There are 75 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$4,900 |
No Rx Coverage |
H0432 -012 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx AL-MA01 (HMO-POS)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H5521 -229 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Cigna Courage Medicare (HMO)
| $0.00 |
$4,900 |
No Rx Coverage |
H4513 -045 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Cigna Courage Medicare (HMO)
| $0.00 |
$5,400 |
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 R7315-001 (Regional PPO)
| $0.00 |
$3,400 |
No Rx Coverage |
R7315 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R7315-001 (Regional PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 VIVA Medicare Select (HMO)
| $0.00 |
$4,500 |
No Rx Coverage |
H0154 -008 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 VIVA Medicare Select (HMO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H0432 -003 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC AL-0001 (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Plan 3 (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H2802 -041 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC AL-0003 (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H1889 -015 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC AL-0004 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Medicare Freedom Plan (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H5521 -171 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Freedom (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Blue Advantage Complete (PPO)
| $0.00 |
$5,100 |
$150 | Yes, some additional gap coverage. |
H0104 -012 -0 | $4.00 | $13.00 | $40.00 | $40.00 | 3,534
2023 Formulary |
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2024 Blue Advantage Complete (PPO)
| $0.00 |
$5,100 |
$0 | Yes, some additional gap coverage. | $4.00 | $13.00 | $40.00 | $40.00 | 3,545 2024 Formulary |
|
2023 Cigna Preferred AL Medicare (HMO)
| $0.00 |
$7,200 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H4513 -046 -2 | $2.00 | $8.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna Preferred AL Medicare (HMO)
| $0.00 |
$8,850 |
$195 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
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-- This plan not offered in 2023 --
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H4513 -076 -2 | | | | | |
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2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $45.00 | $45.00 | 3,535 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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H7849 -064 -1 | | | | | |
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2024 Cigna True Choice Access Medicare (PPO)
| $0.00 |
$5,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
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-- This plan not offered in 2023 --
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H7849 -112 -2 | | | | | |
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2024 Cigna True Choice Savings Medicare (PPO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $42.00 | $42.00 | 3,535 2024 Formulary |
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2023 Devoted CHOICE Alabama (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H9888 -001 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
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new |
new |
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2024 Devoted CHOICE Alabama (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,391 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 Devoted CORE Alabama (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H3080 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
new |
|
2024 Devoted CORE Alabama (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
|
2023 Devoted GIVEBACK Alabama (HMO)
| $0.00 |
$6,000 |
$505 | Yes, some additional gap coverage. |
H3080 -002 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
new |
|
2024 Devoted GIVEBACK Alabama (HMO)
| $0.00 |
$6,000 |
$545 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
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-- This plan not offered in 2023 --
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H5619 -089 -0 | | | | | |
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2024 Humana Gold Plus H5619-089 (HMO)
| $0.00 |
$5,900 |
$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 Humana Honor (PPO)
| $0.00 |
$3,400 |
No Rx Coverage |
H5216 -236 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice H5216-269 (PPO)
| $0.00 |
$5,900 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5216 -269 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-269 (PPO)
| $0.00 |
$5,900 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0432 -017 -0 | | | | | |
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2024 UHC Complete Care AL-0005 (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 VIVA Medicare Plus (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0154 -015 -1 | $0.00 | $12.00 | $47.00 | $47.00 | 3,361
2023 Formulary |
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2024 VIVA Medicare Plus (HMO)
| $0.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,389 2024 Formulary |
|
2023 Ascension Complete St. Vincent's Reward (HMO)
| $0.00 |
$3,450 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H4343 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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-- |
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2024 Wellcare Complete - Giveback (HMO)
| $0.00 |
$5,000 |
$500 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Ascension Complete St. Vincent's Secure (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H4343 -003 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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-- |
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|
