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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
    

PORTAGE, 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 97 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 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
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 (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
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. 
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
-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
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. 
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 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
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 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
2021 Humana Gold Plus H6622-014 (HMO)
Details        
$0.00 $4,300 $0No additional gap coverage, only the Donut Hole Discount H6622
-014
-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 H6622-014 (HMO)
Details        
$0.00 $4,000 $0No additional gap coverage, only the Donut Hole Discount $0.00$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 PrimeTime Health Plan Aultimate (HMO-POS)
Details        
$0.00 $4,500 $200No additional gap coverage, only the Donut Hole Discount H3664
-021
-0
$0.00$15.00$42.00$42.003,854

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 PrimeTime Health Plan Aultimate (HMO-POS)
Details        
$0.00 $4,500 $200No additional gap coverage, only the Donut Hole Discount $0.00$15.00$42.00$42.003,861
2022 Formulary
2021 PrimeTime Health Plan Basic - MA Only (HMO-POS)
Details      
$0.00 $3,400 No Rx Coverage H3664
-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 PrimeTime Health Plan Basic - MA Only (HMO-POS)
Details      
$0.00 $3,400 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
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. 
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
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
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
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 --

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

-- 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 --

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
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 Essential (HMO-POS)
Details        
$0.00 $3,450 $0No additional gap coverage, only the Donut Hole Discount H5475
-036
-0
$0.00$15.00$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$10.00$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

-- 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

-- 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. 
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 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
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 --

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

-- 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
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
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 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 Humana Gold Plus H6622-070 (HMO)
Details        
$20.00 $3,950 $0No additional gap coverage, only the Donut Hole Discount H6622
-070
-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 Gold Plus H6622-070 (HMO)
Details        
$21.00 $3,950 $0No additional gap coverage, only the Donut Hole Discount $0.00$5.00$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
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

-- 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
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 (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
2021 SummaCare Medicare Garnet (HMO)
Details        
$29.00 $3,800 $0Yes, some additional gap coverage. H3660
-053
-1
$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
-035
-0
$0.00$17.00$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        
$29.10 n/a $480No additional gap coverage, only the Donut Hole Discount $0.00$16.00$47.00$47.003,375
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
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
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 (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
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
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
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 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
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 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 PrimeTime Health Plan Classic (HMO-POS)
Details        
$39.00 $4,200 $150No additional gap coverage, only the Donut Hole Discount H3664
-020
-0
$0.00$8.00$42.00$42.003,854

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 PrimeTime Health Plan Classic (HMO-POS)
Details        
$39.00 $4,200 $150No additional gap coverage, only the Donut Hole Discount $0.00$8.00$42.00$42.003,861
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
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 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
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
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 Plus (HMO)
Details        
$55.00 $4,100 $0Yes, some additional gap coverage. H3655
-034
-0
$2.00$10.00$37.00$37.003,639

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 Plus (HMO)
Details        
$55.00 $4,100 $0Yes, some additional gap coverage. $2.00$10.00$37.00$37.003,626
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
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 PrimeTime Health Plan Plus (HMO-POS)
Details        
$89.00 $3,900 $100No additional gap coverage, only the Donut Hole Discount H3664
-017
-0
$0.00$6.00$42.00$42.003,854

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 PrimeTime Health Plan Plus (HMO-POS)
Details        
$89.00 $3,900 $100No additional gap coverage, only the Donut Hole Discount $0.00$8.00$42.00$42.003,861
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
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
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        
$140.00 $6,100 $150Yes, some additional gap coverage. H5521
-134
-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 Premier 1 (PPO)
Details        
$149.00 $5,500 $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 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
2021 SummaCare Medicare Emerald (HMO-POS)
Details        
$180.00 $3,400 $0Yes, some additional gap coverage. H3660
-028
-0
$0.00$8.00$39.00$39.003,560

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 Emerald (HMO-POS)
Details        
$180.00 $3,400 $0Yes, some additional gap coverage. $0.00$8.00$39.00$39.003,510
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 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 Aetna Medicare Assure (HMO D-SNP)
Details        
$27.50 n/a $130No additional gap coverage, only the Donut Hole Discount H5337
-001
-0
$0.00$0.00$47.00$47.003,659

2021 Formulary
 

-- Members will be assigned to Aetna Medicare Assure 1 (HMO D-SNP) H0628-013 --

     
2021 Anthem MediBlue Access (PPO)
Details        
$65.00 $4,900 $0Yes, some additional gap coverage. H4036
-010
-2
$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 --

     
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 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 --

     
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 --

     
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 Bright Advantage University Hospitals (HMO)
Details        
$0.00 $3,900 $445Yes, some additional gap coverage. H1142
-003
-0
$0.00$20.00$47.00$47.003,364

2021 Formulary
 

-- This plan not offered in 2022 --

     
2021 MedMutual Advantage Signature (HMO)
Details        
$0.00 $4,200 $0Yes, some additional gap coverage. H6723
-006
-1
$4.00$15.00$42.00$42.003,396

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)  

-- This plan not offered in 2022 --

     
2021 Bright Advantage University Hospitals Choice (PPO)
Details        
$0.00 $5,000 $445Yes, some additional gap coverage. H9878
-003
-0
$0.00$20.00$47.00$47.003,364

2021 Formulary
 

-- 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 Bright Advantage University Hospitals Choice Plus (PPO)
Details        
$34.00 $5,000 $445Yes, some additional gap coverage. H9878
-008
-0
$0.00$20.00$47.00$47.003,364

2021 Formulary
 

-- 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, befo