
2020 MMM ELITE DADE (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3293 -001 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,270
2020 Formulary |
|
new |
|
|
-- Members will be assigned to MMM ELITE (HMO) H3293-005-0 --
| | | | | |
|
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 MMM MORE (HMO D-SNP)
| $28.50 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H3293 -006 -0 | 25% | 25% | 25% | 25% | 3,173
2020 Formulary |
|
new |
|
|
-- Members will be assigned to MMM PLATINUM (HMO D-SNP) H3293-004-0 --
| | | | | |
|
2020 WellCare Select (HMO D-SNP)
| $23.70 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1032 -061 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,274
2020 Formulary |
|
|
|
|
-- This plan not offered in 2021 --
|
| | | | |
|
2020 Humana Value Plus H1036-264 (HMO)
| $21.60 |
$3,400 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H1036 -264 -0 | $0.00 | 24% | 24% | 24% | 3,369
2020 Formulary |
|
|
|
|
-- This plan not offered in 2021 --
|
| | | | |
|
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 Allwell Medicare (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H9276 -004 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,959
2020 Formulary |
|
-- |
|
|
-- This plan not offered in 2021 --
|
| | | | |
|