There are 64 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 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H5521 -286 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,390 |
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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H3192 -003 -0 | | | | | |
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2023 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
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-- This plan not offered in 2022 --
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H5521 -214 -0 | | | | | |
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2023 Aetna Medicare Value (PPO)
| $0.00 |
$4,950 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 BCN Advantage HMO-POS Elements (HMO-POS)
| $33.80 |
$4,500 |
No Rx Coverage |
H5883 -001 -3 | This plan does NOT include Prescription Drug coverage. | |
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2023 BCN Advantage Elements (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 BCN Advantage HMO-POS Prime Value (HMO-POS)
| $0.00 |
$4,500 |
$50 | Yes, some additional gap coverage. |
H5883 -014 -3 | $0.00 | $11.00 | $42.00 | $42.00 | 3,487
2022 Formulary |
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2023 BCN Advantage HMO-POS Prime Value (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $42.00 | $42.00 | 3,600 2023 Formulary |
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-- This plan not offered in 2022 --
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H2322 -014 -0 | | | | | |
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2023 HAP Medicare Flex (PPO)
| $0.00 |
$8,300 |
$505 | Yes, some additional gap coverage. | $0.00 | $15.00 | $42.00 | $42.00 | 3,725 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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H2354 -028 -0 | | | | | |
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2023 HAP MSUHC Medicare (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
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2022 HAP Senior Plus (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H2354 -015 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
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2023 HAP Senior Plus (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
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2022 HAP Senior Plus Medical Only (HMO)
| $0.00 |
$4,000 |
No Rx Coverage |
H2354 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 HAP Senior Plus Medical Only (HMO)
| $0.00 |
$4,500 |
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 HAP Senior Plus Option 1 (PPO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H2322 -011 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
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2023 HAP Senior Plus Option 1 (PPO)
| $0.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
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2022 Humana Honor (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H5216 -190 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$5,500 |
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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H5216 -306 -0 | | | | | |
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2023 HumanaChoice H5216-306 (PPO)
| $0.00 |
$6,550 |
$350 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 H8087-004 (PPO)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8087 -004 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
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2023 HumanaChoice H8087-004 (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
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2022 HumanaChoice R3887-001 (Regional PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
R3887 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R3887-001 (Regional PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2022 McLaren Medicare Inspire (HMO)
| $0.00 |
$5,200 |
$100 | Yes, some additional gap coverage. |
H6322 -001 -0 | $3.50 | $12.50 | $47.00 | $47.00 | 3,133
2022 Formulary |
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new |
new |
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2023 McLaren Medicare Inspire (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,288 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 Medicare Plus Blue PPO Essential (PPO)
| $10.00 |
$6,000 |
$0 | Yes, some additional gap coverage. |
H9572 -004 -3 | $0.00 | $11.00 | $42.00 | $42.00 | 3,469
2022 Formulary |
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2023 Medicare Plus Blue PPO Essential (PPO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $42.00 | $42.00 | 3,600 2023 Formulary |
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2022 Molina Medicare Choice Care (HMO)
| $0.00 |
$7,550 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H5926 -006 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,218
2022 Formulary |
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2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $12.00 | $47.00 | $47.00 | 3,221 2023 Formulary |
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-- This plan not offered in 2022 --
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H5926 -007 -0 | | | | | |
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2023 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$375 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,221 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 PriorityMedicare Compass (PPO)
| $0.00 |
$5,650 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4875 -021 -2 | $4.00 | $15.00 | $42.00 | $42.00 | 3,567
2022 Formulary |
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2023 PriorityMedicare Compass (PPO)
| $0.00 |
$5,650 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $42.00 | $42.00 | 3,508 2023 Formulary |
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2022 PriorityMedicare Key (HMO-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2320 -022 -4 | $4.00 | $15.00 | $42.00 | $42.00 | 3,567
2022 Formulary |
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2023 PriorityMedicare Key (HMO-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $42.00 | $42.00 | 3,508 2023 Formulary |