2024 Wellcare Complete No Premium (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $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 Giveback Open (PPO)
| $0.00 |
$7,350 |
$100 | Yes, some additional gap coverage. |
H1848 -001 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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-- |
|
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2024 Wellcare Giveback Open (PPO)
| $0.00 |
$7,350 |
$545 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6975 -005 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H1848 -002 -0 | $0.00 | $2.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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-- |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $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 |
-- This plan not offered in 2023 --
|
H5216 -368 -0 | | | | | |
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2024 HumanaChoice H5216-368 (PPO)
| $7.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6975 -007 -0 | | | | | |
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2024 Wellcare All Dual Assure (HMO D-SNP)
| $19.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $13.50 |
$4,500 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6975 -003 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist (HMO)
| $21.00 |
$4,500 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Dual Access (HMO D-SNP)
| $22.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6975 -004 -0 | | | | | 3,394
2023 Formulary |
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2024 Wellcare Dual Access (HMO D-SNP)
| $23.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Devoted DUAL Alabama - 1 (HMO D-SNP)
| $33.50 |
n/a |
$505 | Yes, some additional gap coverage. |
H3080 -003 -0 | 25% | 25% | 25% | 25% | 3,364
2023 Formulary |
|
new |
new |
|
2024 Devoted DUAL PLUS Alabama (HMO D-SNP)
| $24.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,391 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $21.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6975 -002 -0 | | | | | 3,394
2023 Formulary |
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2024 Wellcare Dual Liberty (HMO D-SNP)
| $25.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Dual Access Open (PPO D-SNP)
| $23.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1848 -003 -0 | | | | | 3,394
2023 Formulary |
|
-- |
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2024 Wellcare Dual Access Open (PPO D-SNP)
| $25.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Devoted DUAL Alabama - 2 (HMO D-SNP)
| $33.80 |
n/a |
$505 | Yes, some additional gap coverage. |
H3080 -004 -0 | 25% | 25% | 25% | 25% | 3,364
2023 Formulary |
|
new |
new |
|
2024 Devoted DUAL Alabama (HMO D-SNP)
| $26.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,391 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -467 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Value Plus (PPO)
| $27.00 |
$7,900 |
$300 | 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 Cigna TotalCare (HMO D-SNP)
| $26.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4513 -055 -0 | | | | | 3,524
2023 Formulary |
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|
|
|
2024 Cigna TotalCare (HMO D-SNP)
| $29.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -463 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Select Choice (PPO D-SNP)
| $30.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Cigna Preferred Plus Medicare (HMO)
| $28.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4513 -048 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna Preferred Plus Medicare (HMO)
| $32.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 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 Nursing Home Plan (PPO I-SNP)
| $35.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -004 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan EX-F001 (PPO I-SNP)
| $32.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Aetna Medicare Dual Select Plan (HMO D-SNP)
| $17.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -010 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Select (HMO D-SNP)
| $32.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Cigna TotalCare Plus (HMO D-SNP)
| $18.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4513 -063 -0 | | | | | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna TotalCare Plus (HMO D-SNP)
| $33.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 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)
| $32.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0432 -009 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete AL-D001 (HMO-POS D-SNP)
| $36.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Aetna Medicare Dual Preferred Plan (HMO D-SNP)
| $14.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -002 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Preferred (HMO D-SNP)
| $36.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -462 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Choice (PPO D-SNP)
| $38.50 |
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 AARP Medicare Advantage Plan 2 (HMO-POS)
| $33.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H0432 -004 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC AL-0002 (HMO-POS)
| $39.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $28.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1889 -009 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete AL-D002 (PPO D-SNP)
| $39.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP)
| $35.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5619 -093 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H5619-093 (HMO D-SNP)
| $41.40 |
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 HumanaChoice H5216-179 (PPO)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H5216 -179 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Value Plus H5216-179 (PPO)
| $41.40 |
$3,000 |
