There are 62 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. | |
|
2022 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H8768 -027 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$3,700 |
No Rx Coverage |
H2802 -050 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$3,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H2802 -030 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
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2022 Aetna Medicare Eagle (HMO-POS)
| $0.00 |
$3,450 |
No Rx Coverage |
H2663 -022 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle (HMO-POS)
| $0.00 |
$3,450 |
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 Aetna Medicare Elite (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H1608 -047 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Elite (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Aetna Medicare Premier Plus (HMO-POS)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H2663 -023 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Premier Plus (HMO-POS)
| $0.00 |
$3,350 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. |
H1608 -018 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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2023 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 Value (HMO)
| $0.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H2663 -043 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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|
|
2023 Aetna Medicare Value (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Anthem MediBlue Access Basic (PPO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H4909 -016 -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 |
$3,900 |
$0 | Yes, some additional gap coverage. | $4.00 | $10.00 | $42.00 | $42.00 | 3,603 2023 Formulary |
|
2022 Anthem MediBlue Plus (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3447 -038 -1 | $0.00 | $15.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
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2023 Anthem MediBlue Plus (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,603 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 Anthem MediBlue Service (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H4909 -021 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Anthem MediBlue Service (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Humana Community HMO H4623-002 (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4623 -002 -0 | $6.00 | $11.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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2023 Humana Community (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
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-- This plan not offered in 2022 --
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H0028 -055 -0 | | | | | |
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2023 Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)
| $0.00 |
n/a |
$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 |
2022 Humana Gold Plus H4623-001 (HMO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4623 -001 -0 | $6.00 | $11.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
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2023 Humana Gold Plus H4623-001 (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Humana Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage |
H5216 -140 -0 | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
H5216 -329 -0 | | | | | |
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2023 Humana Honor (PPO)
| $0.00 |
$6,700 |
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 --
|
H5216 -318 -1 | | | | | |
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2023 HumanaChoice H5216-318 (PPO)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 HumanaChoice R1532-001 (Regional PPO)
| $0.00 |
$3,900 |
No Rx Coverage |
R1532 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
-- |
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2023 HumanaChoice R1532-001 (Regional PPO)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
H0271 -052 -0 | | | | | |
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2023 UnitedHealthcare Chronic Complete (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $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 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1664 -006 -0 | $0.00 | $9.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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2023 Wellcare Giveback (HMO)
| $0.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Wellcare No Premium (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H1664 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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2023 Wellcare No Premium (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Wellcare No Premium Open (PPO)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7518 -001 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
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-- |
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|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$3,900 |
$0 | 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 Patriot Giveback Open (PPO)
| $0.00 |
$4,000 |
No Rx Coverage |
H7518 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
-- |
|
|
2023 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$4,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $4.60 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
R3444 -008 -0 | | | | | 3,663
2022 Formulary |
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|
|
2023 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $7.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 Wellcare Assist (HMO)
| $31.90 |
$3,400 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1664 -007 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
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2023 Wellcare Assist (HMO)
| $12.90 |
$3,400 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 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 Aetna Medicare Premier (HMO-POS)
| $25.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H2663 -021 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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|
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2023 Aetna Medicare Premier (HMO-POS)
| $18.00 |
$3,350 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 AARP Medicare Advantage Plan 1 (HMO-POS)
| $19.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H2802 -031 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
|
|
|
2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $19.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $17.00 |
n/a |
$295 | Some Generics |
R3444 -009 -0 | $4.00 | $15.00 | $47.00 | $47.00 | n/a |
|
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2023 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $19.00 |
n/a |
$0 | Yes, some additional gap coverage. | $4.00 | $15.00 | $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 Wellcare Low Premium Open (PPO)
| $25.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7518 -004 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
-- |
|
|
2023 Wellcare Low Premium Open (PPO)
| $20.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
| $19.00 |
$6,700 |
$245 | Yes, some additional gap coverage. |
R3444 -023 -0 | $4.00 | $15.00 | $47.00 | $47.00 | n/a |
|
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|
|
2023 UnitedHealthcare Medicare Advantage Choice Plan 3 (Regional PPO)
| $21.00 |
$6,700 |
$245 | Yes, some additional gap coverage. | $4.00 | $15.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 Aetna Medicare Assure (HMO D-SNP)
| $24.70 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5325 -004 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Assure (HMO D-SNP)
