Powered by Q1Group LLC
Education and Decision Support Tools for the Medicare Community
  • Menu ☰
  • Home
  • Contact
  • MAPD
  • PDP
  • 2022
  • FAQs
  • Articles
  • Search
  • Contact
  • 2022
  • FAQs
  • Articles
  • Latest Medicare News
  • Search


See How Your 2021 Medicare Advantage Plan
      is Changing in 2022

MA-Compare offers a one-click comparison of all 2021 Medicare Advantage Plans will be changing in 2022.

Just enter your ZIP Code and click the button "Click to Compare Annual Plan Changes" to review changes in all Medicare Advantage plans available in your county.
Choose Your Medicare Advantage Plan Preferences
    

CUYAHOGA, Ohio

  Only show plans discontinued in 2022
  Only show plans new for 2022
Only show SNPs (All 3 Types)
OR only: Dual-Eligible   Chronic Cond.  
Institutional  
  ex: AARP
2021
2022
2021: $ max: $351
2022: $ max: $303
2021: $ max: $445
2022: $ max: $480
2021:
2022:
There are 110 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2021 / 2022 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
2021 Lasso Healthcare Growth (MSA)
Details      
$0.00 n/a No Rx Coverage H1924
-001
-0
This plan does NOT include Prescription Drug coverage. 
 
2022 Lasso Healthcare Growth (MSA)
Details      
$0.00 n/a No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 Lasso Healthcare Growth Plus (MSA)
Details      
$0.00 n/a No Rx Coverage H1924
-004
-0
This plan does NOT include Prescription Drug coverage. 
 
2022 Lasso Healthcare Growth Plus (MSA)
Details      
$0.00 n/a No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 AARP Medicare Advantage Patriot (PPO)
Details      
$0.00 $4,500 No Rx Coverage H8768
-021
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Patriot (PPO)
Details      
$0.00 $4,500 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 AARP Medicare Advantage Plan 7 (HMO)
Details        
$0.00 $4,500 $175No additional gap coverage, only the Donut Hole Discount H5253
-049
-0
$3.00$12.00$47.00$47.003,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Plan 7 (HMO)
Details        
$0.00 $4,500 $175Yes, some additional gap coverage. $3.00$12.00$47.00$47.003,654
2022 Formulary
2021 AARP Medicare Advantage Walgreens (PPO)
Details        
$0.00 $5,100 $225No additional gap coverage, only the Donut Hole Discount H8768
-014
-0
$0.00$5.00$47.00$47.003,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Walgreens (PPO)
Details        
$0.00 $5,100 $225Yes, some additional gap coverage. $0.00$0.00$47.00$47.003,654
2022 Formulary
2021 Aetna Medicare Advantra Silver (PPO)
Details        
$0.00 $5,900 $150Yes, some additional gap coverage. H1608
-029
-0
$5.00$7.00$47.00$47.003,659

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Advantra Silver (PPO)
Details        
$0.00 $4,900 $0Yes, some additional gap coverage. $0.00$5.00$47.00$47.003,672
2022 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
2021 Aetna Medicare Eagle (HMO)
Details      
$0.00 $7,550 No Rx Coverage H0628
-015
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Eagle (HMO)
Details      
$0.00 $5,900 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 Aetna Medicare Premier (HMO)
Details        
$0.00 $5,900 $0Yes, some additional gap coverage. H0628
-005
-0
$2.00$5.00$47.00$47.003,659

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Premier (HMO-POS)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage. $0.00$0.00$47.00$47.003,698
2022 Formulary
2021 Aetna Medicare Value Plan (HMO)
Details        
$0.00 $7,550 $150Yes, some additional gap coverage. H3931
-107
-0
$0.00$5.00$47.00$47.003,659

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Value Plan (HMO-POS)
Details        
$0.00 $7,550 $150Yes, some additional gap coverage. $0.00$5.00$47.00$47.003,672
2022 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
2021 Aetna Medicare Value Plan (PPO)
Details        
$0.00 $5,900 $150Yes, some additional gap coverage. H5521
-088
-0
$0.00$5.00$47.00$47.003,659

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Value Plan (PPO)
Details        
$0.00 $5,300 $150Yes, some additional gap coverage. $0.00$5.00$47.00$47.003,672
2022 Formulary
2021 Anthem MediBlue Access Core (Regional PPO)
Details      
$0.00 $4,900 No Rx Coverage R5941
-013
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Anthem MediBlue Access Core (Regional PPO)
Details      
$0.00 $4,900 No Rx Coverage This plan does NOT include Prescription Drug coverage. 

