There are 77 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 --
|
H0294 -022 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,390 |
No Rx Coverage | H5521 -286 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,390 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 BCN Advantage Elements (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | H5883 -001 -2 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 BCN Advantage Elements (HMO-POS)
| $0.00 |
$4,500 |
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 |
2023 HAP Senior Plus Medical Only (HMO)
| $0.00 |
$4,500 |
No Rx Coverage | H2354 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 HAP Medicare MedicalAccess (HMO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Humana Honor (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | H5216 -190 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Humana USAA Honor (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 HumanaChoice R3887-001 (Regional PPO)
| $0.00 |
$5,500 |
No Rx Coverage | R3887 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 HumanaChoice R3887-001 (Regional PPO)
| $0.00 |
$4,200 |
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 Patriot Giveback Open (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | H2117 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
-- This plan not offered in 2023 --
|
H0294 -024 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC MI-0006 (PPO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare MyMichigan Prime (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | H3192 -017 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare MyMichigan Prime (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | H3192 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Value (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | H5521 -288 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Value (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 BCN Advantage HMO-POS Prime Value (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H5883 -014 -2 | $0.00 | $11.00 | $42.00 | $42.00 | 3,600
2023 Formulary |
|
|
|
|
2024 BCN Advantage HMO-POS Prime Value (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $42.00 | $42.00 | 3,657 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 HAP Senior Plus (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | H2354 -015 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
2024 HAP Medicare Connect (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $41.00 | $41.00 | 3,707 2024 Formulary |
|
2023 HAP Senior Plus Option 1 (PPO)
| $0.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | H2322 -011 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
2024 HAP Medicare Explore (PPO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $41.00 | $41.00 | 3,707 2024 Formulary |
|
2023 HAP MSUHC Medicare (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H2354 -028 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
2024 HAP MSUHC Medicare (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $41.00 | $41.00 | 3,707 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 -305 -0 | | | | | |
|
|
|
|
2024 Humana USAA Honor with Rx (PPO)
| $0.00 |
$8,850 |
$350 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -375 -0 | | | | | |
|
|
|
|
2024 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$150 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-306 (PPO)
| $0.00 |
$6,550 |
$350 | Yes, some additional gap coverage. | H5216 -306 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-306 (PPO)
| $0.00 |
$7,550 |
$545 | 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 -384 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5216-384 (PPO)
| $0.00 |
$5,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 McLaren Medicare Inspire (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | H6322 -001 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,288
2023 Formulary |
|
new |
|
|
2024 McLaren Medicare Inspire (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9572 -007 -2 | | | | | |
|
|
|
|
2024 Medicare Plus Blue + Meijer (PPO)
| $0.00 |
$5,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $11.00 | $42.00 | $42.00 | 3,500 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 Medicare Plus Blue PPO Essential (PPO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | H9572 -004 -2 | $0.00 | $11.00 | $42.00 | $42.00 | 3,600
2023 Formulary |
|
|
|
|
2024 Medicare Plus Blue PPO Essential (PPO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $42.00 | $42.00 | 3,657 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9572 -006 -2 | | | | | |
|
|
|
|
2024 Medicare Plus Blue PPO Part B Credit (PPO)
| $0.00 |
$6,550 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 3,500 2024 Formulary |
|
2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount | H5926 -006 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
|
|
|
|
2024 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 | 3,248 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 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$375 | No additional gap coverage, only the Donut Hole Discount | H5926 -007 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
|
|
|
|
2024 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$375 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,248 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6727 -001 -0 | | | | | |
new |
new |
new |
|
2024 PHP Medicare Advantage (PPO)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,494 2024 Formulary |
|
2023 PriorityMedicare Compass (PPO)
| $0.00 |
$5,650 |
$0 | No additional gap coverage, only the Donut Hole Discount | H4875 -021 -2 | $4.00 | $15.00 | $42.00 | $42.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare Compass (PPO)
| $0.00 |
$5,650 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $42.00 | $42.00 | 3,534 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 PriorityMedicare Key (HMO-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | H2320 -022 -4 | $4.00 | $15.00 | $42.00 | $42.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare Key (HMO-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $42.00 | $42.00 | 3,534 2024 Formulary |
|
