There are 70 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. | |
|
|
|
|
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. | |
|
|
|
|
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 (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H4527 -002 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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-- |
|
|
2023 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $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 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$5,500 |
No Rx Coverage |
H4527 -024 -0 | This plan does NOT include Prescription Drug coverage. | |
|
-- |
|
|
2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$6,400 |
$345 | Yes, some additional gap coverage. |
H1278 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
|
|
|
2023 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H3288 -046 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 |
-- This plan not offered in 2022 --
|
H2293 -020 -0 | | | | | |
new |
new |
new |
|
2023 Aetna Medicare Eagle II Plan (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
H2293 -018 -0 | | | | | |
new |
new |
new |
|
2023 Aetna Medicare Freedom Plan (PPO)
| $0.00 |
$6,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$5,900 |
$250 | Yes, some additional gap coverage. |
H4523 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$5,900 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 |
-- This plan not offered in 2022 --
|
H8332 -005 -0 | | | | | |
|
|
|
|
2023 Aetna Medicare Value Plan (HMO)
| $0.00 |
$4,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
2022 Amerivantage Classic (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H2593 -029 -0 | $3.00 | $10.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
|
-- |
|
|
2023 Amerivantage Classic (HMO)
| $0.00 |
$8,300 |
$0 | Yes, some additional gap coverage. | $3.00 | $10.00 | $42.00 | $42.00 | 3,603 2023 Formulary |
|
2022 Amerivantage Classic Plus (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H8849 -008 -6 | $5.00 | $12.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Amerivantage Classic Plus (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $5.00 | $12.00 | $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 Ascension Complete Seton Access (PPO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9357 -002 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
new |
new |
|
2023 Ascension Complete Seton Access (PPO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Ascension Complete Seton Access Plus (PPO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9357 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
new |
new |
|
2023 Ascension Complete Seton Access Plus (PPO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Ascension Complete Seton Reward (HMO)
| $0.00 |
$2,900 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H6678 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
new |
new |
|
2023 Ascension Complete Seton Reward (HMO)
| $0.00 |
$3,450 |
$480 | No additional gap coverage, only the Donut Hole Discount | $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 |
2022 Ascension Complete Seton Secure (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H6678 -002 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,375
2022 Formulary |
|
new |
new |
|
2023 Ascension Complete Seton Secure (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $1.00 | $37.00 | $37.00 | 3,392 2023 Formulary |
|
2022 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$7,550 |
$480 | Yes, some additional gap coverage. |
H1666 -004 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,616
2022 Formulary |
|
|
|
|
2023 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$6,700 |
$505 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,503 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H9706 -007 -0 | | | | | |
|
|
|
|
2023 Blue Cross Medicare Advantage Dental Value (HMO)
| $0.00 |
$3,655 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $44.00 | $44.00 | 3,177 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 --
|
H9706 -008 -0 | | | | | |
|
|
|
|
2023 Blue Cross Medicare Advantage Saver (HMO)
| $0.00 |
$6,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $44.00 | $44.00 | 3,177 2023 Formulary |
|
2022 Blue Cross Medicare Advantage Value (HMO)
| $0.00 |
$6,700 |
$100 | Yes, some additional gap coverage. |
H9706 -003 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,616
2022 Formulary |
|
|
|
|
2023 Blue Cross Medicare Advantage Value (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $44.00 | $44.00 | 3,177 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H6813 -002 -0 | | | | | |
new |
new |
new |
|
2023 Devoted CHOICE Austin (PPO)
| $0.00 |
$5,200 |
$200 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,364 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 --
|
H6813 -001 -0 | | | | | |
new |
new |
new |
|
2023 Devoted CHOICE GIVEBACK Austin (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,364 2023 Formulary |
|
2022 Humana Gold Plus H0028-037 (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H0028 -037 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus H0028-037 (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Humana Honor (PPO)
| $0.00 |
$5,400 |
No Rx Coverage |
H5216 -128 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Humana Honor (PPO)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2022 --
|
H5216 -348 -0 | | | | | |
|
|
|
|
2023 Humana Honor (PPO)
| $0.00 |
$6,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
H0473 -001 -0 | | | | | |
|
|
|
|
2023 HumanaChoice H0473-001 (PPO)
| $0.00 |
$6,700 |
