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See How Your 2023 Medicare Advantage Plan
      is Changing in 2024

MA-Compare offers a one-click comparison of all 2023 Medicare Advantage Plans will be changing in 2024.

Just enter your ZIP Code and click the button "Click to Compare Annual Plan Changes" to review changes in all Medicare Advantage plans available in your county.
Choose Your Medicare Advantage Plan Preferences
    

GRATIOT, Michigan

  Only show plans discontinued in 2024
  Only show plans new for 2024
Only show SNPs (All 3 Types)
OR only: Dual-Eligible   Chronic Cond.  
Institutional  
  ex: AARP
2023
2024
2023: $ max: $301
2024: $ max: $327
2023: $ max: $505
2024: $ max: $545
2023:
2024:
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
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO)
Details      
$0.00 $5,500 No Rx CoverageThis plan does NOT include Prescription Drug coverage. 
2023 Aetna Medicare Eagle (PPO)
Details      
$0.00 $4,390 No Rx CoverageH5521
-286
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Aetna Medicare Eagle (PPO)
Details      
$0.00 $4,390 No Rx CoverageThis plan does NOT include Prescription Drug coverage. 
2023 BCN Advantage Elements (HMO-POS)
Details      
$0.00 $4,500 No Rx CoverageH5883
-001
-2
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 BCN Advantage Elements (HMO-POS)
Details      
$0.00 $4,500 No Rx CoverageThis 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)
Details      
$0.00 $4,500 No Rx CoverageH2354
-019
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 HAP Medicare MedicalAccess (HMO)
Details      
$0.00 $4,500 No Rx CoverageThis plan does NOT include Prescription Drug coverage. 
2023 Humana Honor (PPO)
Details      
$0.00 $5,500 No Rx CoverageH5216
-190
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Humana USAA Honor (PPO)
Details      
$0.00 $5,500 No Rx CoverageThis plan does NOT include Prescription Drug coverage. 
2023 HumanaChoice R3887-001 (Regional PPO)
Details      
$0.00 $5,500 No Rx CoverageR3887
-001
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice R3887-001 (Regional PPO)
Details      
$0.00 $4,200 No Rx CoverageThis 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)
Details      
$0.00 $5,000 No Rx CoverageH2117
-003
-0
This plan does NOT include Prescription Drug coverage. 
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare Patriot Giveback Open (PPO)
Details      
$0.00 $5,000 No Rx CoverageThis plan does NOT include Prescription Drug coverage. 

-- This plan not offered in 2023 --

H0294
-024
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 AARP Medicare Advantage from UHC MI-0006 (PPO)
Details        
$0.00 $5,200 $0Yes, some additional gap coverage.$0.00$12.00$47.00$47.003,634
2024 Formulary
2023 Aetna Medicare MyMichigan Prime (HMO-POS)
Details        
$0.00 $3,900 $0Yes, some additional gap coverage.H3192
-017
-0
$0.00$10.00$47.00$47.003,597

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Aetna Medicare MyMichigan Prime (HMO-POS)
Details        
$0.00 $3,900 $0Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,633
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)
Details        
$0.00 $3,900 $0Yes, some additional gap coverage.H3192
-002
-0
$0.00$10.00$47.00$47.003,597

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Aetna Medicare Premier (HMO-POS)
Details        
$0.00 $3,900 $0Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,633
2024 Formulary
2023 Aetna Medicare Value (PPO)
Details        
$0.00 $4,900 $0Yes, some additional gap coverage.H5521
-288
-0
$0.00$10.00$47.00$47.003,597

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Aetna Medicare Value (PPO)
Details        
$0.00 $4,900 $0Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,633
2024 Formulary
2023 BCN Advantage HMO-POS Prime Value (HMO-POS)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage.H5883
-014
-2
$0.00$11.00$42.00$42.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 BCN Advantage HMO-POS Prime Value (HMO-POS)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage.$0.00$11.00$42.00$42.003,657
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)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage.H2354
-015
-0
$0.00$10.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 HAP Medicare Connect (HMO)
Details        
$0.00 $4,500 $0Yes, some additional gap coverage.$0.00$9.00$41.00$41.003,707
2024 Formulary
2023 HAP Senior Plus Option 1 (PPO)
Details        
$0.00 $6,000 $0Yes, some additional gap coverage.H2322
-011
-0
$0.00$12.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 HAP Medicare Explore (PPO)
Details        
$0.00 $5,200 $0Yes, some additional gap coverage.$0.00$11.00$41.00$41.003,707
2024 Formulary
2023 HAP MSUHC Medicare (HMO)
Details        
$0.00 $5,000 $0Yes, some additional gap coverage.H2354
-028
-0
$0.00$10.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 HAP MSUHC Medicare (HMO)
Details        
$0.00 $4,900 $0Yes, some additional gap coverage.$0.00$9.00$41.00$41.003,707
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
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Humana USAA Honor with Rx (PPO)
Details        
$0.00 $8,850 $350Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,448
2024 Formulary

