There are 56 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 |
2020 Lasso Healthcare (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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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 --
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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. | |
|
2020 AARP Medicare Advantage Headwaters (PPO)
| $19.00 |
$5,900 |
$395 | No additional gap coverage, only the Donut Hole Discount |
H7404 -001 -0 | $4.00 | $14.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
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new |
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2021 AARP Medicare Advantage Headwaters (PPO)
| $0.00 |
$5,900 |
$395 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $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 |
-- This plan not offered in 2020 --
|
H7404 -015 -0 | | | | | |
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new |
|
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2021 AARP Medicare Advantage Patriot (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2020 Allina Health Aetna Medicare Discover Plus (PPO)
| $0.00 |
$5,900 |
$250 | Yes, some additional gap coverage. |
H3219 -001 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
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new |
|
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2021 Allina Health Aetna Medicare Discover Plus (PPO)
| $0.00 |
$5,900 |
$250 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,659 2021 Formulary |
|
2020 Allina Health Aetna Medicare Discover Value (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H3219 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
|
new |
|
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2021 Allina Health Aetna Medicare Discover Value (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2020 Blue Cross Medicare Advantage Core (PPO)
| $0.00 |
$5,900 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5959 -013 -1 | $6.00 | $12.00 | 21% | 21% | 3,308
2020 Formulary |
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new |
|
|
2021 Blue Cross Medicare Advantage Core (PPO)
| $0.00 |
$5,900 |
$445 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | 21% | 21% | 3,450 2021 Formulary |
|
2020 HealthPartners Journey Pace (PPO)
| $0.00 |
$5,700 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H4882 -002 -0 | $8.00 | $14.00 | $47.00 | $47.00 | 3,207
2020 Formulary |
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|
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2021 HealthPartners Journey Pace (PPO)
| $0.00 |
$6,100 |
$300 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $14.00 | $47.00 | $47.00 | 3,263 2021 Formulary |
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-- This plan not offered in 2020 --
|
H6622 -073 -0 | | | | | |
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2021 Humana Gold Plus H6622-073 (HMO-POS)
| $0.00 |
$5,500 |
$350 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | $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 HumanaChoice H5216-086 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -086 -0 | This plan does NOT include Prescription Drug coverage. | |
|
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|
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2021 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2020 Medica Advantage Solution H6154-001 (HMO-POS)
| $0.00 |
$5,900 |
$380 | No additional gap coverage, only the Donut Hole Discount |
H6154 -001 -0 | $4.00 | $10.00 | $41.00 | $41.00 | 3,619
2020 Formulary |
new |
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2021 Medica Advantage Solution H6154-001 (HMO-POS)
| $0.00 |
$7,550 |
$445 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $14.00 | $47.00 | $47.00 | 3,622 2021 Formulary |
|
2020 UCare Prime (HMO-POS)
| $0.00 |
$5,000 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H2459 -020 -0 | $3.00 | $10.00 | 17% | 17% | 3,465
2020 Formulary |
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2021 UCare Prime (HMO-POS)
| $0.00 |
$5,500 |
$445 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | 17% | 17% | 3,496 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 --
|
H2459 -030 -0 | | | | | |
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|
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2021 UCare Value Plus (HMO-POS)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2020 --
|
H2459 -031 -0 | | | | | |
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2021 UCare Advocate Choice (HMO I-SNP)
| $10.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $13.00 | $47.00 | $47.00 | 3,496 2021 Formulary |