-- This plan not offered in 2021 --

H3655
-045
-4
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Preferred (HMO)
Details        
$0.00 $3,800 $0Yes, some additional gap coverage. $4.00$10.00$42.00$42.003,626
2022 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
2021 Anthem MediBlue Prime Select (HMO)
Details        
$0.00 $3,450 $0Yes, some additional gap coverage. H3655
-038
-0
$2.00$12.00$42.00$42.003,639

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Prime Select (HMO)
Details        
$0.00 $3,450 $0Yes, some additional gap coverage. $2.00$12.00$42.00$42.003,626
2022 Formulary

-- This plan not offered in 2021 --

H4036
-022
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Anthem MediBlue Service (PPO)
Details      
$0.00 $6,700 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
H0022
-001
-0
    3,473

2021 Formulary
-- -- --  
2022 Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
    3,382
2022 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
2021 CareSource Advantage Zero Premium (HMO)
Details        
$0.00 $7,550 $150No additional gap coverage, only the Donut Hole Discount H6396
-013
-0
$5.00$15.00$45.00$45.003,622

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 CareSource Advantage Zero Premium (HMO)
Details        
$0.00 $7,550 $150No additional gap coverage, only the Donut Hole Discount $5.00$15.00$45.00$45.003,490
2022 Formulary
2021 CareSource MyCare Ohio (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
H8452
-001
-0
    3,622

2021 Formulary
-- -- --  
2022 CareSource MyCare Ohio (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
    3,490
2022 Formulary
2021 Cigna Preferred Medicare (HMO)
Details        
$0.00 $4,900 $0Yes, some additional gap coverage. H0672
-006
-0
$0.00$5.00$42.00$42.003,446

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Cigna Preferred Medicare (HMO)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,459
2022 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
2021 Cigna True Choice Medicare (PPO)
Details        
$0.00 $5,500 $0Yes, some additional gap coverage. H7849
-015
-0
$0.00$5.00$42.00$42.003,446

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Cigna True Choice Medicare (PPO)
Details        
$0.00 $5,500 $0Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,459
2022 Formulary
2021 Devoted Health Core (HMO)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage. H2697
-001
-0
$0.00$0.00$42.00$42.003,173

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Devoted Health Core (HMO)
Details        
$0.00 $4,200 $0Yes, some additional gap coverage. $0.00$0.00$42.00$42.003,349
2022 Formulary
2021 Devoted Health Saver (HMO)
Details        
$0.00 $6,700 $200No additional gap coverage, only the Donut Hole Discount H2697
-003
-0
$0.00$10.00$47.00$47.003,173

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Devoted Health Saver (HMO)
Details        
$0.00 $5,900 $200No additional gap coverage, only the Donut Hole Discount $0.00$10.00$47.00$47.003,349
2022 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
2021 Humana Cleveland Clinic Preferred (HMO)
Details        
$0.00 $3,900 $0No additional gap coverage, only the Donut Hole Discount H6622
-023
-0
$0.00$5.00$47.00$47.003,382

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Cleveland Clinic Preferred (HMO)
Details        
$0.00 $3,900 $0No additional gap coverage, only the Donut Hole Discount $0.00$5.00$47.00$47.003,408
2022 Formulary
2021 Humana Gold Plus H6622-022 (HMO)
Details        
$0.00 $4,900 $150No additional gap coverage, only the Donut Hole Discount H6622
-022
-0
$2.00$8.00$47.00$47.003,382

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Gold Plus H6622-022 (HMO)
Details        
$0.00 $4,500 $0No additional gap coverage, only the Donut Hole Discount $2.00$8.00$47.00$47.003,408
2022 Formulary
2021 Humana Honor (PPO)
Details      
$0.00 $6,700 No Rx Coverage H5216
-218
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Honor (PPO)
Details      
$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

-- This plan not offered in 2021 --

H5216
-285
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice H5216-285 (PPO)
Details        
$0.00 $5,300 $200No additional gap coverage, only the Donut Hole Discount $0.00$10.00$47.00$47.003,413
2022 Formulary
2021 HumanaChoice H5525-042 (PPO)
Details        
$0.00 $7,550 $250No additional gap coverage, only the Donut Hole Discount H5525
-042
-0
$7.00$17.00$47.00$47.003,386

