There are 63 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 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H5521 -350 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 ConnectiCare Choice Plan 2 (HMO)
| $0.00 |
$6,000 |
No Rx Coverage |
H3528 -003 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 ConnectiCare Choice Plan 2 (HMO-POS)
| $0.00 |
$6,000 |
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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H5216 -059 -0 | | | | | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H6408 -003 -0 | | | | | |
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new |
new |
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2024 Trinity Health Plan Of New England Cash Back (HMO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 UnitedHealthcare Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$6,000 |
No Rx Coverage |
H0755 -032 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 UHC Medicare Advantage Patriot No Rx CT-MA01 (HMO-POS)
| $0.00 |
$6,000 |
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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H8768 -042 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC CT-0004 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $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 |
-- This plan not offered in 2023 --
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H8768 -050 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC CT-0005 (PPO)
| $0.00 |
$6,300 |
$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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H5521 -446 -0 | | | | | |
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2024 Aetna Medicare Discover Plan (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
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2023 Aetna Medicare Elite Plan (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H5793 -010 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (HMO-POS)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 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 Aetna Medicare Elite Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -157 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Essential Elite Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -352 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Essential Elite Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Anthem MediBlue Select (HMO)
| $0.00 |
$7,300 |
$275 | Yes, some additional gap coverage. |
H5854 -010 -0 | $0.00 | $14.00 | $35.00 | $35.00 | 3,603
2023 Formulary |
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2024 Anthem Select (HMO)
| $0.00 |
$7,300 |
$275 | Yes, some additional gap coverage. | $0.00 | $14.00 | $35.00 | $35.00 | 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 CarePartners Access (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H0342 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,970
2023 Formulary |
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-- |
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2024 CarePartners Access (PPO)
| $0.00 |
$6,350 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,856 2024 Formulary |
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2023 CarePartners of CT CareAdvantage Preferred (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H5273 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,970
2023 Formulary |
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2024 CarePartners of CT CareAdvantage Preferred (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,856 2024 Formulary |
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2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,200 |
$0 | Yes, some additional gap coverage. |
H7849 -052 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $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 |
2023 Cigna True Choice Savings Medicare (PPO)
| $0.00 |
$7,250 |
$0 | Yes, some additional gap coverage. |
H7849 -081 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Savings Medicare (PPO)
| $0.00 |
$7,250 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
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2023 ConnectiCare Choice Plan 3 (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H3528 -014 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,478
2023 Formulary |
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2024 ConnectiCare Choice Plan 3 (HMO-POS)
| $0.00 |
$8,850 |
$0 | Yes, some additional gap coverage. | $2.00 | $10.00 | $42.00 | $42.00 | 3,515 2024 Formulary |
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2023 ConnectiCare Passage Plan 1 (HMO)
| $0.00 |
$7,550 |
$150 | Yes, some additional gap coverage. |
H3528 -010 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,478
2023 Formulary |
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2024 ConnectiCare Passage Plan 1 (HMO-POS)
| $0.00 |
$8,850 |
$150 | Yes, some additional gap coverage. | $2.00 | $10.00 | $42.00 | $42.00 | 3,515 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 -138 -0 | | | | | |
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2024 HumanaChoice H5216-138 (PPO)
| $0.00 |
$4,995 |
$395 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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-- This plan not offered in 2023 --
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H5216 -289 -0 | | | | | |
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2024 HumanaChoice H5216-289 (PPO)
| $0.00 |
$5,200 |