-- This plan not offered in 2023 --

H5216
-375
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice - Diabetes and Heart (PPO C-SNP)
Details        
$0.00 n/a $150Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,448
2024 Formulary
2023 HumanaChoice H5216-306 (PPO)
Details        
$0.00 $6,550 $350Yes, some additional gap coverage.H5216
-306
-0
$0.00$5.00$47.00$47.003,404

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice H5216-306 (PPO)
Details        
$0.00 $7,550 $545Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,448
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
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice H5216-384 (PPO)
Details        
$0.00 $5,300 $0Yes, some additional gap coverage.$0.00$5.00$47.00$47.003,448
2024 Formulary
2023 McLaren Medicare Inspire (HMO)
Details        
$0.00 $4,200 $0Yes, some additional gap coverage.H6322
-001
-0
$0.00$12.00$47.00$47.003,288

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) new  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 McLaren Medicare Inspire (HMO)
Details        
$0.00 $4,200 $0Yes, some additional gap coverage.$0.00$12.00$47.00$47.003,332
2024 Formulary

-- This plan not offered in 2023 --

H9572
-007
-2
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Medicare Plus Blue + Meijer (PPO)
Details        
$0.00 $5,200 $0No additional gap coverage, only the Donut Hole Discount$0.00$11.00$42.00$42.003,500
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)
Details        
$0.00 $5,200 $0Yes, some additional gap coverage.H9572
-004
-2
$0.00$11.00$42.00$42.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Medicare Plus Blue PPO Essential (PPO)
Details        
$0.00 $5,200 $0Yes, some additional gap coverage.$0.00$11.00$42.00$42.003,657
2024 Formulary

-- This plan not offered in 2023 --

H9572
-006
-2
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Medicare Plus Blue PPO Part B Credit (PPO)
Details        
$0.00 $6,550 $350No additional gap coverage, only the Donut Hole Discount$0.00$10.00$45.00$45.003,500
2024 Formulary
2023 Molina Medicare Choice Care (HMO)
Details        
$0.00 $8,300 $125No additional gap coverage, only the Donut Hole DiscountH5926
-006
-0
$3.00$12.00$47.00$47.003,221

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2024 Molina Medicare Choice Care (HMO)
Details        
$0.00 $8,300 $125No additional gap coverage, only the Donut Hole Discount$3.00$12.00$47.00$47.003,248
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)
Details        
$0.00 $8,300 $375No additional gap coverage, only the Donut Hole DiscountH5926
-007
-0
$15.00$20.00$47.00$47.003,221

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2024 Molina Medicare Choice Care Select (HMO)
Details        
$0.00 $8,300 $375No additional gap coverage, only the Donut Hole Discount$0.00$0.00$47.00$47.003,248
2024 Formulary

-- This plan not offered in 2023 --

H6727
-001
-0
     
new new new  
2024 PHP Medicare Advantage (PPO)
Details        
$0.00 $5,500 $0No additional gap coverage, only the Donut Hole Discount$0.00$0.00$42.00$42.003,494
2024 Formulary
2023 PriorityMedicare Compass (PPO)
Details        
$0.00 $5,650 $0No additional gap coverage, only the Donut Hole DiscountH4875
-021
-2
$4.00$15.00$42.00$42.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare Compass (PPO)
Details        
$0.00 $5,650 $0No additional gap coverage, only the Donut Hole Discount$4.00$15.00$42.00$42.003,534
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)
Details        
$0.00 $5,500 $0No additional gap coverage, only the Donut Hole DiscountH2320
-022
-4
$4.00$15.00$42.00$42.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare Key (HMO-POS)
Details        
$0.00 $5,500 $0No additional gap coverage, only the Donut Hole Discount$4.00$15.00$42.00$42.003,534
2024 Formulary
2023 Sparrow Advantage (HMO-POS)
Details        
$0.00 $3,600 $0No additional gap coverage, only the Donut Hole DiscountH7646
-001
-0
$0.00$0.00$40.00$40.003,467