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice H5525-042 (PPO)
Details        
$0.00 $7,550 $250No additional gap coverage, only the Donut Hole Discount $7.00$17.00$47.00$47.003,413
2022 Formulary
2021 HumanaChoice R5495-001 (Regional PPO)
Details      
$0.00 $7,550 No Rx Coverage R5495
-001
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice R5495-001 (Regional PPO)
Details      
$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

-- This plan not offered in 2021 --

H4497
-005
-1
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Access (PPO)
Details        
$0.00 $5,400 $0Yes, some additional gap coverage. $4.00$8.00$42.00$42.003,224
2022 Formulary
2021 MedMutual Advantage Classic (HMO)
Details        
$0.00 $4,500 $95Yes, some additional gap coverage. H6723
-001
-1
$0.00$15.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Classic (HMO)
Details        
$0.00 $4,800 $95Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary

-- This plan not offered in 2021 --

H6723
-006
-3
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Signature (HMO)
Details        
$0.00 $3,900 $0Yes, some additional gap coverage. $4.00$8.00$42.00$42.003,224
2022 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 2021 --

H9955
-002
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Molina Medicare Choice Care (HMO)
Details        
$0.00 $7,550 $125No additional gap coverage, only the Donut Hole Discount $3.00$12.00$47.00$47.003,218
2022 Formulary
2021 Paramount Elite - Standard Medical & Drug (HMO)
Details        
$0.00 $4,900 $50Yes, some additional gap coverage. H3653
-015
-0
$0.00$20.00$45.00$45.003,173

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Paramount Elite Standard (HMO)
Details        
$0.00 $4,900 $50Yes, some additional gap coverage. $0.00$20.00$45.00$45.003,193
2022 Formulary
2021 SummaCare Medicare Amber (HMO)
Details      
$0.00 $3,450 No Rx Coverage H3660
-052
-1
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 SummaCare Medicare Amber (HMO)
Details      
$0.00 $3,450 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
2021 SummaCare Medicare Topaz (HMO)
Details        
$0.00 $3,900 $150Yes, some additional gap coverage. H3660
-050
-0
$0.00$10.00$47.00$47.003,560

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 SummaCare Medicare Topaz (HMO)
Details        
$0.00 $3,900 $150Yes, some additional gap coverage. $0.00$10.00$47.00$47.003,510
2022 Formulary

-- This plan not offered in 2021 --

H3672
-014
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 The Health Plan SecureCare - Option I, MA Only (HMO)
Details      
$0.00 $3,900 No Rx Coverage This plan does NOT include Prescription Drug coverage. 

-- This plan not offered in 2021 --

H3672
-013
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 The Health Plan SecureCare - Option II (HMO)
Details        
$0.00 $3,900 $100No additional gap coverage, only the Donut Hole Discount $3.00$10.00$47.00$47.003,224
2022 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
2021 UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
H2531
-001
-0
    3,447

2021 Formulary
-- -- --  
2022 UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
    3,528
2022 Formulary
2021 WellCare Dividend (HMO)
Details        
$0.00 $3,450 $445No additional gap coverage, only the Donut Hole Discount H5475
-032
-0
$0.00$20.00$47.00$47.003,348

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Dividend Giveback (HMO)
Details        
$0.00 $3,450 $480No additional gap coverage, only the Donut Hole Discount $0.00$15.00$37.00$37.003,375
2022 Formulary

-- This plan not offered in 2021 --

H0908
-005
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Giveback (HMO)
Details        
$0.00 $5,500 $480No additional gap coverage, only the Donut Hole Discount $0.00$15.00$37.00$37.003,375
2022 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
2021 Allwell Medicare Boost (HMO)
Details        
$0.00 $7,550 $75Yes, some additional gap coverage. H0724
-007
-0
$0.00$9.00$37.00$37.003,370

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Giveback Boost (HMO)
Details        
$0.00 $7,550 $75Yes, some additional gap coverage. $0.00$9.00$37.00$37.003,375
2022 Formulary

