There are 66 Medicare Advantage plans meeting your criteria.
2022 / 2023 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 |
2022 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage | H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage | H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$3,600 |
No Rx Coverage | H5253 -040 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$3,600 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$4,500 |
$95 | Yes, some additional gap coverage. | H5253 -038 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
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-- This plan not offered in 2022 --
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H5253 -117 -0 | | | | | |
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2023 AARP Medicare Advantage Plan 3 (HMO-POS)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
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-- This plan not offered in 2022 --
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H5253 -110 -0 | | | | | |
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2023 AARP Medicare Advantage Rebate (HMO-POS)
| $0.00 |
$6,700 |
$435 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$6,500 |
No Rx Coverage | H5521 -241 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$6,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$7,500 |
$200 | Yes, some additional gap coverage. | H5521 -354 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$7,500 |
$200 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
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2022 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. | H5521 -081 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 Aetna Medicare Premier Plus Plan (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H5521 -170 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Premier Plus Plan (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
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2022 Aetna Medicare Prime (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H3146 -007 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Prime (HMO-POS)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
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2022 ApexBold (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | H9828 -003 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,133
2022 Formulary |
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new |
new |
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2023 ApexBold (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,288 2023 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 Blue Medicare Essential (HMO)
| $0.00 |
$5,900 |
$375 | Yes, some additional gap coverage. | H3449 -027 -1 | $0.00 | $6.00 | $37.00 | $37.00 | 3,479
2022 Formulary |
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2023 Blue Medicare Essential (HMO)
| $0.00 |
$7,500 |
$375 | Yes, some additional gap coverage. | $0.00 | $6.00 | $37.00 | $37.00 | 3,541 2023 Formulary |
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2022 Blue Medicare Essential Plus (HMO)
| $0.00 |
$4,200 |
$195 | Yes, some additional gap coverage. | H3449 -023 -1 | $0.00 | $6.00 | $37.00 | $37.00 | 3,479
2022 Formulary |
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2023 Blue Medicare Essential Plus (HMO-POS)
| $0.00 |
$3,950 |
$150 | Yes, some additional gap coverage. | $0.00 | $6.00 | $37.00 | $37.00 | 3,541 2023 Formulary |
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2022 Blue Medicare Freedom+ (PPO)
| $0.00 |
$7,550 |
No Rx Coverage | H3404 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Blue Medicare Freedom+ (PPO)
| $0.00 |
$8,300 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 Blue Medicare Medical Only (HMO)
| $0.00 |
$3,900 |
No Rx Coverage | H3449 -012 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Blue Medicare Medical Only (HMO-POS)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 Cigna Fundamental Medicare (HMO)
| $0.00 |
$4,900 |
No Rx Coverage | H9725 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Cigna Courage Medicare (HMO)
| $0.00 |
$3,600 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2022 --
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H9725 -009 -1 | | | | | |
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2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2022 --
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H9725 -012 -0 | | | | | |
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2023 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$7,200 |
$280 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $38.00 | $38.00 | 3,524 2023 Formulary |
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2022 Cigna True Choice Medicare (PPO)
| $0.00 |
$5,750 |
$0 | No additional gap coverage, only the Donut Hole Discount | H7849 -019 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,459
2022 Formulary |
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2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$5,450 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,524 2023 Formulary |
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2022 Humana Gold Plus H1036-137 (HMO)
| $0.00 |
$4,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | H1036 -137 -0 | $2.00 | $8.00 | $45.00 | $45.00 | 3,408
2022 Formulary |
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2023 Humana Gold Plus H1036-137 (HMO-POS)
| $0.00 |
$4,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,404 2023 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 Humana Honor R1390-003 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | R1390 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2023 Humana Honor (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2022 --
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H5216 -017 -0 | | | | | |
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2023 HumanaChoice H5216-017 (PPO)
| $0.00 |
$8,300 |
$265 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
