There are 61 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 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 |
2023 AARP Medicare Advantage Patriot (PPO)
| $0.00 |
$4,400 |
No Rx Coverage |
H8768 -025 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx KS-MA01 (PPO)
| $0.00 |
$4,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle (HMO-POS)
| $0.00 |
$5,000 |
No Rx Coverage |
H2663 -025 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle (HMO-POS)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Blue KC Valor (PPO)
| $0.00 |
$4,000 |
No Rx Coverage |
H6502 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Blue KC Valor (PPO)
| $0.00 |
$4,000 |
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 |
2023 Cigna True Choice Courage Medicare (PPO)
| $0.00 |
$4,000 |
No Rx Coverage |
H7849 -072 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Cigna True Choice Courage Medicare (PPO)
| $0.00 |
$4,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Erickson Advantage Liberty without Drugs (HMO-POS)
| $0.00 |
$7,550 |
No Rx Coverage |
H5652 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Erickson Advantage Liberty no Rx (HMO-POS)
| $0.00 |
$7,300 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 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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2024 Humana USAA Honor (PPO)
| $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 |
2023 HumanaChoice R4845-001 (Regional PPO)
| $0.00 |
$3,400 |
No Rx Coverage |
R4845 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R4845-001 (Regional PPO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$4,400 |
No Rx Coverage |
H9387 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2024 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$4,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H2406 -060 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC KC-0001 (PPO)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. | $3.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 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 |
2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H2802 -032 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC KC-0002 (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice Plan 2 (PPO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H8768 -023 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC KC-0004 (PPO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H8768 -039 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC KC-0005 (PPO)
| $0.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 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 |
2023 Aetna Medicare Premier (HMO)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H2663 -026 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$3,800 |
$0 | Yes, some additional gap coverage. |
H1608 -016 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H2663 -061 -0 | | | | | |
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2024 Aetna Medicare SmartFit (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 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 2023 --
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H1608 -068 -0 | | | | | |
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2024 Aetna Medicare SmartFit (PPO)
| $0.00 |
$3,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2663 -065 -0 | | | | | |
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2024 Aetna Medicare SmartSaver Elite (HMO)
| $0.00 |
$6,000 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | 25% | 25% | 3,619 2024 Formulary |
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2023 Blue KC Essential (PPO)
| $0.00 |
$3,425 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6502 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,399
2023 Formulary |
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2024 Blue KC Essential (PPO)
| $0.00 |
$3,425 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,292 2024 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 |
2023 Blue KC Giveback (PPO)
| $0.00 |
$7,250 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6502 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,399
2023 Formulary |
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2024 Blue KC Giveback (PPO)
| $0.00 |
$7,250 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,292 2024 Formulary |
|
2023 Blue KC Secure (HMO)
| $0.00 |
$3,650 |
$0 | Yes, some additional gap coverage. |
H1352 -004 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,399
2023 Formulary |
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2024 Blue KC Secure (HMO)
| $0.00 |
$3,650 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,292 2024 Formulary |
|
2023 Blue KC Simply Blue (PPO)
| $0.00 |
$4,800 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6502 -004 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,399
2023 Formulary |
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2024 Blue KC Simply Blue (PPO)
| $0.00 |
$4,800 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,292 2024 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 |
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$5,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9460 -001 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$5,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$3,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7849 -024 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$3,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
2023 Erickson Advantage Guardian (HMO-POS I-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5652 -003 -0 | $0.00 | $0.00 | $28.00 | $28.00 | 3,682
2023 Formulary |
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2024 Erickson Advantage Guardian (HMO-POS I-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $28.00 | $28.00 | 3,634 2024 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 |
2023 Erickson Advantage Liberty with Drugs (HMO-POS)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H5652 -008 -0 | $0.00 | $15.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 Erickson Advantage Liberty (HMO-POS)
| $0.00 |
$7,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $15.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0028 -050 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H0028-054 (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H0028 -054 -1 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H0028-054 (HMO-POS)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 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 |
2023 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -329 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 HumanaChoice H5216-318 (PPO)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H5216 -318 -2 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-318 (PPO)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6550 -007 -0 | $0.00 | $9.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback (HMO)
| $0.00 |
$8,300 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $42.00 | $42.00 | 3,371 2024 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 |
