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MAHONING, Ohio

  Only show plans discontinued in 2022
  Only show plans new for 2022
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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 99 Medicare Advantage plans meeting your criteria.
2021 / 2022 Medicare Advantage Plan Information
Click here to jump to the Chart Legend
Plan Name Monthly
Premium
Part A&B
Maximum
Out-Of
Pocket
Part D
Deduct-
ible
(Donut Hole)
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Formulary Drugs
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Tier
1
Tier
2
Tier
3
Tier
4
2021 Lasso Healthcare Growth (MSA)
Details      
$0.00 n/a No Rx Coverage H1924
-001
-0
This plan does NOT include Prescription Drug coverage. 
 
2022 Lasso Healthcare Growth (MSA)
Details      
$0.00 n/a No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 Lasso Healthcare Growth Plus (MSA)
Details      
$0.00 n/a No Rx Coverage H1924
-004
-0
This plan does NOT include Prescription Drug coverage. 
 
2022 Lasso Healthcare Growth Plus (MSA)
Details      
$0.00 n/a No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 AARP Medicare Advantage Patriot (PPO)
Details      
$0.00 $4,500 No Rx Coverage H8768
-021
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Patriot (PPO)
Details      
$0.00 $4,500 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 AARP Medicare Advantage Plan 7 (HMO)
Details        
$0.00 $4,500 $175No additional gap coverage, only the Donut Hole Discount H5253
-049
-0
$3.00$12.00$47.00$47.003,604

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

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Advantra Silver (PPO)
Details        
$0.00 $4,900 $0Yes, some additional gap coverage. $0.00$5.00$47.00$47.003,672
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2021 --

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Premier (HMO-POS)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage. $0.00$0.00$47.00$47.003,698
2022 Formulary
2021 Aetna Medicare Value Plan (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
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 Anthem MediBlue Access Core (Regional PPO)
Details      
$0.00 $4,900 No Rx Coverage R5941
-013
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Anthem MediBlue Access Core (Regional PPO)
Details      
$0.00 $4,900 No Rx Coverage This plan does NOT include Prescription Drug coverage. 

-- This plan not offered in 2021 --

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

-- 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 $175No additional gap coverage, only the Donut Hole Discount H6396
-004
-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 $175No 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

-- This plan not offered in 2021 --

H2697
-001
-0
     
 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

-- This plan not offered in 2021 --

H2697
-003
-0
     
 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
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)  
2022 MedMutual Advantage Signature (HMO)
Details        
$0.00 $4,200 $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

-- This plan not offered in 2021 --

H0908
-005
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Giveback (HMO)
Details        
$0.00 $5,500 $480No additional gap coverage, only the Donut Hole Discount $0.00$15.00$37.00$37.003,375
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 Allwell Medicare Boost (HMO)
Details        
$0.00 $7,550 $75Yes, some additional gap coverage. H0724
-007
-0
$0.00$9.00$37.00$37.003,370

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

-- This plan not offered in 2021 --

H0908
-003
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare No Premium (HMO)
Details        
$0.00 $3,450 $75Yes, some additional gap coverage. $0.00$9.00$37.00$37.003,375
2022 Formulary
2021 Allwell Medicare (HMO)
Details        
$0.00 $4,700 $75Yes, some additional gap coverage. H0724
-001
-0
$0.00$9.00$37.00$37.003,370

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare No Premium Medicare (HMO)
Details        
$0.00 $3,450 $75Yes, some additional gap coverage. $0.00$9.00$37.00$37.003,375
2022 Formulary
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
2021 Allwell Medicare Essentials (HMO)
Details      
$0.00 $3,450 No Rx Coverage H0724
-005
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Patriot No Premium (HMO)
Details      
$0.00 $3,450 No Rx Coverage This plan does NOT include Prescription Drug coverage. 
2021 HumanaChoice H5216-106 (PPO)
Details        
$15.00 $3,900 $125No additional gap coverage, only the Donut Hole Discount H5216
-106
-0
$2.00$8.00$47.00$47.003,386

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 HumanaChoice H5216-106 (PPO)
Details        
$15.00 $3,900 $0No additional gap coverage, only the Donut Hole Discount $0.00$8.00$47.00$47.003,408
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Details        
$15.00 n/a $200No additional gap coverage, only the Donut Hole Discount H6622
-017
-0
$7.00$17.00$47.00$47.003,382

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

-- This plan not offered in 2021 --

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Wellcare Assist Complement (HMO)
Details        
$17.60 $3,450 $480Yes, some additional gap coverage. $0.00$20.00$47.00$47.003,375
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 AARP Medicare Advantage Plan 1 (HMO)
Details        
$21.00 $3,900 $150Yes, some additional gap coverage. H5253
-050
-0
$2.00$8.00$45.00$45.003,604

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Preferred Plus (HMO)
Details        
$19.00 $3,650 $0Yes, some additional gap coverage. $4.00$10.00$42.00$42.003,626
2022 Formulary
2021 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
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 Anthem MediBlue Extra (HMO)
Details        
$25.30 $7,550 $445Yes, some additional gap coverage. H3655
-041
-0
$0.00$7.00$47.00$47.003,639

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

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Aetna Medicare Assure 1 (HMO D-SNP)
Details        
$23.20 n/a $480No additional gap coverage, only the Donut Hole Discount $0.00$5.00$47.00$47.003,672
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2021 --