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Sparrow Advantage (HMO-POS)
Details        
$0.00 $3,600 $0No additional gap coverage, only the Donut Hole Discount$0.00$0.00$40.00$40.003,494
2024 Formulary
2023 Wellcare Giveback (HMO)
Details        
$0.00 $7,550 $505No additional gap coverage, only the Donut Hole DiscountH5475
-031
-0
$0.00$15.00$37.00$37.003,392

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare Giveback (HMO)
Details        
$0.00 $7,550 $315No additional gap coverage, only the Donut Hole Discount$0.00$0.00$42.00$42.003,371
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)
Details        
$0.00 $5,500 $0No additional gap coverage, only the Donut Hole DiscountH5475
-026
-0
$0.00$5.00$37.00$37.003,393

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare No Premium (HMO-POS)
Details        
$0.00 $5,500 $0No additional gap coverage, only the Donut Hole Discount$0.00$5.00$42.00$42.003,372
2024 Formulary
2023 Wellcare No Premium Open (PPO)
Details        
$0.00 $5,000 $0Yes, some additional gap coverage.H2117
-001
-0
$0.00$5.00$37.00$37.003,392

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare No Premium Open (PPO)
Details        
$0.00 $5,000 $275Yes, some additional gap coverage.$0.00$5.00$42.00$42.003,371
2024 Formulary
2023 Wellcare Low Premium (HMO-POS)
Details        
$15.00 $5,000 $0No additional gap coverage, only the Donut Hole DiscountH5475
-024
-0
$0.00$5.00$35.00$35.003,393

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare Low Premium (HMO-POS)
Details        
$9.00 $5,000 $0No additional gap coverage, only the Donut Hole Discount$0.00$5.00$42.00$42.003,372
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)
Details        
$11.90 $5,000 $505No additional gap coverage, only the Donut Hole DiscountH5475
-038
-0
$0.00$20.00$47.00$47.003,392

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare Assist (HMO)
Details        
$17.50 $5,000 $400No additional gap coverage, only the Donut Hole Discount$0.00$20.00$47.00$47.003,371
2024 Formulary

-- This plan not offered in 2023 --

H5216
-380
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice H5216-380 (PPO)
Details        
$19.00 $5,900 $0No additional gap coverage, only the Donut Hole Discount$0.00$8.00$47.00$47.003,448
2024 Formulary
2023 PriorityMedicare Ideal (PPO)
Details        
$25.00 $5,800 $125No additional gap coverage, only the Donut Hole DiscountH4875
-018
-4
$4.00$13.00$42.00$42.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare Ideal (PPO)
Details        
$19.00 $5,800 $125No additional gap coverage, only the Donut Hole Discount$4.00$13.00$42.00$42.003,534
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
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare All Dual Assure (HMO D-SNP)
Details        
$20.50 n/a $545No additional gap coverage, only the Donut Hole Discount    3,353
2024 Formulary
2023 Molina Medicare Complete Care Select (HMO D-SNP)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH5926
-005
-0
$0.00$0.00$42.00$42.003,270

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2024 Molina Medicare Complete Care Select (HMO D-SNP)
Details        
$21.00 n/a $545No additional gap coverage, only the Donut Hole Discount    3,303
2024 Formulary
2023 McLaren Medicare Inspire Plus (HMO)
Details        
$25.00 $3,500 $0Yes, some additional gap coverage.H6322
-002
-0
$0.00$12.00$47.00$47.003,288

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) new  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 McLaren Medicare Inspire Plus (HMO)
Details        
$25.00 $3,500 $0Yes, some additional gap coverage.$0.00$12.00$47.00$47.003,332
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)
Details        
$25.00 $3,600 $0No additional gap coverage, only the Donut Hole DiscountH7646
-004
-0
$0.00$0.00$40.00$40.003,467