$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 -358 -0 | | | | | |
|
|
|
|
2023 HumanaChoice H5216-358 (PPO)
| $0.00 |
$7,500 |
$300 | 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 R4182-001 (Regional PPO)
| $0.00 |
$5,700 |
No Rx Coverage |
R4182 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 HumanaChoice R4182-001 (Regional PPO)
| $0.00 |
$5,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2022 --
|
H2793 -008 -0 | | | | | |
|
|
|
|
2023 Imperial Courage Plan (HMO)
| $0.00 |
$2,999 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Imperial Insurance Company Traditional (HMO)
| $0.00 |
$2,999 |
$0 | Yes, some additional gap coverage. |
H2793 -003 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,315
2022 Formulary |
|
|
|
|
2023 Imperial Insurance Company Traditional (HMO)
| $0.00 |
$2,999 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,346 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 Imperial Insurance Traditional Plus (HMO)
| $0.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H2793 -007 -0 | | | | | 3,315
2022 Formulary |
|
|
|
|
2023 Imperial Insurance Traditional Plus (HMO)
| $0.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,346 2023 Formulary |
|
2022 Imperial Insurance Value (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H2793 -005 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,364
2022 Formulary |
|
|
|
|
2023 Imperial Insurance Value (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,387 2023 Formulary |
|
2022 UnitedHealthcare Chronic Complete (HMO C-SNP)
| $0.00 |
n/a |
$0 | Some Generics, Few Brands |
H4527 -039 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
-- |
|
|
2023 UnitedHealthcare Chronic Complete (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $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 |
-- This plan not offered in 2022 --
|
H0174 -017 -0 | | | | | |
|
|
|
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $20.00 | $20.00 | 3,392 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H7323 -009 -0 | | | | | |
|
|
|
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$6,500 |
$200 | Yes, some additional gap coverage. | $0.00 | $5.00 | $37.00 | $37.00 | 3,393 2023 Formulary |
|
2022 Wellcare No Premium Rx Plus Open (PPO)
| $0.00 |
$6,000 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H7323 -006 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare No Premium Rx Plus Open (PPO)
| $0.00 |
$6,000 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $35.00 | $35.00 | 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 No Premium (HMO)
| $0.00 |
$3,450 |
No Rx Coverage |
H5294 -014 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Wellcare Patriot No Premium (HMO)
| $0.00 |
$3,450 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Wellcare TexanPlus No Premium (HMO)
| $0.00 |
$4,000 |
$200 | Yes, some additional gap coverage. |
H0174 -002 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare TexanPlus No Premium (HMO)
| $0.00 |
$5,000 |
$200 | Yes, some additional gap coverage. | $0.00 | $0.00 | $25.00 | $25.00 | 3,392 2023 Formulary |
|
2022 Wellcare Dual Access Harmony (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5294 -015 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access Harmony (HMO D-SNP)
| $5.80 |
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 Wellcare Complement Assist (HMO)
| $14.90 |
$3,450 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5294 -016 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Complement Assist (HMO)
| $6.10 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,392 2023 Formulary |
|
2022 Aetna Medicare Dual Complete Plan (HMO D-SNP)
| $18.00 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8597 -001 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Dual Complete Plan (HMO D-SNP)
| $8.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,597 2023 Formulary |
|
2022 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $3.70 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
R6801 -008 -0 | | | | | 3,663
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $8.90 |
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 Wellcare Assist (HMO)
| $20.60 |
$3,450 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0174 -009 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Assist (HMO)
| $11.90 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,392 2023 Formulary |
|
2022 Amerivantage Dual Coordination Plus (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8849 -010 -6 | $10.00 | $20.00 | $47.00 | $47.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Amerivantage Dual Coordination Plus (HMO D-SNP)
| $17.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $18.00 | $20.00 | $47.00 | $47.00 | 3,603 2023 Formulary |
|
2022 Amerivantage Dual Coordination (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H2593 -032 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,626
2022 Formulary |
|
-- |
|
|
2023 Amerivantage Dual Coordination (HMO D-SNP)
| $18.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $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 Wellcare Dual Liberty (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0174 -006 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $21.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
| $18.80 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9706 -002 -0 | | | | | 3,602
2022 Formulary |
|
|
|
|
2023 Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
| $22.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,488 2023 Formulary |
|
2022 Aetna Medicare Choice II Plan (PPO)
| $19.00 |
$6,700 |
$300 | Yes, some additional gap coverage. |
