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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
    

LAWRENCE, 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 47 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 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. 
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 --

H3655
-045
-1
     
 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 $4,200 $0Yes, some additional gap coverage. $4.00$10.00$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. 

-- This plan not offered in 2021 --

H6396
-013
-0
     
 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
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 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. 

-- 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
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 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. 

-- 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 The Health Plan SecureCare - Option I, MA Only (HMO)
Details      
$0.00 $3,900 No Rx Coverage H3672
-014
-0
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 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. 
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 The Health Plan SecureCare - Option II (HMO)
Details        
$35.00 $3,900 $100No additional gap coverage, only the Donut Hole Discount H3672
-013
-0
$3.00$10.00$47.00$47.003,396

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 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

-- This plan not offered in 2021 --

H0724
-007
-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 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 --

H0724
-001
-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 Medicare (HMO)
Details        
$0.00 $3,450 $75Yes, some additional gap coverage. $0.00$9.00$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

-- 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

-- This plan not offered in 2021 --

H0724
-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 Patriot No Premium (HMO)
Details      
$0.00 $3,450 No Rx Coverage This plan does NOT include Prescription Drug coverage. 

-- This plan not offered in 2021 --

H0724
-006
-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 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 HumanaChoice H5216-109 (PPO)
Details        
$19.00 $5,700 $150No additional gap coverage, only the Donut Hole Discount H5216
-109
-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 H5216-109 (PPO)
Details        
$19.00 $5,700 $150No additional gap coverage, only the Donut Hole Discount $0.00$8.00$47.00$47.003,413
2022 Formulary
2021 Humana Value Plus H5525-041 (PPO)
Details        
$20.30 $7,550 $260No additional gap coverage, only the Donut Hole Discount H5525
-041
-0
$0.00$15.00$47.00$47.003,382

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 Humana Value Plus H5525-041 (PPO)
Details        
$21.30 $7,550 $260No additional gap coverage, only the Donut Hole Discount $0.00$15.00$47.00$47.003,408
2022 Formulary
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
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 --

H6396
-011
-0
     
 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 HumanaChoice SNP-DE H5525-046 (PPO D-SNP)
Details        
$29.50 n/a $425No additional gap coverage, only the Donut Hole Discount H5525
-046
-0
$1.00$13.00$47.00$47.003,382

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 SNP-DE H5525-046 (PPO D-SNP)
Details        
$27.40 n/a $480No additional gap coverage, only the Donut Hole Discount $1.00$13.00$47.00$47.003,408
2022 Formulary
2021 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H5322
-028
-0
    3,604

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 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
Details        
$33.00 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 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

-- This plan not offered in 2021 --

H6396
-014
-0
     
 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 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
2021 UnitedHealthcare Dual Complete LP1 (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H8125
-002
-0
    3,604

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 UnitedHealthcare Dual Complete LP1 (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount     3,654
2022 Formulary
2021 The Health Plan SecureCare SNP (HMO D-SNP)
Details        
$37.00 n/a $445No additional gap coverage, only the Donut Hole Discount H3672
-019
-0
    3,396

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 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

-- 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
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 HumanaChoice H5216-023 (PPO)
Details        
$57.00 $6,200 $100No additional gap coverage, only the Donut Hole Discount H5216
-023
-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 H5216-023 (PPO)
Details        
$58.00 $6,200 $100No additional gap coverage, only the Donut Hole Discount $7.00$17.00$47.00$47.003,413
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
2021 The Health Plan SecureChoice - Option II (PPO)
Details        
$79.00 $6,700 $100No additional gap coverage, only the Donut Hole Discount H8604
-010
-0
$3.00$10.00$47.00$47.003,396

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 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
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 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
2021 HumanaChoice H5525-030 (PPO)
Details        
$155.00 $3,400 $100No additional gap coverage, only the Donut Hole Discount H5525
-030
-0
$1.00$4.00$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 H5525-030 (PPO)
Details        
$151.00 $3,400 $100No additional gap coverage, only the Donut Hole Discount $1.00$4.00$47.00$47.003,413
2022 Formulary
2021 Aetna Medicare Premier Plus 2 (Regional PPO)
Details        
$199.00 $5,100 $190No additional gap coverage, only the Donut Hole Discount R6694
-005
-0
$0.00$10.00$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 Premier Plus 2 (Regional PPO)
Details        
$179.00 $5,100 $260No additional gap coverage, only the Donut Hole Discount $0.00$10.00$47.00$47.003,680
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 Plus 1 (Regional PPO)
Details        
$225.00 $4,900 $0Yes, some additional gap coverage. R6694
-003
-0
$0.00$0.00$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 Premier Plus 1 (Regional PPO)
Details        
$217.00 $4,900 $0Yes, some additional gap coverage. $0.00$0.00$42.00$42.003,706
2022 Formulary
2021 Anthem MediBlue Access (PPO)
Details        
$56.00 $5,500 $0Yes, some additional gap coverage. H4036
-010
-1
$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)  