2023 Sparrow Advantage (HMO-POS)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | H7646 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
|
|
|
|
2024 Sparrow Advantage (HMO-POS)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,494 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount | H5475 -031 -0 | $0.00 | $15.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$315 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $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-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | H5475 -026 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium (HMO-POS)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H2117 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium Open (PPO)
| $0.00 |
$5,000 |
$275 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare Low Premium (HMO-POS)
| $15.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | H5475 -024 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare Low Premium (HMO-POS)
| $9.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,372 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)
| $11.90 |
$5,000 |
$505 | No additional gap coverage, only the Donut Hole Discount | H5475 -038 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Assist (HMO)
| $17.50 |
$5,000 |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -380 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5216-380 (PPO)
| $19.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 PriorityMedicare Ideal (PPO)
| $25.00 |
$5,800 |
$125 | No additional gap coverage, only the Donut Hole Discount | H4875 -018 -4 | $4.00 | $13.00 | $42.00 | $42.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare Ideal (PPO)
| $19.00 |
$5,800 |
$125 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $13.00 | $42.00 | $42.00 | 3,534 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 --
|
H5475 -039 -0 | | | | | |
|
|
|
|
2024 Wellcare All Dual Assure (HMO D-SNP)
| $20.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Molina Medicare Complete Care Select (HMO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5926 -005 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,270
2023 Formulary |
|
|
|
|
2024 Molina Medicare Complete Care Select (HMO D-SNP)
| $21.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
2023 McLaren Medicare Inspire Plus (HMO)
| $25.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | H6322 -002 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,288
2023 Formulary |
|
new |
|
|
2024 McLaren Medicare Inspire Plus (HMO)
| $25.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,332 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 Sparrow Advantage Plus (HMO-POS)
| $25.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | H7646 -004 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
|
|
|
|
2024 Sparrow Advantage Plus (HMO-POS)
| $25.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $40.00 | $40.00 | 3,494 2024 Formulary |
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5926 -001 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,270
2023 Formulary |
|
|
|
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $27.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0294 -025 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC MI-0007 (PPO)
| $28.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 --
|
H5216 -382 -0 | | | | | |
|
|
|
|
2024 Humana Value Plus H5216-382 (PPO)
| $28.20 |
$8,850 |
$260 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Wellcare Dual Access (HMO-POS D-SNP)
| $27.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H5475 -001 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO-POS D-SNP)
| $32.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $18.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H2117 -002 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $32.20 |
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 Aetna Medicare Assure Premier (HMO D-SNP)
| $20.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H3192 -007 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure Premier (HMO 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 --
|
H5216 -385 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-385 (PPO D-SNP)
| $35.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -388 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-388 (PPO D-SNP)
| $35.90 |
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 |
2023 McLaren Medicare Inspire Duals (HMO D-SNP)
| $32.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H6322 -004 -0 | | | | | 3,288
2023 Formulary |
|
new |
|
|
2024 McLaren Medicare Inspire Duals (HMO D-SNP)
| $35.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,332 2024 Formulary |
|
2023 PriorityMedicare D-SNP (HMO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H8379 -001 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare D-SNP (HMO D-SNP)
| $35.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,534 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H0271 -028 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete MI-S001 (PPO D-SNP)
| $35.90 |
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 (HMO-POS D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H2247 -001 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete MI-S002 (HMO-POS D-SNP)
| $35.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H2247 -003 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete MI-V001 (HMO-POS D-SNP)
| $35.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 PriorityMedicare Value (HMO-POS)
| $46.00 |
$4,900 |
$75 | No additional gap coverage, only the Donut Hole Discount | H2320 -029 -4 | $2.00 | $10.00 | $42.00 | $42.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare Value (HMO-POS)
| $43.00 |
$4,900 |
$75 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,534 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 McLaren Medicare Inspire Flex (HMO-POS)
| $49.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | H6322 -003 -2 | $0.00 | $12.00 | $47.00 | $47.00 | 3,288
2023 Formulary |
|
new |
|
|
2024 McLaren Medicare Inspire Flex (HMO-POS)
| $49.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
|
2023 Medicare Plus Blue PPO Vitality (PPO)