|
2022 Sparrow Advantage (HMO-POS)
| $0.00 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7646 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,490
2022 Formulary |
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2023 Sparrow Advantage (HMO-POS)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,467 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 --
|
H5475 -031 -0 | | | | | |
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-- |
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2023 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
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-- This plan not offered in 2022 --
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H5475 -026 -0 | | | | | |
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-- |
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2023 Wellcare No Premium (HMO-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
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-- This plan not offered in 2022 --
|
H2117 -001 -0 | | | | | |
|
new |
new |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 |
-- This plan not offered in 2022 --
|
H2117 -003 -0 | | | | | |
|
new |
new |
|
2023 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
H5475 -038 -0 | | | | | |
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-- |
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2023 Wellcare Assist (HMO)
| $11.90 |
$5,000 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,392 2023 Formulary |
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-- This plan not offered in 2022 --
|
H5475 -024 -0 | | | | | |
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-- |
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2023 Wellcare Low Premium (HMO-POS)
| $15.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $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 |
-- This plan not offered in 2022 --
|
H2117 -002 -0 | | | | | |
|
new |
new |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $18.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
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2022 HumanaChoice H8087-001 (PPO)
| $20.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8087 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
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2023 HumanaChoice H8087-001 (PPO)
| $19.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
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-- This plan not offered in 2022 --
|
H3192 -007 -0 | | | | | |
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2023 Aetna Medicare Assure Premier (HMO D-SNP)
| $20.20 |
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 Humana Value Plus H8087-002 (PPO)
| $20.60 |
$7,550 |
$260 | No additional gap coverage, only the Donut Hole Discount |
H8087 -002 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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2023 Humana Value Plus H8087-002 (PPO)
| $23.90 |
$7,550 |
$260 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 McLaren Medicare Inspire Plus (HMO)
| $25.00 |
$3,800 |
$0 | Yes, some additional gap coverage. |
H6322 -002 -0 | $3.50 | $12.50 | $47.00 | $47.00 | 3,133
2022 Formulary |
|
new |
new |
|
2023 McLaren Medicare Inspire Plus (HMO)
| $25.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,288 2023 Formulary |
|
2022 PriorityMedicare Ideal (PPO)
| $24.00 |
$5,800 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H4875 -018 -4 | $4.00 | $13.00 | $42.00 | $42.00 | 3,567
2022 Formulary |
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|
|
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2023 PriorityMedicare Ideal (PPO)
| $25.00 |
$5,800 |
$125 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $13.00 | $42.00 | $42.00 | 3,508 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 Sparrow Advantage Plus (HMO-POS)
| $25.00 |
$3,800 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7646 -004 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,490
2022 Formulary |
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2023 Sparrow Advantage Plus (HMO-POS)
| $25.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,467 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5521 -217 -0 | | | | | |
|
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|
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2023 Aetna Medicare Premier Plus (PPO)
| $27.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5475 -001 -0 | | | | | |
|
-- |
|
|
2023 Wellcare Dual Access (HMO-POS D-SNP)
| $27.90 |
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 McLaren Medicare Inspire Duals (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H6322 -004 -0 | | | | | 3,133
2022 Formulary |
|
new |
new |
|
2023 McLaren Medicare Inspire Duals (HMO D-SNP)
| $32.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,288 2023 Formulary |
|
2022 HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
| $21.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8087 -003 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice SNP-DE H8087-003 (PPO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 Molina Medicare Complete Care (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5926 -001 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,263
2022 Formulary |
|
|
|
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,270 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 Molina Medicare Complete Care Select (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5926 -005 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,263
2022 Formulary |
|
|
|
|
2023 Molina Medicare Complete Care Select (HMO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,270 2023 Formulary |
|
2022 PriorityMedicare D-SNP (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8379 -001 -0 | $0.00 | $13.00 | $47.00 | $47.00 | 3,567
2022 Formulary |
|
|
|
|
2023 PriorityMedicare D-SNP (HMO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,508 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete (HMO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H2247 -001 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $32.70 |