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Sparrow Advantage Plus (HMO-POS)
Details        
$25.00 $3,600 $0No additional gap coverage, only the Donut Hole Discount$0.00$0.00$40.00$40.003,494
2024 Formulary
2023 Molina Medicare Complete Care (HMO D-SNP)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH5926
-001
-0
$0.00$0.00$42.00$42.003,270

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 1 Stars (Poor)  Medicare Part D Plan Rating - 2 Stars (Below Average)  
2024 Molina Medicare Complete Care (HMO D-SNP)
Details        
$27.90 n/a $545No additional gap coverage, only the Donut Hole Discount    3,303
2024 Formulary

-- This plan not offered in 2023 --

H0294
-025
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 AARP Medicare Advantage from UHC MI-0007 (PPO)
Details        
$28.00 $4,200 $0Yes, some additional gap coverage.$0.00$10.00$47.00$47.003,634
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
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Humana Value Plus H5216-382 (PPO)
Details        
$28.20 $8,850 $260No additional gap coverage, only the Donut Hole Discount$0.00$15.00$47.00$47.003,448
2024 Formulary
2023 Wellcare Dual Access (HMO-POS D-SNP)
Details        
$27.90 n/a $505No additional gap coverage, only the Donut Hole DiscountH5475
-001
-0
    3,394

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare Dual Access (HMO-POS D-SNP)
Details        
$32.10 n/a $545No additional gap coverage, only the Donut Hole Discount    3,353
2024 Formulary
2023 Wellcare Dual Access Open (PPO D-SNP)
Details        
$18.30 n/a $505No additional gap coverage, only the Donut Hole DiscountH2117
-002
-0
    3,394

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Wellcare Dual Access Open (PPO D-SNP)
Details        
$32.20 n/a $545No 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)
Details        
$20.20 n/a $505No additional gap coverage, only the Donut Hole DiscountH3192
-007
-0
    3,597

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 Aetna Medicare Assure Premier (HMO D-SNP)
Details        
$35.70 n/a $545No additional gap coverage, only the Donut Hole Discount    3,633
2024 Formulary

-- This plan not offered in 2023 --

H5216
-385
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice SNP-DE H5216-385 (PPO D-SNP)
Details        
$35.90 n/a $545No additional gap coverage, only the Donut Hole Discount    3,448
2024 Formulary

-- This plan not offered in 2023 --

H5216
-388
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice SNP-DE H5216-388 (PPO D-SNP)
Details        
$35.90 n/a $545No 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)
Details        
$32.60 n/a $505No additional gap coverage, only the Donut Hole DiscountH6322
-004
-0
    3,288

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) new  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 McLaren Medicare Inspire Duals (HMO D-SNP)
Details        
$35.90 n/a $545No additional gap coverage, only the Donut Hole Discount    3,332
2024 Formulary
2023 PriorityMedicare D-SNP (HMO D-SNP)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH8379
-001
-0
$0.00$20.00$47.00$47.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 PriorityMedicare D-SNP (HMO D-SNP)
Details        
$35.90 n/a $545No additional gap coverage, only the Donut Hole Discount    3,534
2024 Formulary
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH0271
-028
-0
    3,682

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 UHC Dual Complete MI-S001 (PPO D-SNP)
Details        
$35.90 n/a $545No 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)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH2247
-001
-0
    3,682

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 UHC Dual Complete MI-S002 (HMO-POS D-SNP)
Details        
$35.90 n/a $545No additional gap coverage, only the Donut Hole Discount    3,634
2024 Formulary
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH2247
-003
-0
    3,682

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 UHC Dual Complete MI-V001 (HMO-POS D-SNP)
Details        
$35.90 n/a $545No additional gap coverage, only the Donut Hole Discount    3,634
2024 Formulary
2023 PriorityMedicare Value (HMO-POS)
Details        
$46.00 $4,900 $75No additional gap coverage, only the Donut Hole DiscountH2320
-029
-4
$2.00$10.00$42.00$42.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare Value (HMO-POS)
Details        
$43.00 $4,900 $75No additional gap coverage, only the Donut Hole Discount$2.00$10.00$42.00$42.003,534
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)
Details        
$49.00 $3,800 $0Yes, some additional gap coverage.H6322
-003
-2
$0.00$12.00$47.00$47.003,288