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-- This plan not offered in 2022 --
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H5216 -343 -0 | | | | | |
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2023 HumanaChoice H5216-343 (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible | Additional Gap Coverage | Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 HumanaChoice R1390-001 (Regional PPO)
| $0.00 |
$6,950 |
No Rx Coverage | R1390 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2023 HumanaChoice R1390-001 (Regional PPO)
| $0.00 |
$6,950 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 Liberty Medicare Heart and Diabetes Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | H6351 -004 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,910
2022 Formulary |
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-- |
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2023 Liberty Medicare Advantage (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $35.00 | $35.00 | 3,836 2023 Formulary |
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2022 Troy Medicare (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H4676 -001 -0 | $0.00 | $5.00 | $25.00 | $25.00 | 3,517
2022 Formulary |
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2023 Troy Medicare (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $25.00 | $25.00 | 3,564 2023 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 |
2022 Wellcare Giveback Open (PPO)
| $0.00 |
$7,550 |
$200 | Yes, some additional gap coverage. | H7175 -004 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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2023 Wellcare Giveback Open (PPO)
| $0.00 |
$8,300 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
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2022 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | H4073 -001 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
new |
new |
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2023 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $35.00 | $35.00 | 3,392 2023 Formulary |
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2022 Wellcare No Premium Open (PPO)
| $0.00 |
$5,500 |
$150 | No additional gap coverage, only the Donut Hole Discount | H7175 -001 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,900 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $37.00 | $37.00 | 3,392 2023 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 |
2022 Wellcare No Premium Value (HMO)
| $0.00 |
$6,000 |
$150 | No additional gap coverage, only the Donut Hole Discount | H0712 -023 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
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-- |
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2023 Wellcare No Premium Value (HMO)
| $0.00 |
$6,000 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $35.00 | $35.00 | 3,392 2023 Formulary |
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2022 Wellcare Patriot No Premium Open (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | H7175 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Wellcare Patriot No Premium Open (PPO)
| $0.00 |
$6,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2022 --
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H3146 -006 -0 | | | | | |
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2023 Aetna Medicare Value Plus Plan (HMO)
| $7.00 |
$5,500 |
$95 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,597 2023 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 |
2022 Wellcare Assist Open (PPO)
| $32.90 |
$4,500 |
$480 | No additional gap coverage, only the Donut Hole Discount | H7175 -003 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
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2023 Wellcare Assist Open (PPO)
| $14.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,392 2023 Formulary |
|
2022 Blue Medicare Enhanced (HMO)
| $19.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | H3449 -024 -1 | $0.00 | $6.00 | $37.00 | $37.00 | 3,479
2022 Formulary |
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2023 Blue Medicare Enhanced (HMO-POS)
| $19.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $37.00 | $37.00 | 3,541 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H3146 -008 -0 | | | | | |
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2023 Aetna Medicare Assure Plan (HMO D-SNP)
| $21.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,597 2023 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 |
2022 Wellcare Dual Access (HMO D-SNP)
| $30.70 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H4073 -002 -0 | $0.00 | $11.00 | $42.00 | $42.00 | 3,375
2022 Formulary |
|
new |
new |
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2023 Wellcare Dual Access (HMO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H9725 -013 -0 | | | | | |
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2023 Cigna TotalCare Plus (HMO D-SNP)
| $26.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 Formulary |
|
2022 AARP Medicare Advantage Plan 1 (HMO-POS)
| $27.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | H5253 -037 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
|
|
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2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $27.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,682 2023 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 |
2022 Cigna Preferred Plus Medicare (HMO)
| $29.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | H9725 -006 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,459
2022 Formulary |
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|
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2023 Cigna Preferred Plus Medicare (HMO)
| $27.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,524 2023 Formulary |
|
2022 Blue Medicare PPO Enhanced (PPO)
| $29.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | H3404 -003 -1 | $0.00 | $6.00 | $37.00 | $37.00 | 3,479
2022 Formulary |
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|
|
|