-- This plan not offered in 2021 --

H0908
-003
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare No Premium (HMO)
Details        
$0.00 $3,450 $75Yes, some additional gap coverage. $0.00$9.00$37.00$37.003,375
2022 Formulary
2021 WellCare Essential (HMO-POS)
Details        
$0.00 $3,450 $0No additional gap coverage, only the Donut Hole Discount H5475
-022
-0
$0.00$10.00$47.00$47.003,348

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare No Premium Essential (HMO-POS)
Details        
$0.00 $3,450 $0No additional gap coverage, only the Donut Hole Discount $0.00$5.00$37.00$37.003,375
2022 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
2021 WellCare Exclusive (HMO)
Details        
$0.00 $3,450 $0No additional gap coverage, only the Donut Hole Discount H5475
-034
-0
$0.00$10.00$47.00$47.003,348

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare No Premium Exclusive (HMO)
Details        
$0.00 $3,450 $0No additional gap coverage, only the Donut Hole Discount $0.00$5.00$37.00$37.003,375
2022 Formulary
2021 Allwell Medicare (HMO)
Details        
$0.00 $4,700 $75Yes, some additional gap coverage. H0724
-001
-0
$0.00$9.00$37.00$37.003,370

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare No Premium Medicare (HMO)
Details        
$0.00 $3,450 $75Yes, some additional gap coverage. $0.00$9.00$37.00$37.003,375
2022 Formulary

-- This plan not offered in 2021 --

H7169
-001
-0
     
new new new  
2022 Wellcare No Premium Open (PPO)
Details        
$0.00 $5,900 $160No additional gap coverage, only the Donut Hole Discount $0.00$7.00$37.00$37.003,375
2022 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
2021 Allwell Medicare Essentials (HMO)
Details      
$0.00 $3,450 No Rx Coverage H0724
-005
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Patriot No Premium (HMO)
Details      
$0.00 $3,450 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 HumanaChoice H5216-106 (PPO)
Details        
$15.00 $3,900 $125No additional gap coverage, only the Donut Hole Discount H5216
-106
-0
$2.00$8.00$47.00$47.003,386

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice H5216-106 (PPO)
Details        
$15.00 $3,900 $0No additional gap coverage, only the Donut Hole Discount $0.00$8.00$47.00$47.003,408
2022 Formulary
2021 CommuniCare Advantage CSNP (HMO C-SNP)
Details        
$16.00 n/a $445No additional gap coverage, only the Donut Hole Discount H3727
-001
-3
$6.00$17.00$45.00$45.00n/a
 Medicare Part D Plan Rating - 3 Stars (Average) new new  
2022 CommuniCare Advantage CSNP (HMO C-SNP)
Details        
$16.00 n/a $480No additional gap coverage, only the Donut Hole Discount $6.00$17.00$45.00$45.003,364
2022 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
2021 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Details        
$15.00 n/a $200No additional gap coverage, only the Donut Hole Discount H6622
-017
-0
$7.00$17.00$47.00$47.003,382

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Details        
$16.00 n/a $200No additional gap coverage, only the Donut Hole Discount $7.00$17.00$47.00$47.003,408
2022 Formulary

-- This plan not offered in 2021 --

H0908
-004
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Assist (HMO)
Details        
$16.80 $4,700 $480Yes, some additional gap coverage. $0.00$20.00$47.00$47.003,375
2022 Formulary
2021 Allwell Medicare Complement (HMO)
Details        
$9.60 $3,450 $445Yes, some additional gap coverage. H0724
-006
-0
$0.00$20.00$47.00$47.003,352

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Assist Complement (HMO)
Details        
$17.60 $3,450 $480Yes, some additional gap coverage. $0.00$20.00$47.00$47.003,375
2022 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
2021 AARP Medicare Advantage Plan 1 (HMO)
Details        
$21.00 $3,900 $150Yes, some additional gap coverage. H5253
-050
-0
$2.00$8.00$45.00$45.003,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Plan 1 (HMO)
Details        
$19.00 $4,200 $0Yes, some additional gap coverage. $0.00$10.00$45.00$45.003,654
2022 Formulary
2021 Anthem MediBlue Preferred Plus (HMO)
Details        
$19.00 $3,650 $0Yes, some additional gap coverage. H3655
-042
-0
$4.00$10.00$42.00$42.003,639