$300 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6408 -002 -0 | | | | | |
|
new |
new |
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2024 Trinity Health Plan Of New England Cash Back MAPD (HMO)
| $0.00 |
$6,900 |
$275 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,392 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H8998 -001 -0 | | | | | |
|
new |
new |
|
2024 Trinity Health Plan Of New England Choice (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,392 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6408 -001 -0 | | | | | |
|
new |
new |
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2024 Trinity Health Plan Of New England No Premium (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,392 2024 Formulary |
|
2023 UnitedHealthcare Medicare Advantage Plan 3 (HMO-POS)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H0755 -033 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 UHC Medicare Advantage CT-0003 (HMO-POS)
| $0.00 |
$6,700 |
$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 Wellcare Giveback Open (PPO)
| $0.00 |
$7,550 |
$395 | Yes, some additional gap coverage. |
H1914 -002 -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 |
$7,550 |
$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 |
$7,550 |
$250 | Yes, some additional gap coverage. |
H0712 -019 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $1.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$6,500 |
$250 | Yes, some additional gap coverage. |
H1914 -001 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
-- |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$6,500 |
$400 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 Anthem MediBlue Access Select (PPO)
| $0.00 |
$7,550 |
$95 | Yes, some additional gap coverage. |
H2836 -005 -0 | $4.00 | $13.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
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2024 Anthem Medicare Advantage (PPO)
| $10.00 |
$8,850 |
$95 | Yes, some additional gap coverage. | $4.00 | $13.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
|
2023 Aetna Medicare Value Plan (HMO-POS)
| $27.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5793 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO-POS)
| $19.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Anthem MediBlue Extra (HMO)
| $28.10 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5854 -011 -0 | $10.00 | $15.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
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2024 Anthem Extra Help (HMO)
| $21.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $10.00 | $15.00 | $47.00 | $47.00 | 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 ConnectiCare Choice Dual (HMO D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3276 -001 -0 | $6.00 | $16.00 | $47.00 | $47.00 | 3,478
2023 Formulary |
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2024 ConnectiCare Choice Dual (HMO-POS D-SNP)
| $21.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $16.00 | $47.00 | $47.00 | 3,515 2024 Formulary |
|
2023 ConnectiCare Choice Dual Vista (HMO D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3276 -003 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,478
2023 Formulary |
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2024 ConnectiCare Choice Dual Vista (HMO-POS D-SNP)
| $21.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,515 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $12.90 |
$6,000 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0712 -020 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist (HMO)
| $23.00 |
$6,700 |
$535 | 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 Anthem MediBlue ESRD Care (HMO-POS C-SNP)
| $11.60 |
n/a |
$310 | No additional gap coverage, only the Donut Hole Discount |
H5854 -012 -0 | $3.00 | $9.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
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2024 Anthem Kidney Care (HMO-POS C-SNP)
| $26.40 |
n/a |
$310 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $9.00 | $42.00 | $42.00 | 3,562 2024 Formulary |
|
2023 Wellcare Dual Access Open (PPO D-SNP)
| $19.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1914 -006 -0 | | | | | 3,394
2023 Formulary |
|
-- |
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $27.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Anthem MediBlue Plus (HMO)
| $36.00 |
$6,700 |
$380 | Yes, some additional gap coverage. |
H5854 -009 -0 | $12.00 | $15.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Medicare Advantage (HMO)
| $29.00 |
$6,700 |
$380 | Yes, some additional gap coverage. | $12.00 | $15.00 | $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 Cigna True Choice Plus Medicare (PPO)
| $24.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H7849 -054 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna True Choice Plus Medicare (PPO)
| $29.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -288 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5216-288 (PPO)
| $29.00 |
$4,950 |
$275 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 ConnectiCare Flex Plan 3 (HMO-POS)
| $46.00 |
$5,500 |
$300 | Yes, some additional gap coverage. |
H3528 -011 -1 | $2.00 | $10.00 | $42.00 | $42.00 | 3,478
2023 Formulary |
|
|
|
|
2024 ConnectiCare Flex Plan 3 (HMO-POS)
| $30.00 |
$6,350 |
$300 | Yes, some additional gap coverage. | $2.00 | $10.00 | $42.00 | $42.00 | 3,515 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 Medicare Advantage Plan 2 (HMO-POS)
| $25.00 |
$6,000 |