| $68.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H9572 -002 -2 | $0.00 | $11.00 | $42.00 | $42.00 | 3,600
2023 Formulary |
|
|
|
|
2024 Medicare Plus Blue PPO Vitality (PPO)
| $68.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $42.00 | $42.00 | 3,657 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -011 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5216-011 (PPO)
| $84.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $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 PriorityMedicare (HMO-POS)
| $105.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | H2320 -028 -4 | $1.00 | $8.00 | $38.00 | $38.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare (HMO-POS)
| $103.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $8.00 | $38.00 | $38.00 | 3,534 2024 Formulary |
|
2023 HumanaChoice R3887-002 (Regional PPO)
| $87.00 |
$4,500 |
$505 | No additional gap coverage, only the Donut Hole Discount | R3887 -002 -0 | $18.00 | $20.00 | 18% | 18% | 3,409
2023 Formulary |
|
|
|
|
2024 HumanaChoice R3887-002 (Regional PPO)
| $105.00 |
$4,500 |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 BCN Advantage HMO-POS Classic (HMO-POS)
| $110.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | H5883 -002 -2 | $0.00 | $7.00 | $38.00 | $38.00 | 3,600
2023 Formulary |
|
|
|
|
2024 BCN Advantage HMO-POS Classic (HMO-POS)
| $110.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $38.00 | $38.00 | 3,657 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 HAP Senior Plus Option 1 (HMO-POS)
| $99.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H2354 -021 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
2024 HAP Senior Plus (HMO-POS)
| $110.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $41.00 | $41.00 | 3,707 2024 Formulary |
|
2023 Medicare Plus Blue PPO Signature (PPO)
| $120.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | H9572 -001 -2 | $0.00 | $10.00 | $42.00 | $42.00 | 3,600
2023 Formulary |
|
|
|
|
2024 Medicare Plus Blue PPO Signature (PPO)
| $117.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,657 2024 Formulary |
|
2023 PriorityMedicare Merit (PPO)
| $119.00 |
$4,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | H4875 -016 -2 | $2.00 | $10.00 | $42.00 | $42.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare Merit (PPO)
| $118.00 |
$4,100 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $10.00 | $42.00 | $42.00 | 3,534 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 HAP Senior Plus Option 3 (PPO)
| $165.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H2322 -008 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
2024 HAP Senior Plus (PPO)
| $165.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $11.00 | $41.00 | $41.00 | 3,707 2024 Formulary |
|
2023 PriorityMedicare Select (PPO)
| $223.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | H4875 -017 -4 | $1.00 | $7.00 | $37.00 | $37.00 | 3,508
2023 Formulary |
|
|
|
|
2024 PriorityMedicare Select (PPO)
| $223.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $1.00 | $7.00 | $37.00 | $37.00 | 3,534 2024 Formulary |
|
2023 BCN Advantage HMO-POS Prestige (HMO-POS)
| $240.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | H5883 -003 -2 | $0.00 | $7.00 | $38.00 | $38.00 | 3,600
2023 Formulary |
|
|
|
|
2024 BCN Advantage HMO-POS Prestige (HMO-POS)
| $240.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $38.00 | $38.00 | 3,657 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 Medicare Plus Blue PPO Assure (PPO)
| $246.00 |
$3,425 |
$0 | Yes, some additional gap coverage. | H9572 -003 -2 | $0.00 | $7.00 | $37.00 | $37.00 | 3,600
2023 Formulary |
|
|
|
|
2024 Medicare Plus Blue PPO Assure (PPO)
| $246.00 |
$3,425 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $37.00 | $37.00 | 3,657 2024 Formulary |
|
2023 HAP Senior Plus Option 2 (PPO)
| $70.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | H2322 -012 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
-- Members will be assigned to HAP Medicare Explore (PPO) H2322-011 --
| | | | | |
|
2023 HAP Medicare Flex (PPO)
| $0.00 |
$8,300 |
$505 | Yes, some additional gap coverage. | H2322 -014 -0 | $0.00 | $15.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
-- Members will be assigned to HAP Medicare Explore (PPO) H2322-011 --
| | | | | |
|
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 HAP Senior Plus Option 2 (HMO-POS)
| $190.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | H2354 -022 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
-- Members will be assigned to HAP Senior Plus (HMO-POS) H2354-021 --
| | | | | |
|
2023 HAP Senior Plus Option 4 (PPO)
| $180.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | H2322 -004 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,725
2023 Formulary |
|
|
|
|
-- Members will be assigned to HAP Senior Plus (PPO) H2322-008 --
| | | | | |
|
2023 Humana Value Plus H8087-002 (PPO)
| $23.90 |
$7,550 |
$260 | No additional gap coverage, only the Donut Hole Discount | H8087 -002 -0 | $0.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Value Plus H5216-382 (PPO) H5216-382 --
| | | | | |
|
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 H5216-009 (PPO)
| $70.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | H5216 -009 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-011 (PPO) H5216-011 --
| | | | | |
|
2023 HumanaChoice H8087-001 (PPO)
| $19.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | H8087 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-380 (PPO) H5216-380 --
| | | | | |
|
2023 HumanaChoice H8087-004 (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | H8087 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-384 (PPO) H5216-384 --
| | | | | |
|
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 SNP-DE H8087-003 (PPO D-SNP)
| $32.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount | H8087 -003 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice SNP-DE H5216-385 (PPO D-SNP) H5216-385 --
| | | | | |
|
2023 Wellcare Community Assist (PPO)
| $32.70 |
$5,000 |
$380 | No additional gap coverage, only the Donut Hole Discount | H2117 -004 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium Open (PPO) H2117-001 --
| | | | | |
|