|
2020 Blue Cross Medicare Advantage Choice MA Only (PPO)
| $35.00 |
$4,900 |
No Rx Coverage |
H5959 -007 -1 | This plan does NOT include Prescription Drug coverage. | |
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new |
|
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2021 Blue Cross Medicare Advantage Choice MA Only (PPO)
| $14.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2020 Medica Advantage Solution PartnerCare Focus (HMO I-SNP)
| $68.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H6154 -004 -0 | $5.00 | $13.00 | $46.00 | $46.00 | 3,619
2020 Formulary |
new |
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2021 Medica Advantage Solution PartnerCare Focus (HMO I-SNP)
| $16.00 |
n/a |
$140 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $42.00 | $42.00 | 3,622 2021 Formulary |
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-- This plan not offered in 2020 --
|
H2459 -029 -0 | | | | | |
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2021 UCare Aware (HMO-POS)
| $26.00 |
$5,000 |
$395 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | 17% | 17% | 3,496 2021 Formulary |
|
2020 Humana Value Plus H5216-176 (PPO)
| $27.90 |
$6,700 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5216 -176 -0 | $14.00 | $20.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
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|
|
2021 Humana Value Plus H5216-176 (PPO)
| $28.60 |
$6,700 |
$230 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $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 UCare Value (HMO-POS)
| $39.00 |
$3,400 |
No Rx Coverage |
H2459 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
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2021 UCare Value (HMO-POS)
| $29.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2020 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H0710 -041 -0 | 25% | 25% | 25% | 25% | 3,601
2020 Formulary |
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-- |
|
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2021 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $31.30 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,604 2021 Formulary |
|
2020 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $15.10 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0710 -047 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
|
-- |
|
|
2021 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $32.50 |
n/a |
$200 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $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 Sync (PPO)
| $39.00 |
$5,900 |
$295 | No additional gap coverage, only the Donut Hole Discount |
H7404 -004 -0 | $4.00 | $14.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
|
new |
|
|
2021 AARP Medicare Advantage Premier (PPO)
| $35.90 |
$4,900 |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,604 2021 Formulary |
|
2020 HealthPartners Minnesota Senior Health Options (HMO D-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H2422 -002 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,207
2020 Formulary |
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|
|
|
2021 HealthPartners Minnesota Senior Health Options (HMO D-SNP)
| $38.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,263 2021 Formulary |
|
2020 HumanaChoice H5216-092 (PPO)
| $38.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -092 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice H5216-092 (PPO)
| $38.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $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 Medica AccessAbility Solution Enhanced (HMO D-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H9952 -001 -0 | $0.00 | | | | 3,619
2020 Formulary |
new |
new |
|
|
2021 Medica AccessAbility Solution Enhanced (HMO D-SNP)
| $38.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,622 2021 Formulary |
|
2020 Medica DUAL Solution (HMO D-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H2458 -002 -0 | $0.00 | | | | 3,619
2020 Formulary |
|
|
|
|
2021 Medica DUAL Solution (HMO D-SNP)
| $38.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,622 2021 Formulary |
|
2020 SecureBlue (HMO D-SNP)
| $31.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H2425 -001 -0 | $0.00 | | | | 3,295
2020 Formulary |
|
|
|
|
2021 SecureBlue (HMO D-SNP)
| $38.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,440 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 --
|
H2459 -032 -0 | | | | | |
|
|
|
|
2021 UCare Advocate Plus (HMO I-SNP)
| $38.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $45.00 | $45.00 | 3,496 2021 Formulary |
|
2020 UCare Connect + Medicare (HMO D-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5937 -001 -0 | $0.00 | | | | 3,450