2023 Wellcare No Premium (HMO)
| $0.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6550 -003 -0 | $0.00 | $9.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9387 -001 -0 | $0.00 | $9.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
-- |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $9.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Humana Gold Plus H0028-017 (HMO)
| $14.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0028 -017 -0 | $6.00 | $11.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H0028-017 (HMO)
| $12.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $11.00 | $47.00 | $47.00 | 3,448 2024 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 2023 --
|
H8145 -126 -0 | | | | | |
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2024 Humana Gold Choice H8145-126 (PFFS)
| $15.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Wellcare Assist (HMO)
| $13.20 |
$3,450 |
$460 | No additional gap coverage, only the Donut Hole Discount |
H6550 -006 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist (HMO)
| $27.40 |
$3,850 |
$450 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $33.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0710 -062 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Care Advantage KS-E001 (PPO I-SNP)
| $29.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 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 |
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $33.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -063 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan KS-F001 (PPO I-SNP)
| $33.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $23.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9387 -004 -0 | | | | | 3,394
2023 Formulary |
|
-- |
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $34.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $29.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H2802 -033 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC KC-0003 (HMO-POS)
| $35.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 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 2023 --
|
H2663 -052 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Value Plus Plan (HMO)
| $35.00 |
$5,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 Aetna Medicare Assure (HMO D-SNP)
| $20.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5325 -001 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure (HMO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Wellcare Dual Access (HMO D-SNP)
| $22.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6550 -004 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $40.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 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 |
2023 HumanaChoice R4845-002 (Regional PPO)
| $41.00 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount |
R4845 -002 -0 | $8.00 | $15.00 | 19% | 19% | 3,409
2023 Formulary |
|
|
|
|
2024 HumanaChoice R4845-002 (Regional PPO)
| $42.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $19.00 | $20.00 | 21% | 21% | 3,448 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $20.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6550 -009 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $42.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Kansas Health Advantage (HMO I-SNP)
| $33.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2392 -001 -0 | | | | | 3,478
2023 Formulary |
|
-- |
|
|
2024 Kansas Health Advantage (HMO I-SNP)
| $43.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,481 2024 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 |
2023 Kansas Health Advantage Choice (HMO I-SNP)
| $33.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2392 -003 -0 | | | | | 3,478
2023 Formulary |
|
-- |
|
|
2024 Kansas Health Advantage Choice (HMO I-SNP)
| $43.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,481 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete LP1 (HMO-POS D-SNP)
| $33.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0169 -004 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete KS-S001 (HMO-POS D-SNP)
| $43.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
| $33.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5322 -029 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete KS-S002 (HMO-POS D-SNP)
| $43.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 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 |
2023 HumanaChoice H5216-032 (PPO)
| $70.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5216 -032 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-032 (PPO)
| $61.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Erickson Advantage Freedom (HMO-POS)
| $68.00 |
$4,300 |
$0 | Yes, some additional gap coverage. |
H5652 -006 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 Erickson Advantage Freedom (HMO-POS)
| $64.00 |
$4,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Humana Gold Choice H8145-122 (PFFS)
| $131.00 |
n/a |
$195 | Yes, some additional gap coverage. |
H8145 -122 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
|
|
|
|
2024 Humana Gold Choice H8145-122 (PFFS)
| $132.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 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 |
2023 Erickson Advantage Signature with Drugs (HMO-POS)
| $197.00 |
$2,600 |
$0 | Yes, some additional gap coverage. |
H5652 -001 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 Erickson Advantage Signature (HMO-POS)
| $168.00 |
$2,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Erickson Advantage Champion (HMO-POS C-SNP)
| $197.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5652 -004 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 Erickson Advantage Champion (HMO-POS C-SNP)
| $188.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice Plan 1 (PPO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. |
H2228 -071 -0 | $3.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC KC-0001 (PPO) H2406-060 --
| | | | | |
|
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 |
2023 Aetna Medicare Elite (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H1608 -039 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
-- Members will be assigned to Aetna Medicare Premier Plus (PPO) H1608-016 --
| | | | | |
|
2023 Blue KC Spira Care (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H1352 -003 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,399
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue KC Secure (HMO) H1352-004 --
| | | | | |
|
2023 HumanaChoice H9070-003 (PPO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9070 -003 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 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 |
2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Humana Community (HMO)
| $0.00 |
$3,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7621 -001 -0 | $6.00 | $11.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 |
2023 Humana Gold Choice H8145-120 (PFFS)
| $31.00 |
n/a |
No Rx Coverage |
H8145 -120 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|