2023 Blue Medicare PPO Enhanced (PPO)
| $29.00 |
$5,650 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $37.00 | $37.00 | 3,541 2023 Formulary |
|
2022 Wellcare Dual Access Medicare (HMO D-SNP)
| $34.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H0712 -025 -0 | $0.00 | $8.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
-- |
|
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2023 Wellcare Dual Access Medicare (HMO D-SNP)
| $31.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 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 |
2022 Cigna TotalCare (HMO D-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H9725 -003 -0 | | | | | 3,459
2022 Formulary |
|
|
|
|
2023 Cigna TotalCare (HMO D-SNP)
| $31.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 Formulary |
|
2022 Longevity Health Plan (HMO I-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H5374 -001 -0 | | | | | 3,678
2022 Formulary |
|
new |
|
|
2023 Longevity Health Plan (HMO I-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,970 2023 Formulary |
|
2022 Wellcare Dual Liberty Open (PPO D-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H7175 -002 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Liberty Open (PPO D-SNP)
| $37.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 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 |
2022 Healthy Blue + Medicare (HMO D-SNP)
| $35.80 |
n/a |
$480 | Few Generics | H9147 -001 -0 | $0.00 | $18.00 | $40.00 | $40.00 | 3,479
2022 Formulary |
|
new |
|
|
2023 Healthy Blue + Medicare (HMO D-SNP)
| $38.40 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | $18.00 | $40.00 | $40.00 | 3,541 2023 Formulary |
|
2022 Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)
| $34.60 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H1036 -167 -0 | $3.00 | $15.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H1036-167 (HMO-POS D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H6351 -001 -0 | | | | | 3,719
2022 Formulary |
|
-- |
|
|
2023 Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,671 2023 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 |
2022 Liberty Medicare Dual Plan (HMO D-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H6351 -005 -0 | | | | | 3,719
2022 Formulary |
|
-- |
|
|
2023 Liberty Medicare Dual Plan (HMO D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,671 2023 Formulary |
|
2022 Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H4676 -002 -0 | | | | | 3,517
2022 Formulary |
|
|
|
|
2023 Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,564 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H5253 -041 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 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 2022 --
|
H1889 -005 -0 | | | | | |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5253 -116 -0 | | | | | |
|
|
|
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | H0710 -034 -0 | | | | | 3,654
2022 Formulary |
|
-- |
|
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 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 |
2022 HumanaChoice H5216-211 (PPO)
| $50.00 |
$6,700 |
$160 | No additional gap coverage, only the Donut Hole Discount | H5216 -211 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice H5216-211 (PPO)
| $47.00 |
$6,700 |
$160 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Wellcare Premium Enhanced Open (PPO)
| $55.00 |
$4,500 |
$100 | No additional gap coverage, only the Donut Hole Discount | H7175 -006 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Premium Enhanced Open (PPO)
| $55.00 |
$6,500 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Humana Gold Choice H8145-004 (PFFS)
| $87.00 |
n/a |
$160 | No additional gap coverage, only the Donut Hole Discount | H8145 -004 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 Humana Gold Choice H8145-004 (PFFS)
| $68.00 |
n/a |
$160 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,409 2023 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 |
2022 HumanaChoice R1390-002 (Regional PPO)
| $98.80 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount | R1390 -002 -0 | $8.00 | $18.00 | $47.00 | $47.00 | 3,416
2022 Formulary |
|
-- |
|
|
2023 HumanaChoice R1390-002 (Regional PPO)
| $98.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $18.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Aetna Medicare Value Plus Plan (HMO)
| $24.00 |
$4,950 |
$95 | Yes, some additional gap coverage. | H3146 -010 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
-- Members will be assigned to Aetna Medicare Value Plus Plan (HMO) H3146-006 --
| | | | | |
|
2022 Cigna Preferred Medicare (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | H9725 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,459
2022 Formulary |
|
|
|
|
-- Members will be assigned to Cigna Preferred Medicare (HMO) H9725-009 --
| | | | | |
|
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 |
2022 UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)
| $35.70 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount | R1548 -001 -0 | | | | | 3,663
2022 Formulary |
|
|
|
|
-- Members will be assigned to UnitedHealthcare Dual Complete Choice (PPO D-SNP) H1889-005 --
| | | | | |
|
2022 Wellcare Premium Ultra Open (PPO)
| $99.00 |
$3,450 |
$100 | No additional gap coverage, only the Donut Hole Discount | H7175 -007 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare Premium Enhanced Open (PPO) H7175-006 --
| | | | | |
|
2022 Exemplar Health Freedom 3 (MSA)
| $0.00 |
n/a |
No Rx Coverage | H9295 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
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 |
2022 Exemplar Health Freedom 2 (MSA)
| $0.00 |
n/a |
No Rx Coverage | H9295 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 Exemplar Health Freedom 1 (MSA)
| $0.00 |
n/a |
No Rx Coverage | H9295 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 Liberty Medicare Healthy at Home (HMO I-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | H6351 -003 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,910
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|