There are 83 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 |
-- This plan not offered in 2023 --
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H2802 -062 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx AR-MA01 (HMO-POS)
| $0.00 |
$4,500 |
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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H1608 -074 -0 | | | | | |
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2024 Aetna Medicare Eagle Giveback (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 BlueMedicare Freedom Giveback (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | H3554 -011 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 BlueMedicare Freedom Giveback (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 |
-- This plan not offered in 2023 --
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H4513 -078 -0 | | | | | |
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2024 Cigna Courage Medicare (HMO)
| $0.00 |
$3,900 |
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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2023 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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-- |
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2024 Humana USAA Honor (Regional PPO)
| $0.00 |
$4,900 |
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 Wellcare Patriot Giveback (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | H1416 -058 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Wellcare Patriot Giveback (HMO-POS)
| $0.00 |
$4,500 |
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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H2802 -060 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC AR-0001 (HMO-POS)
| $0.00 |
$5,500 |
$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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H2802 -063 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC AR-0003 (HMO-POS)
| $0.00 |
$7,550 |
$395 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 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 |
-- This plan not offered in 2023 --
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H1889 -014 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC AR-0004 (PPO)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Medicare Elite (PPO)
| $0.00 |
$5,850 |
$0 | Yes, some additional gap coverage. | H1608 -054 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite (PPO)
| $0.00 |
$5,850 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H1608 -078 -0 | | | | | |
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2024 Aetna Medicare Freedom (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 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 |
-- This plan not offered in 2023 --
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H1608 -079 -0 | | | | | |
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2024 Aetna Medicare Giveback Choice (PPO)
| $0.00 |
$8,850 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
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2023 Aetna Medicare Premier (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | H2663 -039 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Premier Plus (PPO)
| $0.00 |
$5,100 |
$0 | Yes, some additional gap coverage. | H1608 -021 -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 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 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 |
-- This plan not offered in 2023 --
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H2663 -067 -0 | | | | | |
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2024 Aetna Medicare Signature (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 BlueMedicare Premier (HMO)
| $0.00 |
$5,500 |
$100 | Yes, some additional gap coverage. | H6158 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,534
2023 Formulary |
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2024 BlueMedicare Premier (HMO)
| $0.00 |
$5,000 |
$100 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,401 2024 Formulary |
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2023 BlueMedicare Saver Choice (PPO)
| $0.00 |
$5,000 |
$250 | Yes, some additional gap coverage. | H3554 -002 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,534
2023 Formulary |
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2024 BlueMedicare Saver Choice (PPO)
| $0.00 |
$5,000 |
$250 | Yes, some additional gap coverage. | $0.00 | $15.00 | $47.00 | $47.00 | 3,401 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 Cigna Preferred Medicare (HMO)
| $0.00 |
$5,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | H4513 -050 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,535 2024 Formulary |
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2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$5,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | H7849 -102 -2 | $0.00 | $4.00 | $40.00 | $40.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,535 2024 Formulary |
|
2023 Humana Gold Plus H5619-111 (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | H5619 -111 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-111 (HMO-POS)
| $0.00 |
$3,950 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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. | |
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-- This plan not offered in 2023 --
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H5216 -366 -0 | | | | | |
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2024 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-231 (PPO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | H5216 -231 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-231 (PPO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 --
|
H5216 -264 -0 | | | | | |
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2024 HumanaChoice H5216-264 (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $7.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-337 (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H5216 -337 -3 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-337 (PPO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Vantage BASIC (HMO-POS)
| $0.00 |
$5,900 |