$545 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $20.00 | 21% | 21% | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -370 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-370 (PPO D-SNP)
| $41.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Simpra Advantage (PPO D-SNP)
| $35.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4091 -002 -0 | | | | | 3,683
2023 Formulary |
|
-- |
|
|
2024 Simpra Advantage (PPO D-SNP)
| $41.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,639 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 Simpra Advantage (PPO I-SNP)
| $35.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4091 -001 -0 | | | | | 3,683
2023 Formulary |
|
-- |
|
|
2024 Simpra Advantage (PPO I-SNP)
| $41.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,639 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $35.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2802 -044 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete AL-V002 (HMO-POS D-SNP)
| $41.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 VIVA Medicare Extra Value (HMO D-SNP)
| $35.20 |
n/a |
$490 | No additional gap coverage, only the Donut Hole Discount |
H0154 -012 -0 | 25% | 25% | 25% | 25% | 3,258
2023 Formulary |
|
|
|
|
2024 VIVA Medicare Extra Value (HMO D-SNP)
| $41.40 |
n/a |
$529 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,291 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 VIVA Medicare Prime (HMO)
| $55.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0154 -016 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,361
2023 Formulary |
|
|
|
|
2024 VIVA Medicare Prime (HMO)
| $46.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,389 2024 Formulary |
|
2023 HumanaChoice R7315-002 (Regional PPO)
| $59.00 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
R7315 -002 -0 | $5.00 | $12.00 | 25% | 25% | 3,409
2023 Formulary |
|
|
|
|
2024 HumanaChoice R7315-002 (Regional PPO)
| $75.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $18.00 | $20.00 | 20% | 20% | 3,448 2024 Formulary |
|
2023 VIVA Medicare Premier (HMO)
| $105.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0154 -011 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 4,225
2023 Formulary |
|
|
|
|
2024 VIVA Medicare Premier (HMO)
| $96.00 |
$4,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,389 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 Simpra Advantage Premier (PPO I-SNP)
| $98.00 |
n/a |
$150 | No additional gap coverage, only the Donut Hole Discount |
H4091 -003 -0 | $4.00 | $15.00 | $45.00 | $45.00 | 3,833
2023 Formulary |
|
-- |
|
|
2024 Simpra Advantage Premier (PPO I-SNP)
| $98.00 |
n/a |
$150 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $15.00 | $45.00 | $45.00 | 3,677 2024 Formulary |
|
2023 Blue Advantage Premier (PPO)
| $164.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0104 -015 -0 | $3.00 | $8.00 | $40.00 | $40.00 | 3,534
2023 Formulary |
|
|
|
|
2024 Blue Advantage Premier (PPO)
| $159.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $3.00 | $8.00 | $40.00 | $40.00 | 3,545 2024 Formulary |
|
2023 AARP Medicare Advantage Walgreens (HMO-POS)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H0432 -010 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC AL-0001 (HMO-POS) H0432-003 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H6528 -033 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC AL-0004 (PPO) H1889-015 --
| | | | | |
|
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$5,300 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4513 -054 -0 | $0.00 | $8.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna Preferred Medicare (HMO) H4513-076 --
| | | | | |
|
2023 Cigna True Choice Access Medicare (PPO)
| $0.00 |
$4,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7849 -064 -2 | $0.00 | $4.00 | $40.00 | $40.00 | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna True Choice Access Medicare (PPO) H7849-064 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Cigna True Choice Savings Medicare (PPO)
| $0.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7849 -012 -0 | $0.00 | $4.00 | $40.00 | $40.00 | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna True Choice Savings Medicare (PPO) H7849-112 --
| | | | | |
|
2023 Humana Gold Plus H5619-088 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5619 -088 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H5619-089 (HMO) H5619-089 --
| | | | | |
|
2023 HumanaChoice H5216-214 (PPO)
| $11.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5216 -214 -2 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-368 (PPO) H5216-368 --
| | | | | |
|
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 VIVA Medicare Me (HMO)
| $0.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0154 -014 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,361
2023 Formulary |
|
|
|
|
-- Members will be assigned to VIVA Medicare Plus (HMO) H0154-015 --
| | | | | |
|
2023 Wellcare Low Premium Open (PPO)
| $30.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H1848 -004 -0 | $0.00 | $2.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
-- |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Ascension Complete St. Vincent's DSNP (HMO D-SNP)
| $15.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4343 -005 -0 | $2.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
-- |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Cigna TotalCare AL (HMO D-SNP)
| $18.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4513 -056 -2 | | | | | 3,524
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Patriot No Premium (HMO)
| $0.00 |
$3,450 |
No Rx Coverage |
H6975 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Ascension Complete St. Vincent's Access Plus (PPO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7556 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Ascension Complete St. Vincent's Access (PPO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7556 -002 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|