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 (HMO-POS)
| $0.00 |
$5,400 |
No Rx Coverage |
H4604 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx ID-MA01 (HMO-POS)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H9431 -016 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H5216 -301 -3 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,000 |
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 Humana Honor (PPO)
| $0.00 |
$8,300 |
No Rx Coverage |
H5216 -315 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$8,850 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 PacificSource Medicare Explorer 6 (PPO)
| $0.00 |
$3,950 |
No Rx Coverage |
H4754 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 PacificSource Medicare Explorer 6 (PPO)
| $0.00 |
$3,950 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Regence Valiance (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H1304 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Regence Valiance (PPO)
| $0.00 |
$5,500 |
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 Regence | St. Luke's Health Partners Align No Rx (HMO)
| $0.00 |
$5,200 |
No Rx Coverage |
H1969 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Regence | St. Luke's Health Partners Align No Rx (HMO)
| $0.00 |
$5,200 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Saint Alphonsus Health Plan Cash Back No Premium 2 (HMO)
| $0.00 |
$3,900 |
No Rx Coverage |
H6910 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Saint Alphonsus Health Plan Cash Back No Premium 2 (HMO)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Secure Blue Courage (PPO)
| $0.00 |
$5,600 |
No Rx Coverage |
H1302 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
-- |
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2024 Secure Blue Courage (PPO)
| $0.00 |
$5,200 |
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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H2406 -065 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC ID-0003 (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H2406 -095 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC ID-0004 (PPO)
| $0.00 |
$7,500 |
$295 | Yes, some additional gap coverage. | $0.00 | $14.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Focus (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H4604 -015 -0 | $0.00 | $7.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC ID-001P (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $45.00 | $45.00 | 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 Elite Plan (HMO-POS)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. |
H2056 -001 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (HMO-POS)
| $0.00 |
$5,200 |
$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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H2056 -013 -0 | | | | | |
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2024 Aetna Medicare SmartFit Elite Plan (HMO-POS)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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2023 Aetna Medicare Value Plan (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H2056 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO-POS)
| $0.00 |
$5,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 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 |
2023 Humana Community (HMO)
| $0.00 |
$5,100 |
$0 | Yes, some additional gap coverage. |
H2486 -005 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H2486-005 (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-132 (PPO)
| $0.00 |
$5,500 |
$100 | Yes, some additional gap coverage. |
H5216 -132 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-132 (PPO)
| $0.00 |
$5,900 |
$100 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$5,750 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H5628 -010 -0 | $0.00 | $6.00 | $45.00 | $45.00 | 3,221
2023 Formulary |
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2024 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $45.00 | $45.00 | 3,248 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 PacificSource Medicare Explorer Rx 11 (PPO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H4754 -011 -0 | $3.00 | $12.00 | $39.00 | $39.00 | 3,790
2023 Formulary |
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|
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2024 PacificSource Medicare Explorer Rx 11 (PPO)
| $0.00 |
$6,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $4.00 | $42.00 | $42.00 | 3,888 2024 Formulary |
|
2023 PacificSource Medicare MyCare Rx 32 (HMO)
| $0.00 |
$5,150 |
$0 | Yes, some additional gap coverage. |
H3864 -032 -0 | $0.00 | $12.00 | $39.00 | $39.00 | 3,790
2023 Formulary |
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2024 PacificSource Medicare MyCare Choice Rx 32 (HMO-POS)
| $0.00 |
$5,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,888 2024 Formulary |
|
2023 Regence Blue MedAdvantage HMO (HMO)
| $0.00 |
$5,500 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H1969 -002 -0 | $0.00 | $12.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
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2024 Regence Blue MedAdvantage HMO (HMO)
| $0.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $40.00 | $40.00 | 3,478 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 Regence MedAdvantage + Rx Primary (PPO)
| $0.00 |
$5,700 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1304 -011 -1 | $0.00 | $13.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
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2024 Regence MedAdvantage + Rx Primary (PPO)
| $0.00 |
$6,600 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Regence | St. Luke's Health Partners Align (HMO)
| $0.00 |
$5,500 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H1969 -007 -3 | $0.00 | $12.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