$505 | Yes, some additional gap coverage. | H2722 -002 -0 | $0.00 | $16.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
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-- |
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2024 Primewell Classic (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 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 Vantage Giveback (HMO-POS)
| $0.00 |
$5,900 |
$505 | Yes, some additional gap coverage. | H2722 -005 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
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-- |
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2024 Primewell Giveback (HMO-POS)
| $0.00 |
$5,400 |
$195 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
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-- This plan not offered in 2023 --
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H1889 -019 -0 | | | | | |
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2024 UHC Complete Care AR-0005 (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$445 | No additional gap coverage, only the Donut Hole Discount | H9630 -008 -0 | $0.00 | $3.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | $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 Giveback Dividend (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | H1416 -064 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback Dividend (HMO)
| $0.00 |
$7,550 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | H9630 -002 -0 | $0.00 | $3.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,400 |
$195 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Preferred (HMO)
| $0.00 |
$6,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | H1416 -055 -0 | $0.00 | $3.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Preferred (HMO)
| $0.00 |
$6,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | $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 Humana Gold Plus H5619-122 (HMO)
| $29.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | H5619 -122 -0 | $6.00 | $11.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-122 (HMO)
| $13.00 |
$6,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $11.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
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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 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $7.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | R3444 -008 -0 | | | | | 3,682
2023 Formulary |
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2024 UHC Complete Care AM-001A (Regional PPO C-SNP)
| $19.40 |
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 Wellcare Assist (HMO)
| $17.30 |
$3,450 |
$270 | No additional gap coverage, only the Donut Hole Discount | H9630 -005 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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|
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2024 Wellcare Assist (HMO)
| $22.40 |
$3,850 |
$290 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 BlueMedicare Independence (HMO)
| $31.30 |
$4,000 |
$505 | No additional gap coverage, only the Donut Hole Discount | H6158 -003 -0 | $11.00 | $20.00 | $47.00 | $47.00 | 3,534
2023 Formulary |
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2024 BlueMedicare Independence (HMO)
| $23.40 |
$4,000 |
$545 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $20.00 | $47.00 | $47.00 | 3,401 2024 Formulary |
|
2023 Wellcare Assist Compass (HMO)
| $19.60 |
$3,450 |
$95 | No additional gap coverage, only the Donut Hole Discount | H1416 -041 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist Compass (HMO)
| $24.30 |
$3,850 |
$160 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 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 |
-- This plan not offered in 2023 --
|
H9630 -014 -0 | | | | | |
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2024 Wellcare All Dual Assure (HMO D-SNP)
| $25.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $20.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H9630 -011 -0 | | | | | 3,394
2023 Formulary |
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2024 Wellcare Dual Liberty (HMO D-SNP)
| $27.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Dual Access (HMO D-SNP)
| $20.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H9630 -010 -0 | | | | | 3,394
2023 Formulary |
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|
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2024 Wellcare Dual Access (HMO D-SNP)
| $27.50 |
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 Wellcare Dual Access (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H1416 -033 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO-POS D-SNP)
| $28.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1608 -075 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Value Plus (PPO)
| $28.80 |
$7,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 BlueMedicare Value (PFFS)
| $29.00 |
n/a |
No Rx Coverage | H4213 -016 -1 | This plan does NOT include Prescription Drug coverage. | |
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|
|
|
2024 BlueMedicare Value (PFFS)
| $29.00 |
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 |
2023 Wellcare Low Premium (HMO)
| $35.00 |
$5,950 |
$0 | Yes, some additional gap coverage. | H9630 -013 -0 | $0.00 | $3.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Low Premium (HMO)
| $29.00 |
$5,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H1416 -043 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO-POS D-SNP)
| $30.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $19.00 |
n/a |
$0 | Yes, some additional gap coverage. | R3444 -009 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care AM-0001 (Regional PPO C-SNP)
| $31.00 |
n/a |
$250 | Yes, some additional gap coverage. | $4.00 | $15.00 | $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 --
|
H1608 -076 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Choice (PPO D-SNP)
| $31.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H4513 -081 -0 | | | | | |
|
|
|
|
2024 Cigna TotalCare (HMO D-SNP)
| $31.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
2023 Aetna Medicare Assure (HMO D-SNP)