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) new  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 McLaren Medicare Inspire Flex (HMO-POS)
Details        
$49.00 $3,800 $0Yes, some additional gap coverage.$0.00$12.00$47.00$47.003,332
2024 Formulary
2023 Medicare Plus Blue PPO Vitality (PPO)
Details        
$68.00 $5,000 $0Yes, some additional gap coverage.H9572
-002
-2
$0.00$11.00$42.00$42.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Medicare Plus Blue PPO Vitality (PPO)
Details        
$68.00 $5,000 $0Yes, some additional gap coverage.$0.00$11.00$42.00$42.003,657
2024 Formulary

-- This plan not offered in 2023 --

H5216
-011
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice H5216-011 (PPO)
Details        
$84.00 $5,900 $0No additional gap coverage, only the Donut Hole Discount$6.00$15.00$47.00$47.003,448
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)
Details        
$105.00 $4,500 $0No additional gap coverage, only the Donut Hole DiscountH2320
-028
-4
$1.00$8.00$38.00$38.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare (HMO-POS)
Details        
$103.00 $4,500 $0No additional gap coverage, only the Donut Hole Discount$1.00$8.00$38.00$38.003,534
2024 Formulary
2023 HumanaChoice R3887-002 (Regional PPO)
Details        
$87.00 $4,500 $505No additional gap coverage, only the Donut Hole DiscountR3887
-002
-0
$18.00$20.0018%18%3,409

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2024 HumanaChoice R3887-002 (Regional PPO)
Details        
$105.00 $4,500 $545No additional gap coverage, only the Donut Hole Discount    3,448
2024 Formulary
2023 BCN Advantage HMO-POS Classic (HMO-POS)
Details        
$110.00 $3,800 $0Yes, some additional gap coverage.H5883
-002
-2
$0.00$7.00$38.00$38.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 BCN Advantage HMO-POS Classic (HMO-POS)
Details        
$110.00 $3,800 $0Yes, some additional gap coverage.$0.00$7.00$38.00$38.003,657
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)
Details        
$99.00 $5,000 $0Yes, some additional gap coverage.H2354
-021
-0
$0.00$10.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 HAP Senior Plus (HMO-POS)
Details        
$110.00 $4,500 $0Yes, some additional gap coverage.$0.00$9.00$41.00$41.003,707
2024 Formulary
2023 Medicare Plus Blue PPO Signature (PPO)
Details        
$120.00 $4,700 $0Yes, some additional gap coverage.H9572
-001
-2
$0.00$10.00$42.00$42.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Medicare Plus Blue PPO Signature (PPO)
Details        
$117.00 $4,700 $0Yes, some additional gap coverage.$0.00$10.00$42.00$42.003,657
2024 Formulary
2023 PriorityMedicare Merit (PPO)
Details        
$119.00 $4,100 $0No additional gap coverage, only the Donut Hole DiscountH4875
-016
-2
$2.00$10.00$42.00$42.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare Merit (PPO)
Details        
$118.00 $4,100 $0No additional gap coverage, only the Donut Hole Discount$2.00$10.00$42.00$42.003,534
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)
Details        
$165.00 $5,000 $0Yes, some additional gap coverage.H2322
-008
-0
$0.00$12.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 HAP Senior Plus (PPO)
Details        
$165.00 $4,000 $0Yes, some additional gap coverage.$0.00$11.00$41.00$41.003,707
2024 Formulary
2023 PriorityMedicare Select (PPO)
Details        
$223.00 $3,500 $0No additional gap coverage, only the Donut Hole DiscountH4875
-017
-4
$1.00$7.00$37.00$37.003,508

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 PriorityMedicare Select (PPO)
Details        
$223.00 $3,500 $0No additional gap coverage, only the Donut Hole Discount$1.00$7.00$37.00$37.003,534
2024 Formulary
2023 BCN Advantage HMO-POS Prestige (HMO-POS)
Details        
$240.00 $3,400 $0Yes, some additional gap coverage.H5883
-003
-2
$0.00$7.00$38.00$38.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 BCN Advantage HMO-POS Prestige (HMO-POS)
Details        
$240.00 $3,400 $0Yes, some additional gap coverage.$0.00$7.00$38.00$38.003,657
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)
Details        
$246.00 $3,425 $0Yes, some additional gap coverage.H9572
-003
-2
$0.00$7.00$37.00$37.003,600

