There are 74 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-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H4590 -043 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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|
|
|
2023 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 Choice (PPO)
| $0.00 |
$6,700 |
$260 | Yes, some additional gap coverage. |
H1278 -013 -0 | $3.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
|
|
|
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$6,700 |
$260 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,682 2023 Formulary |
|
2022 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$5,400 |
No Rx Coverage |
H4590 -027 -0 | This plan does NOT include Prescription Drug coverage. | |
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|
|
|
2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H4590 -012 -0 | $2.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
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|
|
|
2023 AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $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 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,700 |
$200 | Yes, some additional gap coverage. |
H3288 -008 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,672
2022 Formulary |
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|
|
|
2023 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,700 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,597 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H2293 -013 -0 | | | | | |
new |
new |
new |
|
2023 Aetna Medicare Freedom Plan (PPO)
| $0.00 |
$6,700 |
$250 | 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 |
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-- |
|
|
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 |
|
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 Amerivantage Classic Plus (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H8849 -008 -2 | $5.00 | $12.00 | $42.00 | $42.00 | 3,626
2022 Formulary |
|
|
|
|
2023 Amerivantage Classic Plus (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $5.00 | $12.00 | $42.00 | $42.00 | 3,603 2023 Formulary |
|
2022 Amerivantage Diabetes Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H8849 -001 -0 | $0.00 | $7.50 | $35.00 | $35.00 | 3,117
2022 Formulary |
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|
|
|
2023 Amerivantage Diabetes Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $35.00 | $35.00 | 3,157 2023 Formulary |
|
2022 Amerivantage ESRD Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Few Generics |
H2593 -043 -0 | $5.00 | $12.00 | $42.00 | $42.00 | 3,603
2022 Formulary |
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-- |
|
|
2023 Amerivantage ESRD Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $5.00 | $12.00 | $42.00 | $42.00 | 3,579 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 Amerivantage Heart Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H8849 -012 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,117
2022 Formulary |
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|
|
2023 Amerivantage Heart Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $40.00 | $40.00 | 3,157 2023 Formulary |
|
2022 Amerivantage Lung Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Many Generics, Some Brands |
H8849 -013 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,117
2022 Formulary |
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|
|
2023 Amerivantage Lung Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $40.00 | $40.00 | 3,157 2023 Formulary |
|
2022 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$7,550 |
$480 | Yes, some additional gap coverage. |
H1666 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,616
2022 Formulary |
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|
|
|
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 |
|
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 --
|
H4801 -001 -0 | | | | | |
|
new |
new |
|
2023 Blue Cross Medicare Advantage Classic (PPO)
| $0.00 |
$6,500 |
$200 | 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 --
|
H4801 -016 -0 | | | | | |
|
new |
new |
|
2023 Blue Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$6,500 |
$505 | 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 --
|
H4801 -018 -0 | | | | | |
|
new |
new |
|
2023 Blue Cross Medicare Advantage Health Choice (PPO)
| $0.00 |
$6,900 |
$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 --
|
H4801 -019 -0 | | | | | |
|
new |
new |
|
2023 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2022 Care N' Care Choice (PPO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H6328 -003 -0 | $4.00 | $14.00 | $47.00 | $47.00 | 3,752
2022 Formulary |
|
|
|
|
2023 Care N' Care Choice (PPO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $4.00 | $14.00 | $47.00 | $47.00 | 3,737 2023 Formulary |
|
2022 Care N' Care Choice MA-Only (PPO)
| $0.00 |
$2,500 |
No Rx Coverage |
H6328 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2023 Care N' Care Choice MA-Only (PPO)
| $0.00 |
$2,500 |
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 Care N' Care Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H2171 -001 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,752
2022 Formulary |
|
|
|
|
2023 Care N' Care Classic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,737 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H4513 -061 -5 | | | | | |
|
|
|
|
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$3,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H4513 -066 -0 | | | | | |
|
|
|
|
2023 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $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 |
$6,700 |
$190 | Yes, some additional gap coverage. |
H7849 -040 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,459
2022 Formulary |
|
|
|
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $42.00 | $42.00 | 3,524 2023 Formulary |
|
2022 Humana Gold Plus H0028-043 (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H0028 -043 -1 | $2.00 | $5.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus H0028-043 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 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 --
|
H5216 -352 -0 | | | | | |
|
|
|
|
2023 HumanaChoice H5216-352 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 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 Molina Medicare Choice Care (HMO)
| $0.00 |
$7,550 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H7678 -004 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,218
2022 Formulary |
|
-- |
|
|
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 |
|
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 Choice Care Select (HMO)
| $0.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H7678 -005 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,218