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Preferred Plus (HMO)
Details        
$19.00 $3,650 $0Yes, some additional gap coverage. $4.00$10.00$42.00$42.003,626
2022 Formulary
2021 Paramount Elite - Enhanced Medical Only (HMO)
Details      
$20.00 $3,400 No Rx Coverage H3653
-018
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Paramount Elite Enhanced Medical Only (HMO)
Details      
$20.00 $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
2021 Anthem MediBlue Extra (HMO)
Details        
$25.30 $7,550 $445Yes, some additional gap coverage. H3655
-041
-0
$0.00$7.00$47.00$47.003,639

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Extra (HMO)
Details        
$22.00 $7,550 $480Yes, some additional gap coverage. $0.00$7.00$47.00$47.003,626
2022 Formulary
2021 MedMutual Advantage Secure (HMO)
Details        
$20.00 $3,500 $95Yes, some additional gap coverage. H6723
-005
-1
$0.00$15.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Secure (HMO)
Details        
$22.00 $3,500 $95Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary
2021 Aetna Medicare Assure 1 (HMO D-SNP)
Details        
$26.20 n/a $220No additional gap coverage, only the Donut Hole Discount H0628
-013
-0
$0.00$0.0025%25%3,659

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Assure 1 (HMO D-SNP)
Details        
$23.20 n/a $480No additional gap coverage, only the Donut Hole Discount $0.00$5.00$47.00$47.003,672
2022 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 2021 --

H5253
-115
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Plan 8 (HMO)
Details        
$25.00 $3,900 $0Yes, some additional gap coverage. $0.00$10.00$47.00$47.003,654
2022 Formulary
2021 CareSource Advantage (HMO)
Details        
$21.60 $5,600 $75No additional gap coverage, only the Donut Hole Discount H6396
-011
-0
$4.00$10.00$45.00$45.003,622

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 CareSource Advantage (HMO)
Details        
$25.00 $5,600 $75No additional gap coverage, only the Donut Hole Discount $4.00$10.00$45.00$45.003,490
2022 Formulary
2021 Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)
Details        
$29.80 n/a $420No additional gap coverage, only the Donut Hole Discount H6622
-015
-0
$2.00$13.00$47.00$47.003,382

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)
Details        
$27.60 n/a $480No additional gap coverage, only the Donut Hole Discount $2.00$18.00$47.00$47.003,408
2022 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
2021 Paramount Elite - Prime Medical & Drug (HMO)
Details        
$28.00 $4,400 $0Yes, some additional gap coverage. H3653
-022
-0
$0.00$10.00$45.00$45.003,173

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Paramount Elite Prime (HMO)
Details        
$28.00 $4,400 $0Yes, some additional gap coverage. $0.00$10.00$45.00$45.003,193
2022 Formulary
2021 Perennial Advantage Strive (HMO I-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H8797
-001
-0
    n/a
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Perennial Advantage Strive (HMO I-SNP)
Details        
$28.20 n/a $480No additional gap coverage, only the Donut Hole Discount     3,712
2022 Formulary
2021 SummaCare Medicare Garnet (HMO)
Details        
$29.00 $3,800 $0Yes, some additional gap coverage. H3660
-053
-2
$0.00$8.00$44.00$44.003,560

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 SummaCare Medicare Garnet (HMO)
Details        
$29.00 $3,800 $0Yes, some additional gap coverage. $0.00$8.00$44.00$44.003,510
2022 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
2021 WellCare Extra Plus (HMO-POS D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H5475
-021
-0
$0.00$8.00$47.00$47.003,348

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Dual Access Extra (HMO-POS D-SNP)
Details        
$29.60 n/a $480No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.003,375
2022 Formulary
2021 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
Details        
$22.00 n/a $445No additional gap coverage, only the Donut Hole Discount H2406
-001
-0
    3,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
Details        
$29.80 n/a $480No additional gap coverage, only the Donut Hole Discount     3,654
2022 Formulary
2021 Devoted Health Prime (HMO)
Details        
$22.80 $3,700 $150Yes, some additional gap coverage. H2697
-002
-0
$0.00$0.00$42.00$42.003,173

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Devoted Health Prime (HMO)
Details        
$31.00 $4,100 $0Yes, some additional gap coverage. $0.00$0.00$42.00$42.003,349
2022 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
2021 Perennial Advantage Concierge (HMO C-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H8797
-002
-0
$2.00$15.00$45.00$45.00n/a
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Perennial Advantage Concierge (HMO C-SNP)
Details        
$31.30 n/a $480No additional gap coverage, only the Donut Hole Discount $2.00$15.00$45.00$45.003,860
2022 Formulary
2021 Allwell Dual Medicare (HMO D-SNP)
Details        
$21.10 n/a $150Yes, some additional gap coverage. H0908
-001
-0
$0.00$20.00$47.00$47.003,352