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 Dual Complete Choice (PPO D-SNP)
| $31.50 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0271 -028 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H2247 -003 -0 | | | | | |
|
|
|
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H2117 -004 -0 | | | | | |
|
new |
new |
|
2023 Wellcare Community Assist (PPO)
| $32.70 |
$5,000 |
$380 | 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 PriorityMedicare Value (HMO-POS)
| $47.00 |
$4,900 |
$75 | No additional gap coverage, only the Donut Hole Discount |
H2320 -029 -4 | $2.00 | $10.00 | $42.00 | $42.00 | 3,567
2022 Formulary |
|
|
|
|
2023 PriorityMedicare Value (HMO-POS)
| $46.00 |
$4,900 |
$75 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,508 2023 Formulary |
|
2022 Humana Gold Choice H8145-006 (PFFS)
| $78.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8145 -006 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 Humana Gold Choice H8145-006 (PFFS)
| $49.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,409 2023 Formulary |
|
2022 McLaren Medicare Inspire Flex (HMO-POS)
| $49.00 |
$3,800 |
$0 | Yes, some additional gap coverage. |
H6322 -003 -2 | $3.50 | $12.50 | $47.00 | $47.00 | 3,133
2022 Formulary |
|
new |
new |
|
2023 McLaren Medicare Inspire Flex (HMO-POS)
| $49.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,288 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 HAP Senior Plus Option 2 (PPO)
| $65.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H2322 -012 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
|
|
|
|
2023 HAP Senior Plus Option 2 (PPO)
| $70.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
|
2022 Medicare Plus Blue PPO Vitality (PPO)
| $85.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H9572 -002 -3 | $0.00 | $11.00 | $42.00 | $42.00 | 3,469
2022 Formulary |
|
|
|
|
2023 Medicare Plus Blue PPO Vitality (PPO)
| $83.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $42.00 | $42.00 | 3,600 2023 Formulary |
|
2022 HumanaChoice R3887-002 (Regional PPO)
| $112.00 |
$5,300 |
$480 | No additional gap coverage, only the Donut Hole Discount |
R3887 -002 -0 | $9.00 | $20.00 | $47.00 | $47.00 | 3,421
2022 Formulary |
|
|
|
|
2023 HumanaChoice R3887-002 (Regional PPO)
| $87.00 |
$4,500 |
$505 | No additional gap coverage, only the Donut Hole Discount | $18.00 | $20.00 | 18% | 18% | 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 HAP Senior Plus Option 1 (HMO-POS)
| $90.00 |
$4,200 |
$0 | Yes, some additional gap coverage. |
H2354 -021 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
|
|
|
|
2023 HAP Senior Plus Option 1 (HMO-POS)
| $99.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
|
2022 PriorityMedicare (HMO-POS)
| $103.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2320 -028 -4 | $1.00 | $8.00 | $38.00 | $38.00 | 3,567
2022 Formulary |
|
|
|
|
2023 PriorityMedicare (HMO-POS)
| $105.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $8.00 | $38.00 | $38.00 | 3,508 2023 Formulary |
|
2022 PriorityMedicare Merit (PPO)
| $121.00 |
$4,100 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4875 -016 -2 | $2.00 | $10.00 | $42.00 | $42.00 | 3,567
2022 Formulary |
|
|
|
|
2023 PriorityMedicare Merit (PPO)
| $119.00 |
$4,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,508 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 BCN Advantage HMO-POS Classic (HMO-POS)
| $124.00 |
$3,800 |
$0 | Yes, some additional gap coverage. |
H5883 -002 -3 | $0.00 | $7.00 | $38.00 | $38.00 | 3,487
2022 Formulary |
|
|
|
|
2023 BCN Advantage HMO-POS Classic (HMO-POS)
| $122.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $38.00 | $38.00 | 3,600 2023 Formulary |
|
2022 Medicare Plus Blue PPO Signature (PPO)
| $152.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H9572 -001 -3 | $0.00 | $10.00 | $42.00 | $42.00 | 3,469
2022 Formulary |
|
|
|
|
2023 Medicare Plus Blue PPO Signature (PPO)
| $150.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,600 2023 Formulary |
|
2022 HAP Senior Plus Option 3 (PPO)
| $165.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H2322 -008 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
|
|
|
|
2023 HAP Senior Plus Option 3 (PPO)
| $165.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,725 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 HAP Senior Plus Option 4 (PPO)
| $200.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H2322 -004 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
|
|
|
|
2023 HAP Senior Plus Option 4 (PPO)
| $180.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
|
2022 HAP Senior Plus Option 2 (HMO-POS)
| $190.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H2354 -022 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,694
2022 Formulary |
|
|
|
|
2023 HAP Senior Plus Option 2 (HMO-POS)
| $190.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,725 2023 Formulary |
|
2022 PriorityMedicare Select (PPO)
| $225.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4875 -017 -4 | $1.00 | $7.00 | $37.00 | $37.00 | 3,567
2022 Formulary |
|
|
|
|
2023 PriorityMedicare Select (PPO)
| $223.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $37.00 | $37.00 | 3,508 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 BCN Advantage HMO-POS Prestige (HMO-POS)
| $238.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5883 -003 -3 | $0.00 | $7.00 | $38.00 | $38.00 | 3,487
2022 Formulary |
|
|
|
|
2023 BCN Advantage HMO-POS Prestige (HMO-POS)
| $236.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $38.00 | $38.00 | 3,600 2023 Formulary |
|
2022 Medicare Plus Blue PPO Assure (PPO)
| $301.00 |
$3,425 |
$0 | Yes, some additional gap coverage. |
H9572 -003 -3 | $0.00 | $7.00 | $37.00 | $37.00 | 3,469
2022 Formulary |
|
|
|
|
2023 Medicare Plus Blue PPO Assure (PPO)
| $284.00 |
$3,425 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $37.00 | $37.00 | 3,600 2023 Formulary |
|
2022 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H3192 -002 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
-- 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 Aetna Medicare Value (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H5521 -288 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|