There are 65 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Patriot (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H2577 -015 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx VA-MA01 (PPO)
| $0.00 |
$7,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,900 |
No Rx Coverage |
H5521 -322 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Anthem MediBlue Service (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H4909 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Anthem Veteran (PPO)
| $0.00 |
$6,700 |
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 Gold Choice H8145-042 (PFFS)
| $28.00 |
n/a |
No Rx Coverage |
H8145 -042 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana Gold Choice H8145-042 (PFFS)
| $0.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H5216 -310 -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 Humana Honor (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R1390 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-152 (PPO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5216 -152 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice H5216-152 (PPO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R1390-001 (Regional PPO)
| $0.00 |
$6,950 |
No Rx Coverage |
R1390 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R1390-001 (Regional PPO)
| $0.00 |
$6,350 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H2577 -011 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC VA-0004 (PPO)
| $0.00 |
$7,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Flex Plan 1 (HMO-POS)
| $0.00 |
$4,300 |
$0 | Yes, some additional gap coverage. |
H5253 -087 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC VA-0008 (HMO-POS)
| $0.00 |
$4,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H5253 -119 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC VA-0013 (HMO-POS)
| $0.00 |
$8,300 |
$350 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H2406 -123 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC VA-0016 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $14.00 | $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 --
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H5521 -395 -0 | | | | | |
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2024 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$7,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Select Plan (HMO-POS)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H3931 -100 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Select Plan (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H5521 -396 -0 | | | | | |
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2024 Aetna Medicare SmartFit (PPO)
| $0.00 |
$3,650 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Anthem MediBlue ESRD Care (HMO C-SNP)
| $0.00 |
n/a |
$325 | Yes, some additional gap coverage. |
H3447 -033 -0 | $4.00 | $10.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
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2024 Anthem Kidney Care (HMO C-SNP)
| $0.00 |
n/a |
$325 | Yes, some additional gap coverage. | $4.00 | $10.00 | $42.00 | $42.00 | 3,562 2024 Formulary |
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2023 Anthem MediBlue Plus (HMO)
| $0.00 |
$4,900 |
$150 | Yes, some additional gap coverage. |
H3447 -013 -0 | $0.00 | $10.00 | $35.00 | $35.00 | 3,603
2023 Formulary |
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2024 Anthem Medicare Advantage (HMO)
| $0.00 |
$3,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $10.00 | $35.00 | $35.00 | 3,581 2024 Formulary |
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2023 Anthem MediBlue Access (PPO)
| $0.00 |
$7,550 |
$95 | Yes, some additional gap coverage. |
H4909 -014 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
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2024 Anthem Medicare Advantage (PPO)
| $0.00 |
$7,550 |
$95 | Yes, some additional gap coverage. | $4.00 | $13.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Choice H8145-004 (PFFS)
| $68.00 |
n/a |
$160 | No additional gap coverage, only the Donut Hole Discount |
H8145 -004 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
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2024 Humana Gold Choice H8145-004 (PFFS)
| $0.00 |
n/a |
$160 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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-- This plan not offered in 2023 --
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H6622 -084 -0 | | | | | |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$145 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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-- This plan not offered in 2023 --
|
H5619 -157 -0 | | | | | |
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2024 Humana Gold Plus H5619-157 (HMO)
| $0.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H6622 -004 -0 | | | | | |
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2024 Humana Gold Plus H6622-004 (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
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-- This plan not offered in 2023 --
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H6622 -083 -0 | | | | | |
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2024 Humana Gold Plus H6622-083 (HMO)
| $0.00 |
$3,650 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-266 (PPO)
| $0.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -266 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-266 (PPO)
| $0.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-308 (PPO)
| $0.00 |
$8,300 |
$485 | No additional gap coverage, only the Donut Hole Discount |
H5216 -308 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-308 (PPO)
| $0.00 |
$8,300 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-312 (PPO)
| $0.00 |
$3,650 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -312 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-312 (PPO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
|
2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H7559 -003 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
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-- |
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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 Optima Medicare Engage - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2563 -018 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,560
2023 Formulary |
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2024 Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,576 2024 Formulary |
|
2023 Optima Medicare Salute (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H2563 -014 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Sentara Medicare Salute (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Optima Medicare Savings (HMO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2563 -019 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,560
2023 Formulary |
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2024 Sentara Medicare Savings (HMO)
| $0.00 |
$3,400 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,576 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 Optima Medicare Value (HMO)
| $0.00 |
$3,200 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H2563 -017 -2 | $0.00 | $10.00 | $42.00 | $42.00 | 3,560
2023 Formulary |
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2024 Sentara Medicare Value (HMO)
| $0.00 |
$3,000 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,576 2024 Formulary |
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-- This plan not offered in 2023 --
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H2563 -020 -0 | | | | | |
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2024 Sentara Community Complete Select (HMO D-SNP)
| $14.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,576 2024 Formulary |
|
2023 Optima Community Complete (HMO D-SNP)
| $25.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2563 -004 -0 | | | | | 3,560