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Dual Access (HMO D-SNP)
Details        
$32.00 n/a $480Some Generics $0.00$9.00$40.00$40.003,375
2022 Formulary
2021 Anthem MediBlue Dual Advantage (HMO D-SNP)
Details        
$29.80 n/a $445Yes, some additional gap coverage. H3655
-033
-0
$0.00$0.00$47.00$47.003,639

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Dual Advantage (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount $10.00$20.00$47.00$47.003,626
2022 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
2021 CareSource Dual Advantage (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H6396
-014
-0
25%25%25%25%3,622

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 CareSource Dual Advantage (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount 25%25%25%25%3,490
2022 Formulary
2021 CommuniCare Advantage ISNP (HMO I-SNP)
Details        
$27.20 n/a $445No additional gap coverage, only the Donut Hole Discount H3727
-002
-3
    n/a
 Medicare Part D Plan Rating - 3 Stars (Average) new new  
2022 CommuniCare Advantage ISNP (HMO I-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount     3,497
2022 Formulary
2021 Molina Medicare Complete Care (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H9955
-001
-0
$0.00$4.00$44.00$44.003,245

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Molina Medicare Complete Care (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount $0.00$4.00$44.00$44.003,263
2022 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 2021 --

H0710
-057
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
Details        
$33.50 n/a $200No additional gap coverage, only the Donut Hole Discount $2.00$12.00$47.00$47.003,654
2022 Formulary
2021 UnitedHealthcare Dual Complete LP (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H5253
-059
-0
    3,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 UnitedHealthcare Dual Complete LP (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount     3,654
2022 Formulary
2021 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H0710
-027
-0
    3,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount     3,654
2022 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
2021 Valor Health Plan (HMO I-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H1119
-001
-0
    3,578

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average) --  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2022 Valor Health Plan (HMO I-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount     3,497
2022 Formulary
2021 MedMutual Advantage Choice (HMO)
Details        
$34.00 $4,000 $55Yes, some additional gap coverage. H6723
-002
-1
$0.00$10.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Choice (HMO)
Details        
$40.00 $4,300 $55Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary

-- This plan not offered in 2021 --

H3672
-019
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 The Health Plan SecureCare SNP (HMO D-SNP)
Details        
$40.40 n/a $480No additional gap coverage, only the Donut Hole Discount     3,224
2022 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
2021 SummaCare Medicare Ruby (HMO)
Details        
$43.00 $3,600 $0Yes, some additional gap coverage. H3660
-044
-0
$0.00$8.00$44.00$44.003,560

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 SummaCare Medicare Ruby (HMO)
Details        
$43.00 $3,700 $0Yes, some additional gap coverage. $0.00$8.00$44.00$44.003,510
2022 Formulary
2021 MedMutual Advantage Select (PPO)
Details        
$38.00 $5,900 $95Yes, some additional gap coverage. H4497
-001
-1
$0.00$15.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Select (PPO)
Details        
$44.00 $5,900 $95Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary
2021 Humana Gold Plus H6622-011 (HMO)
Details        
$46.00 $6,700 $195No additional gap coverage, only the Donut Hole Discount H6622
-011
-0
$7.00$17.00$47.00$47.003,382

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Gold Plus H6622-011 (HMO)
Details        
$47.00 $6,700 $195No additional gap coverage, only the Donut Hole Discount $7.00$17.00$47.00$47.003,408
2022 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 2021 --

H4036
-025
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Anthem MediBlue Access (PPO)
Details        
$56.00 $5,500 $0Yes, some additional gap coverage. $4.00$15.00$42.00$42.003,626
2022 Formulary
2021 Paramount Elite - Enhanced Medical & Drug (HMO)
Details        
$68.00 $3,400 $0Yes, some additional gap coverage. H3653
-004
-0
$0.00$15.00$45.00$45.004,218