2020 Formulary |
|
|
|
|
2021 UCare Connect + Medicare (HMO D-SNP)
| $38.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,493 2021 Formulary |
|
2020 UCare's Minnesota Senior Health Options (HMO D-SNP)
| $35.40 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H2456 -002 -0 | $0.00 | | | | 3,450
2020 Formulary |
|
|
|
|
2021 UCare's Minnesota Senior Health Options (HMO D-SNP)
| $38.00 |
n/a |
$445 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,493 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 Care Core: M Health Fairview & North Memorial (HMO-POS)
| $44.00 |
$5,000 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H0422 -001 -0 | $3.00 | $15.00 | $47.00 | $47.00 | 3,465
2020 Formulary |
new |
new |
|
|
2021 Care Core: M Health Fairview & North Memorial (HMO-POS)
| $44.00 |
$5,000 |
$400 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $15.00 | $47.00 | $47.00 | 3,496 2021 Formulary |
|
2020 Allina Health Aetna Medicare Discover Premier (PPO)
| $46.00 |
$3,800 |
$150 | Yes, some additional gap coverage. |
H3219 -002 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
|
new |
|
|
2021 Allina Health Aetna Medicare Discover Premier (PPO)
| $46.00 |
$5,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,659 2021 Formulary |
|
2020 AARP Medicare Advantage Lakeshore (PPO)
| $49.00 |
$4,900 |
$295 | No additional gap coverage, only the Donut Hole Discount |
H7404 -002 -0 | $4.00 | $14.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
|
new |
|
|
2021 AARP Medicare Advantage Lakeshore (PPO)
| $49.00 |
$4,000 |
$295 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $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 |
-- This plan not offered in 2020 --
|
H8889 -005 -0 | | | | | |
|
|
|
|
2021 Medica Advantage Solution H8889-005 (PPO)
| $49.00 |
$7,550 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $47.00 | $47.00 | 3,622 2021 Formulary |
|
2020 HealthPartners Journey Stride (PPO)
| $45.70 |
$4,100 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H4882 -001 -0 | $6.00 | $12.00 | $47.00 | $47.00 | 3,207
2020 Formulary |
|
|
|
|
2021 HealthPartners Journey Stride (PPO)
| $51.00 |
$4,100 |
$300 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $12.00 | $47.00 | $47.00 | 3,263 2021 Formulary |
|
2020 UCare Essentials Rx (HMO-POS)
| $56.00 |
$3,400 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H2459 -023 -1 | $2.00 | $10.00 | $47.00 | $47.00 | 3,465
2020 Formulary |
|
|
|
|
2021 UCare Essentials Rx (HMO-POS)
| $56.00 |
$3,800 |
$395 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $47.00 | $47.00 | 3,496 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 H5216-080 (PPO)
| $58.00 |
$5,900 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -080 -1 | $4.00 | $15.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice H5216-080 (PPO)
| $59.00 |
$5,900 |
$350 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
2020 Medica Advantage Solution PartnerCare Premier (HMO I-SNP)
| $154.00 |
n/a |
$435 | No additional gap coverage, only the Donut Hole Discount |
H6154 -003 -0 | $5.00 | $12.00 | $45.00 | $45.00 | 3,619
2020 Formulary |
new |
|
|
|
2021 Medica Advantage Solution PartnerCare Premier (HMO I-SNP)
| $66.00 |
n/a |
$140 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $42.00 | $42.00 | 3,622 2021 Formulary |
|
2020 Blue Cross Medicare Advantage Choice (PPO)
| $84.30 |
$3,900 |
$435 | No additional gap coverage, only the Donut Hole Discount |
H5959 -014 -1 | $5.00 | $10.00 | $37.00 | $37.00 | 3,308
2020 Formulary |
|
new |
|
|
2021 Blue Cross Medicare Advantage Choice (PPO)
| $79.20 |
$3,100 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $37.00 | $37.00 | 3,450 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 H5216-167 (PPO)
| $88.00 |
$4,500 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -167 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice H5216-167 (PPO)
| $89.00 |
$4,500 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
2020 HealthPartners Journey Dash (PPO)
| $85.00 |
$3,600 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H4882 -006 -0 | $5.00 | $10.00 | $47.00 | $47.00 | 3,207
2020 Formulary |
|
|
|
|
2021 HealthPartners Journey Dash (PPO)
| $91.00 |
$3,600 |
$300 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | $47.00 | $47.00 | 3,263 2021 Formulary |
|
2020 Allina Health Aetna Medicare Discover Grand (PPO)
| $96.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H3219 -003 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
|
new |
|
|
2021 Allina Health Aetna Medicare Discover Grand (PPO)
| $96.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 AARP Medicare Advantage Riverbank (PPO)