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2024 Regence | St. Luke's Health Partners Align (HMO)
| $0.00 |
$6,100 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
2023 Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO)
| $0.00 |
$6,900 |
$275 | Yes, some additional gap coverage. |
H6910 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,361
2023 Formulary |
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2024 Saint Alphonsus Health Plan Cash Back No Premium 1 (HMO)
| $0.00 |
$6,900 |
$275 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,392 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 Saint Alphonsus Health Plan No Premium (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H6910 -001 -0 | $0.00 | $6.00 | $31.00 | $31.00 | 3,361
2023 Formulary |
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2024 Saint Alphonsus Health Plan No Premium (HMO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $31.00 | $31.00 | 3,392 2024 Formulary |
|
2023 Saint Alphonsus Health Plan No Premium Choice (PPO)
| $0.00 |
$6,100 |
$150 | Yes, some additional gap coverage. |
H3828 -001 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,361
2023 Formulary |
|
new |
new |
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2024 Saint Alphonsus Health Plan No Premium Choice (PPO)
| $0.00 |
$6,100 |
$150 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,392 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1994 -023 -0 | | | | | |
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2024 Select Health Medicare + Kroger (HMO)
| $0.00 |
$4,500 |
$100 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,829 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 SelectHealth Medicare Essential (HMO)
| $0.00 |
$5,900 |
$100 | Yes, some additional gap coverage. |
H1994 -003 -0 | $0.00 | $6.00 | $47.00 | $47.00 | 4,010
2023 Formulary |
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2024 Select Health Medicare Essential (HMO)
| $0.00 |
$4,500 |
$100 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 3,829 2024 Formulary |
|
2023 True Blue Rx Essentials (HMO)
| $0.00 |
$6,200 |
$275 | No additional gap coverage, only the Donut Hole Discount |
H1350 -026 -0 | $10.00 | $15.00 | $37.00 | $37.00 | 3,874
2023 Formulary |
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2024 True Blue Rx Essentials (HMO)
| $0.00 |
$6,200 |
$275 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $15.00 | $47.00 | $47.00 | 3,823 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1350 -031 -1 | | | | | |
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2024 True Blue Rx Preferred (HMO)
| $0.00 |
$4,700 |
$175 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $47.00 | $47.00 | 3,823 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 True Blue Rx | St. Luke's Health Partners (HMO)
| $0.00 |
$5,200 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H1350 -023 -1 | $0.00 | $6.00 | $37.00 | $37.00 | 3,874
2023 Formulary |
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2024 True Blue Rx | St. Luke's Health Partners (HMO)
| $0.00 |
$4,500 |
$100 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $6.00 | $47.00 | $47.00 | 3,823 2024 Formulary |
|
2023 Aetna Medicare Choice Plan (PPO)
| $19.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H9431 -006 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
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2024 Aetna Medicare Choice Plan (PPO)
| $13.00 |
$5,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 AARP Medicare Advantage (HMO-POS)
| $10.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H4604 -012 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC ID-0005 (HMO-POS)
| $18.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 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 Chronic Complete Assure (PPO C-SNP)
| $11.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -043 -0 | | | | | 3,682
2023 Formulary |
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2024 UHC Complete Care ID-001A (PPO C-SNP)
| $18.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2406 -044 -0 | | | | | |
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|
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2024 AARP Medicare Advantage from UHC ID-0001 (PPO)
| $20.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1994 -024 -0 | | | | | |
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2024 Select Health Medicare Flex (HMO)
| $25.00 |
$4,200 |
$100 | Yes, some additional gap coverage. | $0.00 | $6.00 | $47.00 | $47.00 | 3,829 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 Molina Medicare Complete Care Select (HMO D-SNP)
| $43.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5628 -011 -0 | $0.00 | $0.00 | $23.00 | $23.00 | 3,270
2023 Formulary |
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|
|
2024 Molina Medicare Complete Care Select (HMO D-SNP)
| $28.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
2023 SelectHealth Medicare Enhanced (HMO)
| $19.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H1994 -008 -0 | $0.00 | $6.00 | $40.00 | $40.00 | 4,013
2023 Formulary |
|
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|
|
2024 Select Health Medicare Enhanced (HMO)
| $29.00 |
$5,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $6.00 | $40.00 | $40.00 | 3,831 2024 Formulary |
|
2023 HumanaChoice H5216-044 (PPO)
| $14.00 |
$6,000 |
$200 | Yes, some additional gap coverage. |
H5216 -044 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-044 (PPO)
| $30.00 |
$6,000 |
$200 | Yes, some additional gap coverage. | $0.00 | $8.00 | $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 True Blue Valor (HMO)
| $34.00 |
$3,000 |
No Rx Coverage |
H1350 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 True Blue Valor (HMO)
| $34.00 |