2022 Formulary |
|
-- |
|
|
2023 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$200 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,221 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H7323 -002 -0 | | | | | |
|
|
|
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,900 |
$200 | Yes, some additional gap coverage. | $0.00 | $5.00 | $35.00 | $35.00 | 3,392 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5294 -014 -0 | | | | | |
|
|
|
|
2023 Wellcare Patriot No Premium (HMO)
| $0.00 |
$3,450 |
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 --
|
H0174 -008 -0 | | | | | |
|
|
|
|
2023 Wellcare Specialty No Premium (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $0.00 | $0.00 | 3,393 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H5294 -015 -0 | | | | | |
|
|
|
|
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 |
|
-- This plan not offered in 2022 --
|
H5294 -016 -0 | | | | | |
|
|
|
|
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 |
|
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 --
|
H5294 -010 -0 | | | | | |
|
|
|
|
2023 Wellcare Dual Liberty Nurture (HMO D-SNP)
| $6.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,394 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H4513 -060 -5 | | | | | |
|
|
|
|
2023 Cigna TotalCare (HMO D-SNP)
| $7.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,524 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 HumanaChoice H5216-043 (PPO)
| $10.00 |
$6,700 |
$250 | Yes, some additional gap coverage. |
H5216 -043 -1 | $3.00 | $10.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 HumanaChoice H5216-043 (PPO)
| $10.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,404 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 -2 | $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 |
-- This plan not offered in 2022 --
|
H9706 -002 -0 | | | | | |
|
|
|
|
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 Amerivantage Dual Secure Plus (HMO D-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H8849 -011 -2 | $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 |
|
-- This plan not offered in 2022 --
|
H0028 -059 -0 | | | | | |
|
|
|
|
2023 Humana Gold Plus H0028-059 (HMO)
| $25.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 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 SNP-DE H0028-031 (HMO D-SNP)
| $24.40 |
n/a |
$475 | No additional gap coverage, only the Donut Hole Discount |
H0028 -031 -0 | $3.00 | $15.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2023 Formulary |
|
2022 Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)
| $25.10 |
n/a |
$460 | No additional gap coverage, only the Donut Hole Discount |
H0028 -032 -0 | $2.00 | $10.00 | $47.00 | $47.00 | 3,408
2022 Formulary |
|
|
|
|
2023 Humana Gold Plus SNP-DE H0028-032 (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 |
|
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 (HMO D-SNP)
| $25.10 |
n/a |
$480 | Some Generics |
H7678 -001 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,263
2022 Formulary |
|
-- |
|
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $25.00 |
n/a |
$505 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,270 2023 Formulary |
|
2022 Provider Partners Texas Advantage Plan (HMO I-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4054 -001 -0 | | | | | 3,497
2022 Formulary |
|
new |
new |
|
2023 Provider Partners Texas Advantage Plan (HMO I-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,445 2023 Formulary |
|
2022 Provider Partners Texas Community Plan (HMO I-SNP)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4054 -002 -0 | | | | | 3,497
2022 Formulary |
|
new |
new |
|
2023 Provider Partners Texas Community Plan (HMO I-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,445 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)
| $25.10 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5322 -025 -0 | | | | | 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 |
|
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 |
|
-- This plan not offered in 2022 --
|
H7323 -005 -0 | | | | | |
|
|
|
|
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 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 |
|
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 |
|
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 Care N' Care Choice Plus (PPO)
| $55.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H6328 -002 -0 | $2.00 | $12.00 | $45.00 | $45.00 | 3,752
2022 Formulary |
|
|
|
|
2023 Care N' Care Choice Plus (PPO)
| $53.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $2.00 | $12.00 | $45.00 | $45.00 | 3,737 2023 Formulary |
|
2022 Blue Cross Medicare Advantage Choice Premier (PPO)
| $62.00 |
$5,900 |
$295 | Yes, some additional gap coverage. |
H1666 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,616
2022 Formulary |
|
|
|
|
2023 Blue Cross Medicare Advantage Choice Premier (PPO)
| $60.00 |
$6,050 |
$295 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,503 2023 Formulary |
|
2022 AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)
| $73.00 |
$3,200 |
$0 | Yes, some additional gap coverage. |
H4590 -041 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,654
2022 Formulary |
|
|
|
|
2023 AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)
| $71.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 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 Care N' Care Choice Premium (PPO)
| $200.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H6328 -001 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,752
2022 Formulary |
|
|
|
|
2023 Care N' Care Choice Premium (PPO)
| $194.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $43.00 | $43.00 | 3,737 2023 Formulary |
|
-- This plan not offered in 2022 --
|
H4801 -014 -0 | | | | | |
|
new |
new |
|
2023 Blue Cross Medicare Advantage Flex (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 |
|
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 Medicare (HMO)
| $0.00 |
$3,900 |
$190 | Yes, some additional gap coverage. |
H4513 -028 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,459
2022 Formulary |
|
|
|
|
-- Members will be assigned to Cigna Preferred Medicare (HMO) H4513-061 --
| | | | | |
|
2022 Cigna TotalCare (HMO D-SNP)
| $17.90 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4513 -029 -0 | | | | | 3,459
2022 Formulary |
|
|
|
|
-- Members will be assigned to Cigna TotalCare (HMO D-SNP) H4513-060 --
| | | | | |
|
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 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2022 Exemplar Health Freedom 2 (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H9295 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2023 --
|
| | | | |
|
2022 Exemplar Health Freedom 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 --
|
| | | | |
|