| $99.00 |
$4,500 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H7404 -014 -0 | $4.00 | $14.00 | $47.00 | $47.00 | 3,601
2020 Formulary |
|
new |
|
|
2021 AARP Medicare Advantage Riverbank (PPO)
| $99.00 |
$3,000 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,604 2021 Formulary |
|
2020 UCare Complete (HMO-POS)
| $99.00 |
$3,000 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H2459 -026 -1 | $3.00 | $10.00 | $40.00 | $40.00 | 3,465
2020 Formulary |
|
|
|
|
2021 UCare Complete (HMO-POS)
| $99.00 |
$3,000 |
$235 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,496 2021 Formulary |
|
2020 Medica Advantage Solution H8889-001 (PPO)
| $105.00 |
$3,000 |
$275 | No additional gap coverage, only the Donut Hole Discount |
H8889 -001 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,619
2020 Formulary |
|
|
|
|
2021 Medica Advantage Solution H8889-001 (PPO)
| $105.00 |
$3,450 |
$275 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $47.00 | $47.00 | 3,622 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 H5216-063 (PPO)
| $106.00 |
$3,000 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5216 -063 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 HumanaChoice H5216-063 (PPO)
| $106.00 |
$3,200 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,386 2021 Formulary |
|
2020 Humana Gold Plus H6622-062 (HMO-POS)
| $168.00 |
$2,500 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H6622 -062 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 3,369
2020 Formulary |
|
|
|
|
2021 Humana Gold Plus H6622-062 (HMO-POS)
| $127.00 |
$3,000 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,382 2021 Formulary |
|
2020 HealthPartners Journey Steady (PPO)
| $130.90 |
$3,000 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H4882 -003 -0 | $4.00 | $10.00 | $47.00 | $47.00 | 3,207
2020 Formulary |
|
|
|
|
2021 HealthPartners Journey Steady (PPO)
| $136.00 |
$3,300 |
$300 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $10.00 | $47.00 | $47.00 | 3,263 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 Care Advantage: M Health Fairview & North Memorial (HMO-POS)
| $139.00 |
$3,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0422 -002 -0 | $3.00 | $15.00 | $42.00 | $42.00 | 3,465
2020 Formulary |
new |
new |
|
|
2021 Care Advantage: M Health Fairview & North Memorial (HMO-POS)
| $139.00 |
$3,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $15.00 | $47.00 | $47.00 | 3,496 2021 Formulary |
|
2020 Allina Health Aetna Medicare Discover Elite (PPO)
| $146.00 |
$2,800 |
$0 | Yes, some additional gap coverage. |
H3219 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,763
2020 Formulary |
|
new |
|
|
2021 Allina Health Aetna Medicare Discover Elite (PPO)
| $146.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,659 2021 Formulary |
|
2020 Blue Cross Medicare Advantage Complete (PPO)
| $175.40 |
$3,200 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5959 -010 -1 | $3.00 | $9.00 | $37.00 | $37.00 | 3,308
2020 Formulary |
|
new |
|
|
2021 Blue Cross Medicare Advantage Complete (PPO)
| $157.20 |
$2,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $37.00 | $37.00 | 3,450 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 UCare Classic (HMO-POS)
| $185.00 |
$3,400 |
$225 | Yes, some additional gap coverage. |
H2459 -021 -1 | $0.00 | $7.00 | $35.00 | $35.00 | 3,465
2020 Formulary |
|
|
|
|
2021 UCare Classic (HMO-POS)
| $185.00 |
$3,000 |
$225 | Yes, some additional gap coverage. | $0.00 | $7.00 | $35.00 | $35.00 | 3,496 2021 Formulary |
|
2020 Medica Advantage Solution H8889-003 (PPO)
| $194.50 |
$3,000 |
$170 | No additional gap coverage, only the Donut Hole Discount |
H8889 -003 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,619
2020 Formulary |
|
|
|
|
2021 Medica Advantage Solution H8889-003 (PPO)
| $199.00 |
$3,450 |
$225 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $47.00 | $47.00 | 3,622 2021 Formulary |
|
2020 Blue Cross Strive Medicare Advantage Choice (HMO-POS)
| $68.50 |
$4,900 |
$390 | No additional gap coverage, only the Donut Hole Discount |
H2446 -001 -0 | $5.00 | $10.00 | 20% | 20% | 2,665
2020 Formulary |
new |
new |
|
|
-- 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 Blue Cross Strive Medicare Advantage Complete (HMO-POS)
| $152.60 |
$3,700 |
$390 | No additional gap coverage, only the Donut Hole Discount |
H2446 -002 -0 | $4.00 | $9.00 | 20% | 20% | 2,665
2020 Formulary |
new |
new |
|
|
-- This plan not offered in 2021 --
|
| | | | |
|
2020 UCare Total (HMO-POS)
| $284.00 |
$3,400 |
$100 | Yes, some additional gap coverage. |
H2459 -025 -1 | $0.00 | $7.00 | $35.00 | $35.00 | 3,465
2020 Formulary |
|
|
|
|
-- This plan not offered in 2021 --
|
| | | | |
|