$3,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)
| $35.00 |
$4,950 |
$100 | Yes, some additional gap coverage. |
H3864 -024 -0 | $0.00 | $12.00 | $39.00 | $39.00 | 3,790
2023 Formulary |
|
|
|
|
2024 PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)
| $35.00 |
$4,950 |
$100 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,888 2024 Formulary |
|
2023 True Blue Rx Gem (HMO)
| $26.00 |
$5,800 |
$225 | No additional gap coverage, only the Donut Hole Discount |
H1350 -024 -1 | $3.00 | $10.00 | $37.00 | $37.00 | 3,874
2023 Formulary |
|
|
|
|
2024 True Blue Rx Gem (HMO)
| $35.00 |
$4,800 |
$175 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $47.00 | $47.00 | 3,823 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 Value Plus H5216-293 (PPO)
| $38.00 |
$8,300 |
$420 | No additional gap coverage, only the Donut Hole Discount |
H5216 -293 -0 | $4.00 | $14.00 | 25% | 25% | 3,409
2023 Formulary |
|
|
|
|
2024 Humana Value Plus H5216-293 (PPO)
| $39.00 |
$8,550 |
$500 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $18.00 | 22% | 22% | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H5619-077 (HMO)
| $26.00 |
$5,000 |
$150 | Yes, some additional gap coverage. |
H5619 -077 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus H5619-077 (HMO)
| $42.00 |
$5,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 American Health Advantage of Idaho (HMO I-SNP)
| $43.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4232 -003 -0 | | | | | 3,478
2023 Formulary |
|
-- |
|
|
2024 American Health Advantage of Idaho (HMO I-SNP)
| $44.40 |
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 Molina Medicare Complete Care (HMO D-SNP)
| $43.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5628 -008 -0 | $0.00 | $0.00 | $23.00 | $23.00 | 3,270
2023 Formulary |
|
|
|
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $44.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9656 -001 -0 | | | | | |
new |
new |
new |
|
2024 True Blue Special Needs Plan (HMO D-SNP)
| $44.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,823 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9656 -002 -0 | | | | | |
new |
new |
new |
|
2024 True Blue Special Needs Plan (HMO D-SNP)
| $44.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,823 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 Regence MedAdvantage + Rx Classic (PPO)
| $48.00 |
$5,500 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H1304 -012 -1 | $0.00 | $13.00 | $40.00 | $40.00 | 3,450
2023 Formulary |
|
|
|
|
2024 Regence MedAdvantage + Rx Classic (PPO)
| $53.00 |
$5,200 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $13.00 | $40.00 | $40.00 | 3,478 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2406 -045 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC ID-0002 (PPO)
| $70.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 True Blue Rx (HMO)
| $69.00 |
$6,200 |
$175 | No additional gap coverage, only the Donut Hole Discount |
H1350 -030 -0 | $5.00 | $15.00 | $37.00 | $37.00 | 3,874
2023 Formulary |
|
|
|
|
2024 True Blue Rx (HMO)
| $72.00 |
$6,200 |
$175 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,823 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 True Blue Rx Option II (HMO)
| $116.00 |
$6,400 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H1350 -029 -0 | $5.00 | $15.00 | $37.00 | $37.00 | 4,042
2023 Formulary |
|
|
|
|
2024 True Blue Rx Option II (HMO)
| $122.00 |
$6,400 |
$250 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,983 2024 Formulary |
|
2023 True Blue Rx Option I (HMO)
| $152.00 |
$6,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1350 -028 -0 | $0.00 | $12.00 | $37.00 | $37.00 | 4,042
2023 Formulary |
|
|
|
|
2024 True Blue Rx Option I (HMO)
| $140.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,983 2024 Formulary |
|
2023 AARP Medicare Advantage Choice Plan 1 (PPO)
| $19.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H2228 -031 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC ID-0001 (PPO) H2406-044 --
| | | | | |
|
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 Choice Plan 2 (PPO)
| $74.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H2228 -032 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC ID-0002 (PPO) H2406-045 --
| | | | | |
|
2023 AARP Medicare Advantage Choice Plan 3 (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H2228 -079 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC ID-0003 (PPO) H2406-065 --
| | | | | |
|
2023 AARP Medicare Advantage Choice Rebate (PPO)
| $0.00 |
$7,500 |
$295 | Yes, some additional gap coverage. |
H2228 -124 -0 | $0.00 | $14.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC ID-0004 (PPO) H2406-095 --
| | | | | |
|
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 Saint Alphonsus Health Plan Plus (HMO)
| $29.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H6910 -003 -0 | $0.00 | $6.00 | $31.00 | $31.00 | 3,361
2023 Formulary |
|
|
|
|
-- Members will be assigned to Saint Alphonsus Health Plan No Premium (HMO) H6910-001 --
| | | | | |
|
2023 True Blue Rx Preferred (HMO)
| $0.00 |
$5,500 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H1350 -027 -1 | $0.00 | $6.00 | $37.00 | $37.00 | 3,874
2023 Formulary |
|
|
|
|
-- Members will be assigned to True Blue Rx Preferred (HMO) H1350-031 --
| | | | | |
|
2023 True Blue Special Needs Plan (HMO D-SNP)
| $43.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1350 -009 -0 | | | | | 3,874
2023 Formulary |
|
|
|
|
-- Members will be assigned to True Blue Special Needs Plan (HMO D-SNP) H9656-001 --
| | | | | |
|
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 True Blue Special Needs Plan (HMO D-SNP)
| $43.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1350 -025 -0 | | | | | 3,874
2023 Formulary |
|
|
|
|
-- Members will be assigned to True Blue Special Needs Plan (HMO D-SNP) H9656-002 --
| | | | | |
|