H5253
-115
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 AARP Medicare Advantage Plan 8 (HMO)
Details        
$25.00 $3,900 $0Yes, some additional gap coverage. $0.00$10.00$47.00$47.003,654
2022 Formulary
2021 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 Perennial Advantage Strive (HMO I-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H8797
-001
-0
    n/a
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Perennial Advantage Strive (HMO I-SNP)
Details        
$28.20 n/a $480No additional gap coverage, only the Donut Hole Discount     3,712
2022 Formulary
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 Garnet (HMO)
Details        
$29.00 $3,800 $0Yes, some additional gap coverage. H3660
-053
-2
$0.00$8.00$44.00$44.003,560

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 SummaCare Medicare Garnet (HMO)
Details        
$29.00 $3,800 $0Yes, some additional gap coverage. $0.00$8.00$44.00$44.003,510
2022 Formulary
2021 CareSource Advantage (HMO)
Details        
$26.60 $7,550 $100No additional gap coverage, only the Donut Hole Discount H6396
-001
-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        
$30.00 $7,550 $100No additional gap coverage, only the Donut Hole Discount $4.00$10.00$45.00$45.003,490
2022 Formulary

-- This plan not offered in 2021 --

H2697
-002
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Devoted Health Prime (HMO)
Details        
$31.00 $4,100 $0Yes, some additional gap coverage. $0.00$0.00$42.00$42.003,349
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 Perennial Advantage Concierge (HMO C-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H8797
-002
-0
$2.00$15.00$45.00$45.00n/a
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Perennial Advantage Concierge (HMO C-SNP)
Details        
$31.30 n/a $480No additional gap coverage, only the Donut Hole Discount $2.00$15.00$45.00$45.003,860
2022 Formulary
2021 Allwell Dual Medicare (HMO D-SNP)
Details        
$21.10 n/a $150Yes, some additional gap coverage. H0908
-001
-0
$0.00$20.00$47.00$47.003,352

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2022 Anthem MediBlue Dual Advantage (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount $10.00$20.00$47.00$47.003,626
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 CareSource Dual Advantage (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H6396
-005
-0
25%25%25%25%3,622

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

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) new new  
2022 Molina Medicare Complete Care (HMO D-SNP)
Details        
$33.50 n/a $480No additional gap coverage, only the Donut Hole Discount $0.00$4.00$44.00$44.003,263
2022 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 UnitedHealthcare Dual Complete LP (HMO D-SNP)
Details        
$29.80 n/a $445No additional gap coverage, only the Donut Hole Discount H5253
-059
-0
    3,604

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

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

-- This plan not offered in 2021 --

H1119
-001
-0
     
 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
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 Nursing Home Plan (HMO-POS I-SNP)
Details        
$22.20 n/a $445No additional gap coverage, only the Donut Hole Discount H5322
-001
-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 Nursing Home Plan (HMO-POS I-SNP)
Details        
$33.90 n/a $480No additional gap coverage, only the Donut Hole Discount     3,654
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 HumanaChoice H5216-051 (PPO)
Details        
$43.00 $6,300 $0No additional gap coverage, only the Donut Hole Discount H5216
-051
-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 H5216-051 (PPO)
Details        
$44.00 $6,300 $0No 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 MedMutual Advantage Select (PPO)
Details        
$38.00 $5,900 $95Yes, some additional gap coverage. H4497
-001
-1
$0.00$15.00$42.00$42.003,622

2021 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 MedMutual Advantage Select (PPO)
Details        
$44.00 $5,900 $95Yes, some additional gap coverage. $0.00$5.00$42.00$42.003,490
2022 Formulary
2021 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
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 Humana Gold Choice H8145-032 (PFFS)
Details        
$82.00 n/a $225No additional gap coverage, only the Donut Hole Discount H8145
-032
-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 - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2022 Humana Gold Choice H8145-032 (PFFS)
Details        
$83.00 n/a $225No additional gap coverage, only the Donut Hole Discount $7.00$17.00$47.00$47.003,413
2022 Formulary
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
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 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
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
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 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
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 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
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 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
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 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing Total Drugs
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2021 Anthem MediBlue Access (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 --

     
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 --

     
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 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 Bright Advantage (HMO)
Details        
$0.00 $5,500 $0Yes, some additional gap coverage. H1142
-001
-0
$0.00$10.00$47.00$47.003,364

2021 Formulary
 

-- This plan not offered in 2022 --

     
2021 Bright Advantage Plus (HMO)
Details        
$33.00 $3,800 $0Yes, some additional gap coverage. H1142
-002
-0
$0.00$8.00$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 Choice (PPO)
Details        
$0.00 $5,000 $50Yes, some additional gap coverage. H9878
-001
-0
$0.00$20.00$47.00$47.003,364

2021 Formulary
 

-- This plan not offered in 2022 --

     
2021 Bright Advantage Choice Plus (PPO)
Details        
$49.00 $4,000 $445Yes, some additional gap coverage. H9878
-002
-0
$0.00$20.00$47.00$47.003,364

2021 Formulary
 

-- This plan not offered in 2022 --

     
2021 Bright Advantage Flex Choice (PPO)
Details        
$0.00 $6,700 $445Yes, some additional gap coverage. H9878
-006
-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, 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 2022 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 2022 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.