There are 83 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. | |
|
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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-- This plan not offered in 2022 --
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H6528 -041 -0 | | | | | |
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2023 AARP Medicare Advantage Choice Rebate (PPO)
| $0.00 |
$7,550 |
$395 | Yes, some additional gap coverage. | $0.00 | $14.00 | $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 |
-- This plan not offered in 2022 --
|
H2293 -010 -0 | | | | | |
new |
new |
new |
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2023 Aetna Medicare Advantage Plus Plan (PPO)
| $0.00 |
$8,300 |
$505 | Yes, some additional gap coverage. | $3.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H5521 -328 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,000 |
$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 Eagle Plan (PPO)
| $0.00 |
$6,900 |
No Rx Coverage |
H3288 -034 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$6,900 |
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 |
-- This plan not offered in 2022 --
|
H2293 -009 -0 | | | | | |
new |
new |
new |
|
2023 Aetna Medicare Eagle Plus Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$6,900 |
$195 | Yes, some additional gap coverage. |
H5521 -091 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$6,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
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-- This plan not offered in 2022 --
|
H2293 -008 -0 | | | | | |
new |
new |
new |
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2023 Aetna Medicare Freedom Plus Plan (PPO)
| $0.00 |
$5,500 |
$0 | 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 Aetna Medicare Plus Plan (PPO)
| $0.00 |
$7,550 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H3288 -045 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,496
2022 Formulary |
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2023 Aetna Medicare Plus Plan (PPO)
| $0.00 |
$8,300 |
$505 | Yes, some additional gap coverage. | $3.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Anthem MediBlue Access Basic (PPO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H7728 -006 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
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2023 Anthem MediBlue Access Basic (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $4.00 | $13.00 | $35.00 | $35.00 | 3,603 2023 Formulary |
|
2022 Anthem MediBlue Plus (HMO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H5422 -011 -0 | $4.00 | $11.00 | $35.00 | $35.00 | 3,626
2022 Formulary |
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2023 Anthem MediBlue Plus (HMO)
| $0.00 |
$7,100 |
$0 | Yes, some additional gap coverage. | $4.00 | $11.00 | $35.00 | $35.00 | 3,603 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 Anthem MediBlue Service (HMO)
| $0.00 |
$7,550 |
No Rx Coverage |
H5422 -014 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Anthem MediBlue Service (HMO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Cigna Preferred GA Medicare (HMO)
| $0.00 |
$7,500 |
$280 | No additional gap coverage, only the Donut Hole Discount |
H0439 -003 -1 | $3.00 | $12.00 | $42.00 | $42.00 | 3,459
2022 Formulary |
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2023 Cigna Preferred GA Medicare (HMO)
| $0.00 |
$7,200 |
$280 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
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2022 Cigna Preferred Medicare (HMO)
| $0.00 |
$6,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0439 -007 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,459
2022 Formulary |
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2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$6,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,524 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 True Choice Medicare (PPO)
| $0.00 |
$7,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7849 -003 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,459
2022 Formulary |
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2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
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-- This plan not offered in 2022 --
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H7849 -069 -0 | | | | | |
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2023 Cigna True Choice Savings Medicare (PPO)
| $0.00 |
$7,200 |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
|
2022 Clear Spring Health Choice Plan (PPO)
| $0.00 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H9589 -003 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,232
2022 Formulary |
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-- |
-- |
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2023 Clear Spring Health Choice Plan (PPO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $42.00 | $42.00 | 3,255 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 Clear Spring Health Select Plus (HMO)
| $19.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6672 -005 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,232
2022 Formulary |
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-- |
-- |
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2023 Clear Spring Health Select Plus (HMO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $42.00 | $42.00 | 3,255 2023 Formulary |
|
2022 Clear Spring Health Silver Plan (HMO C-SNP)
| $0.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount |
H6672 -003 -0 | $0.00 | $15.00 | $42.00 | $42.00 | 3,232
2022 Formulary |
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-- |
-- |
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2023 Clear Spring Health Silver Plan (HMO C-SNP)
| $0.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $42.00 | $42.00 | 3,255 2023 Formulary |
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-- This plan not offered in 2022 --
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H5141 -026 -0 | | | | | |
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2023 Clover Health LiveHealthy (PPO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $37.00 | $37.00 | 3,361 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 --
|
H5141 -056 -0 | | | | | |
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2023 Clover Health Valor (PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Humana Gold Plus H4141-017 (HMO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4141 -017 -5 | $4.00 | $12.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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2023 Humana Gold Plus H4141-017 (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -217 -0 | This plan does NOT include Prescription Drug coverage. | |
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|
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2023 Humana Honor (PPO)
| $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 |
2022 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -286 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$145 | No additional gap coverage, only the Donut Hole Discount |
H5216 -246 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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|
|
|