| $21.60 |
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 Open (PPO D-SNP)
| $30.20 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H7518 -003 -0 | $0.00 | $7.00 | $42.00 | $42.00 | 3,375
2022 Formulary |
|
-- |
|
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $24.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Humana Gold Plus H0028-016 (HMO)
| $27.00 |
$7,550 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H0028 -016 -0 | $6.00 | $11.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus H0028-016 (HMO-POS)
| $26.00 |
$7,550 |
$195 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $11.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Wellcare Dual Access (HMO D-SNP)
| $33.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1664 -005 -0 | $0.00 | $5.00 | $41.00 | $41.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access (HMO D-SNP)
| $28.00 |
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 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $30.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H3447 -018 -0 | $5.00 | $15.00 | $40.00 | $40.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $28.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $15.00 | $40.00 | $40.00 | 3,603 2023 Formulary |
|
2022 Healthy Blue Dual (HMO D-SNP)
| $30.00 |
n/a |
$340 | No additional gap coverage, only the Donut Hole Discount |
H6316 -002 -0 | $5.00 | $15.00 | $40.00 | $40.00 | 3,626
2022 Formulary |
|
-- |
|
|
2023 Healthy Blue Dual (HMO D-SNP)
| $29.60 |
n/a |
$430 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $40.00 | $40.00 | 3,603 2023 Formulary |
|
2022 Humana Gold Choice H8145-120 (PFFS)
| $31.00 |
n/a |
No Rx Coverage |
H8145 -120 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Humana Gold Choice H8145-120 (PFFS)
| $31.00 |
n/a |
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 NHC Advantage (HMO I-SNP)
| $32.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4172 -001 -0 | | | | | 3,712
2022 Formulary |
|
-- |
|
|
2023 NHC Advantage (HMO I-SNP)
| $35.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,683 2023 Formulary |
|
2022 American Health Advantage of Missouri (HMO I-SNP)
| $33.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4490 -001 -0 | | | | | 3,502
2022 Formulary |
|
-- |
|
|
2023 American Health Advantage of Missouri (HMO I-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,478 2023 Formulary |
|
2022 American Health Advantage of Missouri Choice (HMO I-SNP)
| $33.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4490 -003 -0 | | | | | 3,502
2022 Formulary |
|
-- |
|
|
2023 American Health Advantage of Missouri Choice (HMO I-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,478 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 Gold Plus SNP-DE H0028-015 (HMO D-SNP)
| $21.10 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount |
H0028 -015 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 Provider Partners Missouri Advantage Plan (HMO I-SNP)
| $33.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9191 -001 -0 | | | | | 3,497
2022 Formulary |
|
new |
|
|
2023 Provider Partners Missouri Advantage Plan (HMO I-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,445 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H0710 -066 -0 | | | | | |
|
-- |
|
|
2023 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $36.30 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $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 Dual Complete (HMO D-SNP)
| $30.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0169 -002 -0 | | | | | 3,654
2022 Formulary |
-- |
|
|
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $33.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0271 -029 -0 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H0169 -008 -0 | | | | | |
-- |
|
|
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $36.30 |
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 (PPO I-SNP)
| $33.40 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0710 -016 -0 | | | | | 3,654
2022 Formulary |
|
-- |
|
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 Wellcare Community Assist (PPO)
| $33.40 |
$5,000 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H7518 -005 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
-- |
|
|
2023 Wellcare Community Assist (PPO)
| $36.30 |
$5,000 |
$280 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Anthem MediBlue Access (PPO)
| $39.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H4909 -015 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Anthem MediBlue Access (PPO)
| $39.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $4.00 | $13.00 | $42.00 | $42.00 | 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 Medica Prime Solution Thrift (Cost)
| $34.00 |
$6,700 |
No Rx Coverage |
H2450 -030 -0 | This plan does NOT include Prescription Drug coverage. | |
-- |
-- |
|
|
2023 Medica Prime Solution Thrift (Cost)
| $40.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 American Health Advantage of Missouri Premier (HMO I-SNP)
| $115.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4490 -002 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,502
2022 Formulary |
|
-- |
|
|
2023 American Health Advantage of Missouri Premier (HMO I-SNP)
| $45.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $45.00 | $45.00 | 3,478 2023 Formulary |
|
2022 Humana Gold Choice H8145-125 (PFFS)
| $54.00 |
n/a |
$195 | No additional gap coverage, only the Donut Hole Discount |
H8145 -125 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,413
2022 Formulary |
|
|
|
|
2023 Humana Gold Choice H8145-125 (PFFS)
| $53.00 |
n/a |
$195 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $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 R1532-002 (Regional PPO)
| $63.00 |
$6,700 |
$480 | No additional gap coverage, only the Donut Hole Discount |
R1532 -002 -0 | $14.00 | $19.00 | $47.00 | $47.00 | 3,421
2022 Formulary |
|
-- |
|
|
2023 HumanaChoice R1532-002 (Regional PPO)
| $54.00 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $16.00 | 19% | 19% | 3,409 2023 Formulary |
|
2022 UnitedHealthcare Medicare Advantage Choice Plan 2 (Regional PPO)
| $54.00 |
$6,700 |
$295 | Yes, some additional gap coverage. |
R3444 -012 -0 | $4.00 | $15.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2023 UnitedHealthcare Medicare Advantage Choice Plan 2 (Regional PPO)
| $56.00 |
$6,700 |
$275 | Yes, some additional gap coverage. | $4.00 | $15.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 HumanaChoice H5216-083 (PPO)
| $77.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5216 -083 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice H5216-083 (PPO)
| $68.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $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 Medica Prime Solution Core (Cost)
| $69.00 |
$4,000 |
No Rx Coverage |
H2450 -047 -0 | This plan does NOT include Prescription Drug coverage. | |
-- |
-- |
|
|
2023 Medica Prime Solution Core (Cost)
| $76.00 |
$4,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Medica Prime Solution Premier (Cost)
| $125.00 |
$3,000 |
No Rx Coverage |
H2450 -048 -0 | This plan does NOT include Prescription Drug coverage. | |
-- |
-- |
|
|
2023 Medica Prime Solution Premier (Cost)
| $130.00 |
$3,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 HumanaChoice H5216-033 (PPO)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -033 -2 | $7.00 | $14.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-318 (PPO) H5216-318 --
| | | | | |
|
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 H5216-163 (PPO)
| $46.00 |
$7,550 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5216 -163 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-337 (PPO) H5216-337 --
| | | | | |
|
2022 Healthy Blue Essential (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H6316 -001 -0 | $0.00 | $15.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|