2023 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2024 Medicare Plus Blue PPO Assure (PPO)
Details        
$246.00 $3,425 $0Yes, some additional gap coverage.$0.00$7.00$37.00$37.003,657
2024 Formulary
2023 HAP Senior Plus Option 2 (PPO)
Details        
$70.00 $5,500 $0Yes, some additional gap coverage.H2322
-012
-0
$0.00$12.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to HAP Medicare Explore (PPO) H2322-011 --

     
2023 HAP Medicare Flex (PPO)
Details        
$0.00 $8,300 $505Yes, some additional gap coverage.H2322
-014
-0
$0.00$15.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- 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)
Details        
$190.00 $4,000 $0Yes, some additional gap coverage.H2354
-022
-0
$0.00$10.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to HAP Senior Plus (HMO-POS) H2354-021 --

     
2023 HAP Senior Plus Option 4 (PPO)
Details        
$180.00 $4,000 $0Yes, some additional gap coverage.H2322
-004
-0
$0.00$12.00$42.00$42.003,725

2023 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to HAP Senior Plus (PPO) H2322-008 --

     
2023 Humana Value Plus H8087-002 (PPO)
Details        
$23.90 $7,550 $260No additional gap coverage, only the Donut Hole DiscountH8087
-002
-0
$0.00$15.00$47.00$47.003,404

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)
Details        
$70.00 $5,900 $0No additional gap coverage, only the Donut Hole DiscountH5216
-009
-0
$6.00$15.00$47.00$47.003,404

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- Members will be assigned to HumanaChoice H5216-011 (PPO) H5216-011 --

     
2023 HumanaChoice H8087-001 (PPO)
Details        
$19.00 $5,900 $0No additional gap coverage, only the Donut Hole DiscountH8087
-001
-0
$0.00$8.00$47.00$47.003,404

2023 Formulary
 

-- Members will be assigned to HumanaChoice H5216-380 (PPO) H5216-380 --

     
2023 HumanaChoice H8087-004 (PPO)
Details        
$0.00 $5,000 $0Yes, some additional gap coverage.H8087
-004
-0
$0.00$0.00$47.00$47.003,404

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)
Details        
$32.70 n/a $505No additional gap coverage, only the Donut Hole DiscountH8087
-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)
Details        
$32.70 $5,000 $380No additional gap coverage, only the Donut Hole DiscountH2117
-004
-0
$0.00$0.00$37.00$37.003,392

2023 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- Members will be assigned to Wellcare No Premium Open (PPO) H2117-001 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2024 Medicare Part D Plan information above.

  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

      This category includes measures of how drug plans rate on the following areas:
      • Time on Hold When Customer and Pharmacist Calls Drug Plan.
      • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
      • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
      • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

    • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

      This category includes measures of how drug plans rate on the following areas:
      • Drug Plan Provides Information or Help When Members Need It.
      • Members’ Overall Rating of Drug Plan.
      • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

    • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

      This category includes measures of how drug plans rate on the following areas:
      • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
      • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
      • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
      • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
      • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

    (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.

  • Deductible: The standard CMS plan initial deductible is $545. Many Medicare plans do not have a deductible; however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage Phase tier 1 cost-sharing.

  • Gap Coverage: In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $6,334 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2024, all formulary drugs will have at least a 75% discount in the coverage gap (Donut Hole). The Gap Coverage Types discussed in this section are supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $6,334 depending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Read more...
    • Yes: This plan offers some supplemental gap coverage in addition to the 75% Donut Hole Discount. See plan details for a description of the gap coverage. The description may read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • $0 Premium with Full LIS - Does the plan qualify for $0 premium with full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.

  • Copay / Coinsurance - Cost Sharing - This is what you will pay for formulary drugs in the Initial Coverage Phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)




Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.

  • Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.

  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.

  • Members in This State (updated: September 2024 figures) - This is the total number of members in this plan for this PDP CMS Region. For regions that contain more than one state, this is the total for all of those states combined. If the CMS Region contains more than one state, the actual state enrollment is shown, along with the CMS region and national enrollment figures on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.

  • Members Nation Wide (updated: September 2024 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.

  • Initial Coverage Limit (ICL) - The Initial Coverage Phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2024 is $5,030 and increases each year.

  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.



(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Medicare plan provider.







Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.