| $22.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5325 -007 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Preferred (HMO D-SNP)
| $33.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 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 --
|
H4513 -039 -0 | | | | | |
|
|
|
|
2024 Cigna TotalCare Plus (HMO D-SNP)
| $33.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2802 -061 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC AR-0002 (HMO-POS)
| $34.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5325 -010 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Signature (HMO D-SNP)
| $35.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 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 --
|
H1608 -077 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Select Choice (PPO D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5325 -011 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Signature Select (HMO D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5619 -123 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 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 --
|
H5216 -361 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-361 (PPO D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Vantage DUAL PLUS (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H2722 -003 -0 | | | | | 3,826
2023 Formulary |
|
-- |
|
|
2024 Primewell Dual Plus (HMO-POS D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,508 2024 Formulary |
|
2023 Vantage STANDARD (HMO-POS)
| $31.90 |
$4,900 |
$505 | Yes, some additional gap coverage. | H2722 -004 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
-- |
|
|
2024 Primewell Reliance (HMO-POS)
| $35.70 |
$4,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 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 Tribute Advantage (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H1587 -001 -0 | | | | | 3,445
2023 Formulary |
|
-- |
|
|
2024 Tribute Advantage (HMO-POS D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,460 2024 Formulary |
|
2023 Tribute Select (HMO-POS I-SNP)
| $26.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H1587 -003 -0 | | | | | 3,445
2023 Formulary |
|
-- |
|
|
2024 Tribute Select (HMO-POS I-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,460 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H0271 -023 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete AR-S001 (PPO D-SNP)
| $35.70 |
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 UnitedHealthcare Dual Complete Choice Select (PPO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H0271 -024 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete AR-V001 (PPO D-SNP)
| $35.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 BlueMedicare Premier Choice (PPO)
| $49.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | H3554 -007 -0 | $1.00 | $10.00 | $47.00 | $47.00 | 3,534
2023 Formulary |
|
|
|
|
2024 BlueMedicare Premier Choice (PPO)
| $49.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | $1.00 | $10.00 | $47.00 | $47.00 | 3,401 2024 Formulary |
|
2023 BlueMedicare Preferred (PFFS)
| $59.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H4213 -017 -1 | $15.00 | $20.00 | $47.00 | $47.00 | 3,534
2023 Formulary |
|
|
|
|
2024 BlueMedicare Preferred (PFFS)
| $50.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,401 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 R1532-002 (Regional PPO)
| $54.00 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount | R1532 -002 -0 | $10.00 | $16.00 | 19% | 19% | 3,409
2023 Formulary |
|
-- |
|
|
2024 HumanaChoice R1532-002 (Regional PPO)
| $62.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $19.00 | $20.00 | 18% | 18% | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-083 (PPO)
| $68.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | H5216 -083 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-083 (PPO)
| $69.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Medicare Advantage Choice Plan 2 (Regional PPO)
| $56.00 |
$6,700 |
$275 | Yes, some additional gap coverage. | R3444 -012 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage AM-0002 (Regional PPO)
| $71.00 |
$6,350 |
$350 | Yes, some additional gap coverage. | $4.00 | $15.00 | $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 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 |
|
2023 BlueMedicare Value Choice (PPO)
| $29.00 |
$6,000 |
$150 | Yes, some additional gap coverage. | H3554 -004 -0 | $1.00 | $13.00 | $47.00 | $47.00 | 3,534
2023 Formulary |
|
|
|
|
-- Members will be assigned to BlueMedicare Saver Choice (PPO) H3554-002 --
| | | | | |
|
2023 HumanaChoice H9070-005 (PPO)
| $20.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | H9070 -005 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-337 (PPO) H5216-337 --
| | | | | |
|
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 Medicare Advantage Choice Plan 3 (Regional PPO)
| $21.00 |
$6,700 |
$245 | Yes, some additional gap coverage. | R3444 -023 -0 | $4.00 | $15.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to UHC Medicare Advantage AM-0002 (Regional PPO) R3444-012 --
| | | | | |
|
2023 AARP Medicare Advantage Rebate (HMO-POS)
| $0.00 |
$7,550 |
$395 | Yes, some additional gap coverage. | H3464 -008 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 --
|
| | | | |
|
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 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 AARP Medicare Advantage Plan 1 (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | H3464 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $27.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H3464 -002 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
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 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | H3464 -007 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Patriot No Premium (HMO)
| $0.00 |
$4,900 |
No Rx Coverage | H9630 -009 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | H6528 -031 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
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 UnitedHealthcare Chronic Complete (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | H6528 -038 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 --
|
| | | | |
|