2023 Formulary |
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2024 Sentara Community Complete (HMO D-SNP)
| $17.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,576 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 Essential Plan (PPO)
| $25.00 |
$6,700 |
$300 | Yes, some additional gap coverage. |
H5521 -084 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Essential Plan (PPO)
| $18.00 |
$5,400 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -362 -0 | | | | | |
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2024 Humana Together in Health (PPO I-SNP)
| $18.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $4.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5619 -145 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $21.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $20.00 | $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 Anthem MediBlue Extra (HMO)
| $21.20 |
$3,400 |
$505 | Yes, some additional gap coverage. |
H3447 -028 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
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|
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2024 Anthem Extra Help (HMO)
| $25.10 |
$2,900 |
$545 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,581 2024 Formulary |
|
2023 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $22.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3447 -030 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
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2024 Anthem Dual Advantage (HMO D-SNP)
| $29.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 Molina Medicare Complete Care Select (HMO D-SNP)
| $34.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7559 -002 -0 | $0.00 | $0.00 | $29.00 | $29.00 | 3,270
2023 Formulary |
|
-- |
|
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2024 Molina Medicare Complete Care Select (HMO D-SNP)
| $30.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 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 AARP Medicare Advantage Flex Plan 2 (HMO-POS)
| $26.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H5253 -088 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC VA-0009 (HMO-POS)
| $31.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Assure Value (HMO D-SNP)
| $19.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1610 -003 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure Value (HMO D-SNP)
| $33.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0710 -032 -0 | | | | | |
|
-- |
|
|
2024 UHC Nursing Home Plan EX-F004 (PPO I-SNP)
| $35.50 |
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 Molina Medicare Complete Care (HMO D-SNP)
| $34.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7559 -001 -0 | | | | | 3,270
2023 Formulary |
|
-- |
|
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $36.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
2023 Aetna Better Health of Virginia (HMO D-SNP)
| $27.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1610 -001 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Better Health of Virginia (HMO D-SNP)
| $38.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Aetna Medicare Assure Premier (HMO D-SNP)
| $20.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1610 -002 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure Premier (HMO D-SNP)
| $38.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Anthem MediBlue Dual Access (PPO D-SNP)
| $29.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4909 -018 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Dual Advantage (PPO D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H3447 -045 -0 | | | | | |
|
|
|
|
2024 Anthem Full Dual Advantage (HMO D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 Anthem MediBlue Full Dual Advantage (HMO D-SNP)
| $34.60 |
n/a |
$480 | No additional gap coverage, only the Donut Hole Discount |
H3447 -011 -0 | $10.00 | $20.00 | $40.00 | $40.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Full Dual Advantage 2 (HMO D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 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 --
|
H3447 -044 -0 | | | | | |
|
|
|
|
2024 Anthem Full Dual Advantage Support (HMO D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6622 -085 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus H6622-085 (HMO)
| $38.50 |
$6,400 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -363 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5216-363 (PPO)
| $38.50 |
$7,550 |
$545 | Yes, some additional gap coverage. | $0.00 | $20.00 | $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 UnitedHealthcare Dual Complete Balance (HMO-POS D-SNP)
| $34.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7464 -006 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete VA-Q001 (HMO-POS D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $34.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1889 -006 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete VA-S001 (PPO D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $33.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7464 -001 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete VA-S002 (HMO-POS D-SNP)
| $38.50 |
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 |
-- This plan not offered in 2023 --
|
H7464 -013 -0 | | | | | |
|
|
|
|
2024 UHC Dual Complete VA-V001 (HMO-POS D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete ONE (HMO-POS D-SNP)
| $29.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7464 -005 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete VA-Y001 (HMO-POS D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete ONE Plus (HMO-POS D-SNP)
| $29.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7464 -007 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete VA-Y002 (HMO-POS D-SNP)
| $38.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-144 (PPO)
| $39.00 |
$7,550 |
$265 | No additional gap coverage, only the Donut Hole Discount |
H5216 -144 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-144 (PPO)
| $39.00 |
$7,550 |
$265 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Optima Medicare Prime (HMO)
| $63.00 |
$5,500 |
$130 | No additional gap coverage, only the Donut Hole Discount |
H2563 -005 -2 | $0.00 | $8.00 | $40.00 | $40.00 | 3,560
2023 Formulary |
|
|
|
|
2024 Sentara Medicare Prime (HMO)
| $53.00 |
$5,500 |
$130 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $40.00 | $40.00 | 3,576 2024 Formulary |
|
2023 HumanaChoice R1390-002 (Regional PPO)
| $98.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount |
R1390 -002 -0 | $8.00 | $18.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R1390-002 (Regional PPO)
| $105.00 |
$7,550 |
$480 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $18.00 | $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 AARP Medicare Advantage Rebate (HMO-POS)
| $0.00 |
$8,300 |
$0 | Yes, some additional gap coverage. |
H5253 -118 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC VA-0013 (HMO-POS) H5253-119 --
| | | | | |
|
2023 Humana Gold Plus H5619-140 (HMO)
| $0.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5619 -140 -1 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H5619-157 (HMO) H5619-157 --
| | | | | |
|
2023 Humana Gold Plus H6622-074 (HMO)
| $15.00 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H6622 -074 -1 | $2.00 | $8.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H6622-085 (HMO) H6622-085 --
| | | | | |
|
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 Virginia Premier Advantage Elite (HMO D-SNP)
| $23.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9877 -001 -0 | | | | | 3,560
2023 Formulary |
|
|
|
|
-- Members will be assigned to Sentara Community Complete (HMO D-SNP) H2563-004 --
| | | | | |
|
2023 Riverside Medicare Advantage Complete (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2825 -003 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,467
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|