H3288 -048 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
|
|
|
|
2023 Aetna Medicare Choice II Plan (PPO)
| $23.00 |
$7,000 |
$175 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 Dual Access (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H0174 -004 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access (HMO D-SNP)
| $23.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
2022 Amerivantage ESRD Care (HMO-POS C-SNP)
| $25.10 |
n/a |
$100 | Few Generics |
H2593 -031 -0 | $2.00 | $7.00 | $42.00 | $42.00 | 3,603
2022 Formulary |
|
-- |
|
|
2023 Amerivantage ESRD Care (HMO-POS C-SNP)
| $23.30 |
n/a |
$100 | Yes, some additional gap coverage. | $2.00 | $7.00 | $42.00 | $42.00 | 3,579 2023 Formulary |
|
2022 Amerivantage Dual Secure Plus (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8849 -011 -6 | $10.00 | $20.00 | $47.00 | $47.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Amerivantage Dual Secure Plus (HMO D-SNP)
| $24.50 |
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 Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)
| $25.10 |
n/a |
$460 | No additional gap coverage, only the Donut Hole Discount |
H0028 -044 -0 | $4.00 | $20.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 Imperial Insurance Company Dual (HMO D-SNP)
| $25.10 |
n/a |
$480 | Many Generics, Some Brands |
H2793 -004 -0 | 0% | 25% | 25% | 25% | 3,315
2022 Formulary |
|
|
|
|
2023 Imperial Insurance Company Dual (HMO D-SNP)
| $25.00 |
n/a |
$505 | Yes, some additional gap coverage. | 0% | 25% | 25% | 25% | 3,346 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4514 -013 -2 | | | | | 3,654
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $25.00 |
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 (Regional PPO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
R6801 -011 -0 | | | | | 3,663
2022 Formulary |
|
|
|
|
2023 UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 UnitedHealthcare Dual Complete Focus (HMO D-SNP)
| $21.30 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4527 -003 -0 | | | | | 3,654
2022 Formulary |
|
-- |
|
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,682 2023 Formulary |
|
2022 Wellcare Dual Access Open (PPO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H7323 -005 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,375
2022 Formulary |
|
|
|
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $25.00 |
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 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $29.00 |
n/a |
$295 | Some Generics |
R6801 -009 -0 | $4.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2023 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $27.00 |
n/a |
$295 | Yes, some additional gap coverage. | $4.00 | $12.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 HumanaChoice H0473-003 (PPO)
| $38.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0473 -003 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice H0473-003 (PPO)
| $37.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 HumanaChoice R4182-004 (Regional PPO)
| $54.00 |
$7,200 |
$175 | No additional gap coverage, only the Donut Hole Discount |
R4182 -004 -0 | $6.00 | $13.00 | $47.00 | $47.00 | 3,421
2022 Formulary |
|
|
|
|
2023 HumanaChoice R4182-004 (Regional PPO)
| $41.00 |
$6,900 |
$175 | Yes, some additional gap coverage. | $6.00 | $13.00 | $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 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $49.00 |
$7,550 |
$395 | Yes, some additional gap coverage. |
R6801 -012 -0 | $4.00 | $12.00 | $47.00 | $47.00 | n/a |
|
|
|
|
2023 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $49.00 |
$7,550 |
$395 | Yes, some additional gap coverage. | $4.00 | $12.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 HumanaChoice R4182-003 (Regional PPO)
| $92.00 |
$7,200 |
$175 | No additional gap coverage, only the Donut Hole Discount |
R4182 -003 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,421
2022 Formulary |
|
|
|
|
2023 HumanaChoice R4182-003 (Regional PPO)
| $84.00 |
$6,900 |
$175 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,404 2023 Formulary |
|
2022 Blue Cross Medicare Advantage Choice Premier (PPO)
| $90.00 |
$5,900 |
$300 | Yes, some additional gap coverage. |
H1666 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,616
2022 Formulary |
|
|
|
|
2023 Blue Cross Medicare Advantage Choice Premier (PPO)
| $88.00 |
$6,050 |
$300 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,503 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 --
|
H1666 -018 -0 | | | | | |
|
|
|
|
2023 Blue Cross Medicare Advantage Flex Access (PPO)
| $213.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $44.00 | $44.00 | 3,177 2023 Formulary |
|
2022 Wellcare Giveback (HMO)
| $0.00 |
$6,700 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H0174 -013 -1 | $0.00 | $2.00 | $20.00 | $20.00 | 3,375
2022 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare Giveback (HMO) H0174-017 --
| | | | | |
|
2022 Wellcare No Premium (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H0174 -012 -1 | $0.00 | $0.00 | $20.00 | $20.00 | 3,375
2022 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare TexanPlus No Premium (HMO) H0174-002 --
| | | | | |
|
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)
| $20.00 |
$6,700 |
$200 | Yes, some additional gap coverage. |
H7323 -001 -0 | $0.00 | $1.00 | $35.00 | $35.00 | 3,375
2022 Formulary |
|
|
|
|
-- 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 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 --
|
| | | | |
|
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 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 --
|
| | | | |
|