2023 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$145 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 HumanaChoice H5216-154 (PPO)
| $0.00 |
$7,550 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5216 -154 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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2023 HumanaChoice H5216-154 (PPO)
| $0.00 |
$7,550 |
$400 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,404 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 H5216-157 (PPO)
| $0.00 |
$6,100 |
No Rx Coverage |
H5216 -157 -0 | This plan does NOT include Prescription Drug coverage. | |
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|
|
2023 HumanaChoice H5216-157 (PPO)
| $0.00 |
$6,100 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 HumanaChoice H5216-203 (PPO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -203 -1 | $4.00 | $12.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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2023 HumanaChoice H5216-203 (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5216 -279 -0 | | | | | |
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2023 HumanaChoice H5216-279 (PPO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 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 --
|
H5216 -345 -0 | | | | | |
|
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|
2023 HumanaChoice H5216-345 (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 HumanaChoice R3392-001 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R3392 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
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|
|
2023 HumanaChoice R3392-001 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
R3392 -004 -0 | | | | | |
|
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2023 HumanaChoice R3392-004 (Regional PPO)
| $0.00 |
$7,550 |
$195 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,404 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 Kaiser Permanente Senior Advantage Basic 2 (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H1170 -012 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 4,211
2022 Formulary |
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|
|
|
2023 Kaiser Permanente Senior Advantage Basic 2 (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 3,388 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H1170 -014 -0 | | | | | |
|
|
|
|
2023 Kaiser Permanente Senior Advantage Liberty (HMO)
| $0.00 |
$6,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
| $0.00 |
$6,700 |
$275 | Yes, some additional gap coverage. |
H6528 -006 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Medicare Advantage Choice Plan 1 (PPO)
| $0.00 |
$6,700 |
$275 | Yes, some additional gap coverage. | $0.00 | $14.00 | $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 UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R2604 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Wellcare Giveback (HMO)
| $0.00 |
$7,500 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H1112 -042 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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|
|
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$8,300 |
$480 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 Wellcare No Premium (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H1112 -038 -0 | $0.00 | $5.00 | $34.00 | $34.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$8,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $34.00 | $34.00 | 3,393 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 Open (PPO)
| $0.00 |
$5,500 |
$75 | Yes, some additional gap coverage. |
H0111 -001 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,500 |
$75 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 Wellcare Patriot No Premium (HMO-POS)
| $0.00 |
$3,400 |
No Rx Coverage |
H1112 -034 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Wellcare Patriot No Premium (HMO-POS)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $9.20 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
R2604 -002 -0 | | | | | 3,663
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $9.50 |
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 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $19.00 |
n/a |
$210 | Some Generics |
R2604 -003 -0 | $4.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2023 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $15.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5422 -018 -0 | | | | | |
|
|
|
|
2023 Anthem MediBlue Enhanced Care (HMO D-SNP)
| $17.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,603 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5302 -013 -0 | | | | | |
|
|
|
|
2023 Aetna Medicare Dual Preferred Plan (HMO D-SNP)
| $19.10 |
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 |
-- This plan not offered in 2022 --
|
H5302 -020 -0 | | | | | |
|
|
|
|
2023 Aetna Medicare Dual Select Plan (HMO D-SNP)
| $19.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,597 2023 Formulary |
|
2022 Kaiser Permanente Senior Advantage Enhanced 2 (HMO)
| $20.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1170 -010 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 4,211
2022 Formulary |
|
|
|
|
2023 Kaiser Permanente Senior Advantage Enhanced 2 (HMO)
| $20.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 3,388 2023 Formulary |
|
2022 Anthem MediBlue Extra (HMO)
| $30.50 |
$5,900 |
$480 | Yes, some additional gap coverage. |
H5422 -013 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Anthem MediBlue Extra (HMO)
| $24.50 |
$5,900 |
$505 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,603 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)
| $25.00 |
$5,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0439 -006 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,459
2022 Formulary |
|
|
|
|
2023 Cigna Preferred Plus Medicare (HMO)
| $25.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
|
2022 Cigna TotalCare Plus (HMO D-SNP)
| $30.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0439 -012 -0 | | | | | 3,459
2022 Formulary |
|
|
|
|
2023 Cigna TotalCare Plus (HMO D-SNP)
| $26.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 2023 Formulary |
|
2022 Cigna TotalCare (HMO D-SNP)
| $30.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0439 -002 -0 | | | | | 3,459
2022 Formulary |
|
|
|
|
2023 Cigna TotalCare (HMO D-SNP)
| $26.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 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 --
|
H2293 -001 -0 | | | | | |
new |
new |
new |
|
2023 Aetna Medicare Value Plus Plan (PPO)
| $28.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Wellcare Assist (HMO)
| $32.40 |
$3,450 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1112 -043 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Assist (HMO)
| $28.10 |
$3,650 |
$475 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,392 2023 Formulary |
|
2022 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H2228 -013 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Nursing Home Plan 1 (PPO I-SNP)
| $28.30 |
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 Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP)
| $28.90 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1170 -011 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 4,211
2022 Formulary |
|
|
|
|
2023 Senior Advantage Medicare Medicaid Plan 2 (HMO D-SNP)