$0 | Yes, some additional gap coverage. |
H0755 -031 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage CT-0002 (HMO-POS)
| $33.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -026 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan EX-F003 (PPO I-SNP)
| $33.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $27.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0712 -029 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $37.90 |
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 Cigna TotalCare Select Plus (HMO D-SNP)
| $27.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2752 -003 -0 | | | | | 3,524
2023 Formulary |
|
new |
new |
|
2024 Cigna TotalCare Select Plus (HMO D-SNP)
| $39.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5793 -020 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Assure Plan (HMO-POS D-SNP)
| $39.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Aetna Medicare Assure Plan (HMO-POS D-SNP)
| $19.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5793 -017 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure Plus Plan (HMO-POS D-SNP)
| $41.40 |
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 Wellcare Dual Access (HMO D-SNP)
| $29.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0712 -005 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $42.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $25.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5854 -008 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Full Dual Advantage 2 (HMO D-SNP)
| $42.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 Anthem MediBlue Dual Access (PPO D-SNP)
| $25.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2836 -006 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Full Dual Advantage (PPO D-SNP)
| $43.50 |
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 |
2023 Anthem MediBlue Dual Advantage Select (HMO D-SNP)
| $24.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5854 -013 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Full Dual Advantage Select (HMO D-SNP)
| $43.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -290 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-290 (PPO D-SNP)
| $43.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Balance (PPO D-SNP)
| $35.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -059 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete CT-Q001 (PPO D-SNP)
| $43.50 |
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 UnitedHealthcare Dual Complete (PPO D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -014 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete CT-S001 (PPO D-SNP)
| $43.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice (Regional PPO)
| $53.00 |
$7,550 |
$295 | Yes, some additional gap coverage. |
R7444 -001 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NG-0001 (Regional PPO)
| $58.00 |
$7,550 |
$395 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Explorer Premier Plan (PPO)
| $87.00 |
$6,700 |
$250 | Yes, some additional gap coverage. |
H5521 -013 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Explorer Premier Plan (PPO)
| $69.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Medicare Advantage Plan 1 (HMO-POS)
| $84.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H0755 -030 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage CT-0001 (HMO-POS)
| $82.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 ConnectiCare Flex Plan 2 (HMO-POS)
| $131.00 |
$6,000 |
$300 | Yes, some additional gap coverage. |
H3528 -015 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,478
2023 Formulary |
|
|
|
|
2024 ConnectiCare Flex Plan 2 (HMO-POS)
| $115.00 |
$6,350 |
$300 | Yes, some additional gap coverage. | $2.00 | $10.00 | $42.00 | $42.00 | 3,515 2024 Formulary |
|
2023 ConnectiCare Choice Plan 1 (HMO)
| $176.00 |
$3,400 |
$300 | Yes, some additional gap coverage. |
H3528 -016 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,478
2023 Formulary |
|
|
|
|
2024 ConnectiCare Choice Plan 1 (HMO-POS)
| $160.00 |
$3,850 |
$300 | Yes, some additional gap coverage. | $2.00 | $10.00 | $42.00 | $42.00 | 3,515 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 Choice (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3442 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC CT-0004 (PPO) H8768-042 --
| | | | | |
|
2023 AARP Medicare Advantage Choice Flex (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H3442 -011 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC CT-0005 (PPO) H8768-050 --
| | | | | |
|
2023 ConnectiCare Flex Plan 1 (HMO-POS)
| $232.00 |
$5,300 |
$300 | Yes, some additional gap coverage. |
H3528 -006 -0 | $2.00 | $10.00 | $42.00 | $42.00 | 3,478
2023 Formulary |
|
|
|
|
-- Members will be assigned to ConnectiCare Flex Plan 2 (HMO-POS) H3528-015 --
| | | | | |
|
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 Open (PPO)
| $12.10 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1914 -004 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
-- |
|
|
-- Members will be assigned to Wellcare No Premium Open (PPO) H1914-001 --
| | | | | |
|
2023 ConnectiCare Choice Dual Basic (HMO D-SNP)
| $36.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3276 -002 -0 | $8.00 | $18.00 | $47.00 | $47.00 | 3,478
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 CarePartners of CT CareAdvantage Prime (HMO)
| $39.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H5273 -002 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,970
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|