2021 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Paramount Elite Enhanced (HMO)
Details        
$68.00 $3,400 $0Yes, some additional gap coverage. $0.00$15.00$45.00$45.004,209
2022 Formulary
2021 HumanaChoice H5216-024 (PPO)
Details        
$75.00 $6,700 $100No additional gap coverage, only the Donut Hole Discount H5216
-024
-0
$7.00$17.00$47.00$47.003,386

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice H5216-024 (PPO)
Details        
$76.00 $6,700 $100No additional gap coverage, only the Donut Hole Discount $7.00$17.00$47.00$47.003,408
2022 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
2021 SummaCare Medicare Sapphire (HMO-POS)
Details        
$76.00 $3,600 $0Yes, some additional gap coverage. H3660
-029
-0
$0.00$8.00$44.00$44.003,560

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 SummaCare Medicare Sapphire (HMO-POS)
Details        
$76.00 $3,600 $0Yes, some additional gap coverage. $0.00$8.00$44.00$44.003,510
2022 Formulary
2021 MedMutual Advantage Preferred (PPO)
Details        
$74.00 $5,700 $55Yes, some additional gap coverage. H4497
-002
-1
$0.00$10.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Preferred (PPO)
Details        
$80.00 $5,700 $55Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary
2021 Anthem MediBlue Access Basic (Regional PPO)
Details        
$83.00 $6,000 $200Yes, some additional gap coverage. R5941
-014
-0
$6.00$15.00$42.00$42.003,639

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Anthem MediBlue Access Basic (Regional PPO)
Details        
$83.00 $6,000 $200Yes, some additional gap coverage. $6.00$15.00$42.00$42.003,635
2022 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
2021 Anthem MediBlue Access Plus (PPO)
Details        
$89.00 $4,300 $40Yes, some additional gap coverage. H4036
-017
-0
$4.00$15.00$42.00$42.003,639

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Anthem MediBlue Access Plus (PPO)
Details        
$89.00 $4,300 $40Yes, some additional gap coverage. $4.00$15.00$42.00$42.003,626
2022 Formulary
2021 Humana Gold Plus H6622-019 (HMO)
Details        
$90.00 $3,900 $125No additional gap coverage, only the Donut Hole Discount H6622
-019
-0
$1.00$4.00$47.00$47.003,382

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Gold Plus H6622-019 (HMO)
Details        
$91.00 $3,900 $125No additional gap coverage, only the Donut Hole Discount $1.00$4.00$47.00$47.003,408
2022 Formulary
2021 MedMutual Advantage Plus (HMO)
Details        
$95.00 $3,450 $55Yes, some additional gap coverage. H6723
-003
-1
$0.00$10.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Plus (HMO)
Details        
$97.00 $3,450 $55Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 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 2021 --

H8604
-010
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 The Health Plan SecureChoice - Option II (PPO)
Details        
$100.00 $6,700 $100No additional gap coverage, only the Donut Hole Discount $3.00$10.00$47.00$47.003,224
2022 Formulary
2021 AARP Medicare Advantage Plan 3 (HMO)
Details        
$111.00 $3,400 $0Yes, some additional gap coverage. H5253
-051
-0
$0.00$8.00$45.00$45.003,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Plan 3 (HMO)
Details        
$111.00 $3,400 $0Yes, some additional gap coverage. $0.00$8.00$45.00$45.003,654
2022 Formulary
2021 HumanaChoice R5495-002 (Regional PPO)
Details        
$99.00 $6,700 $380No additional gap coverage, only the Donut Hole Discount R5495
-002
-0
$16.00$19.00$47.00$47.003,386

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice R5495-002 (Regional PPO)
Details        
$114.00 $6,700 $480No additional gap coverage, only the Donut Hole Discount $16.00$20.0017%17%3,421
2022 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
2021 Aetna Medicare Premier 2 (PPO)
Details        
$124.00 $4,800 $0Yes, some additional gap coverage. H5521
-020
-0
$2.00$5.00$47.00$47.003,659

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Premier 2 (PPO)
Details        
$118.00 $4,800 $0Yes, some additional gap coverage. $0.00$5.00$47.00$47.003,672
2022 Formulary
2021 MedMutual Advantage Premium (PPO)
Details        
$128.00 $3,450 $55Yes, some additional gap coverage. H4497
-003
-1
$0.00$10.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Premium (PPO)
Details        
$134.00 $3,450 $55Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary
2021 Aetna Medicare Premier 1 (PPO)
Details