| $31.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $14.00 | $47.00 | $47.00 | 3,388 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete Choice Select LP (PPO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H3256 -002 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice Select LP (PPO D-SNP)
| $32.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 Humana Together in Health (PPO I-SNP)
| $23.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5216 -242 -0 | $2.00 | $14.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 Humana Together in Health (PPO I-SNP)
| $34.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $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 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5322 -030 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $35.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 Wellcare Dual Liberty (HMO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1112 -033 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $36.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 HumanaChoice H5216-280 (PPO)
| $32.40 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5216 -280 -1 | $0.00 | $20.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 HumanaChoice H5216-280 (PPO)
| $36.70 |
$7,550 |
$505 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,404 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)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1112 -006 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access (HMO D-SNP)
| $37.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Anthem MediBlue Dual Access (PPO D-SNP)
| $32.40 |
n/a |
$380 | No additional gap coverage, only the Donut Hole Discount |
H7728 -011 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Anthem MediBlue Dual Access (PPO D-SNP)
| $37.30 |
n/a |
$440 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $20.00 | $47.00 | $47.00 | 3,603 2023 Formulary |
|
2022 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5422 -007 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $20.00 | $47.00 | $47.00 | 3,603 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 Clear Spring Health Deluxe Plan (HMO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H6672 -001 -0 | | | | | 3,232
2022 Formulary |
|
-- |
-- |
|
2023 Clear Spring Health Deluxe Plan (HMO D-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,255 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5141 -045 -0 | | | | | |
|
|
|
|
2023 Clover Health LiveHealthy Value (PPO)
| $37.30 |
$6,600 |
$395 | No additional gap coverage, only the Donut Hole Discount | $0.00 | 22% | 22% | 22% | 3,361 2023 Formulary |
|
2022 Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)
| $23.90 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4141 -003 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 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 SNP-DE H5216-205 (PPO D-SNP)
| $28.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5216 -205 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice SNP-DE H5216-205 (PPO D-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 HumanaChoice SNP-DE H5216-206 (PPO D-SNP)
| $25.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5216 -206 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice SNP-DE H5216-206 (PPO D-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete Choice LP (PPO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H3256 -001 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice LP (PPO D-SNP)
| $37.30 |
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 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0710 -033 -0 | | | | | 3,654
2022 Formulary |
|
-- |
|
|
2023 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 Wellcare Dual Access Open (PPO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0111 -004 -0 | $0.00 | $9.00 | $40.00 | $40.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $37.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5422 -008 -0 | | | | | |
|
|
|
|
2023 Anthem MediBlue Essential (HMO)
| $38.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $5.00 | $15.00 | $35.00 | $35.00 | 3,603 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 H5525-024 (PPO)
| $57.00 |
$6,700 |
$295 | No additional gap coverage, only the Donut Hole Discount |
H5525 -024 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 HumanaChoice H5525-024 (PPO)
| $45.00 |
$6,700 |
$295 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $49.00 |
$6,700 |
$295 | Yes, some additional gap coverage. |
R2604 -001 -0 | $4.00 | $14.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2023 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $49.00 |
$6,700 |
$295 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 Wellcare Low Premium Open (PPO)
| $55.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H0111 -002 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Low Premium Open (PPO)
| $55.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,393 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 Anthem MediBlue Access (PPO)
| $59.00 |
$5,900 |
$95 | Yes, some additional gap coverage. |
H7728 -005 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Anthem MediBlue Access (PPO)
| $59.00 |
$6,050 |
$0 | Yes, some additional gap coverage. | $4.00 | $13.00 | $35.00 | $35.00 | 3,603 2023 Formulary |
|
2022 Wellcare Premium Enhanced Open (PPO)
| $85.00 |
$6,000 |
$75 | Yes, some additional gap coverage. |
H0111 -003 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Premium Enhanced Open (PPO)
| $85.00 |
$6,000 |
$75 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 HumanaChoice R3392-002 (Regional PPO)
| $103.00 |
$6,700 |
$340 | No additional gap coverage, only the Donut Hole Discount |
R3392 -002 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,421
2022 Formulary |
|
|
|
|
2023 HumanaChoice R3392-002 (Regional PPO)
| $103.00 |
$6,700 |
$340 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,404 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 Clear Spring Health Select (HMO)
| $0.00 |
$6,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6672 -004 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,232
2022 Formulary |
|
|
|
|
-- Members will be assigned to Clear Spring Health Select Plus (HMO) H6672-005 --
| | | | | |
|
2022 Clover Health LiveHealthy (PPO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5141 -046 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,358
2022 Formulary |
|
|
|
|
-- Members will be assigned to Clover Health LiveHealthy (PPO) H5141-026 --
| | | | | |
|
2022 Clover Health LiveHealthy Value (PPO)
| $32.40 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5141 -047 -0 | $0.00 | 22% | 22% | 22% | 3,358
2022 Formulary |
|
|
|
|
-- Members will be assigned to Clover Health LiveHealthy Value (PPO) H5141-045 --
| | | | | |
|
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 |
2022 Wellcare Dual Access Medicare (HMO D-SNP)
| $32.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H7173 -001 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare Dual Access (HMO D-SNP) H1112-006 --
| | | | | |
|
2022 Wellcare Endurance Open (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H0111 -005 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,375
2022 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium Open (PPO) H0111-001 --
| | | | | |
|