-- Members will be assigned to Anthem MediBlue Access (PPO) H4036-025 --

     
2021 Anthem MediBlue Essential (HMO)
Details        
$0.00 $4,900 $60Yes, some additional gap coverage. H3655
-032
-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 - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- Members will be assigned to Anthem MediBlue Preferred (HMO) H3655-045 --

     
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 Preferred (HMO)
Details        
$0.00 $4,200 $0Yes, some additional gap coverage. H3655
-040
-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)  

-- Members will be assigned to Anthem MediBlue Preferred (HMO) H3655-045 --

     
2021 Molina Medicare Complete Care (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H8176
-002
-0
$0.00$4.00$44.00$44.003,245

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new  Medicare Part D Plan Rating - 3 Stars (Average)  

-- Members will be assigned to Molina Medicare Complete Care (HMO D-SNP) H9955-001 --

     
2021 MedMutual Advantage Select (PPO)
Details        
$98.00 $6,900 $95Yes, some additional gap coverage. H4497
-001
-2
$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)  

-- This plan not offered in 2022 --

     
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 MedMutual Advantage Preferred (PPO)
Details        
$146.00 $6,400 $55Yes, some additional gap coverage. H4497
-002
-2
$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)  

-- This plan not offered in 2022 --

     
2021 MedMutual Advantage Premium (PPO)
Details        
$198.00 $3,450 $55Yes, some additional gap coverage. H4497
-003
-2
$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)  

-- This plan not offered in 2022 --

     
2021 MedMutual Advantage Classic (HMO)
Details        
$0.00 $5,100 $95Yes, some additional gap coverage. H6723
-001
-2
$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)  

-- This plan not offered in 2022 --

     
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 MedMutual Advantage Choice (HMO)
Details        
$94.00 $4,500 $55Yes, some additional gap coverage. H6723
-002
-2
$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)  

-- This plan not offered in 2022 --

     
2021 MedMutual Advantage Plus (HMO)
Details        
$132.00 $3,450 $55Yes, some additional gap coverage. H6723
-003
-2
$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)  

-- This plan not offered in 2022 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2022 Medicare Part D Plan information above.

  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

      This category includes measures of how drug plans rate on the following areas:
      • Time on Hold When Customer and Pharmacist Calls Drug Plan.
      • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
      • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
      • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

    • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

      This category includes measures of how drug plans rate on the following areas:
      • Drug Plan Provides Information or Help When Members Need It.
      • Members’ Overall Rating of Drug Plan.
      • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

    • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

      This category includes measures of how drug plans rate on the following areas:
      • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
      • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
      • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
      • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
      • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

    (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.

  • Deductible: The standard CMS plan initial deductible is $480. Many Medicare plans do not have a deductible; however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage Phase tier 1 cost-sharing.

  • Gap Coverage: In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $5,583 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2022, all formulary drugs will have at least a 75% discount in the coverage gap (Donut Hole). The Gap Coverage Types discussed in this section are supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $5,583 depending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Read more...
    • Yes: This plan offers some supplemental gap coverage in addition to the 75% Donut Hole Discount. See plan details for a description of the gap coverage. The description may read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • $0 Premium with Full LIS - Does the plan qualify for $0 premium with full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.

  • Copay / Coinsurance - Cost Sharing - This is what you will pay for formulary drugs in the Initial Coverage Phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)




Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.

  • Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.

  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.

  • Members in This State (updated: September 2021 figures) - This is the total number of members in this plan for this PDP CMS Region. For regions that contain more than one state, this is the total for all of those states combined. If the CMS Region contains more than one state, the actual state enrollment is shown, along with the CMS region and national enrollment figures on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.

  • Members Nation Wide (updated: September 2021 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.

  • Initial Coverage Limit (ICL) - The Initial Coverage Phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2022 is $4,430 and increases each year.

  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.



(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Medicare plan provider.






Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.