There are 64 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 |
$5,900 |
No Rx Coverage |
H8768 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx IL-MA01 (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H8634 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$6,350 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Health Alliance Medicare HMO Basic (HMO)
| $0.00 |
$6,700 |
No Rx Coverage |
H1463 -008 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Health Alliance Medicare HMO Basic (HMO)
| $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 Honor (PPO)
| $0.00 |
$4,900 |
No Rx Coverage |
H5216 -258 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$4,900 |
No Rx Coverage |
H5216 -355 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (Regional PPO)
| $0.00 |
$4,900 |
No Rx Coverage |
R5361 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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-- |
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2024 Humana USAA Honor (Regional PPO)
| $0.00 |
$5,500 |
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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H8019 -003 -0 | | | | | |
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2024 Medica Advantage Salute (HMO-POS)
| $0.00 |
$5,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H8768 -011 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage Walgreens from UHC IL-0006 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2506 -001 -0 | | | | | 3,267
2023 Formulary |
-- |
-- |
-- |
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2024 Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,290 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 UnityPoint Health Prime (HMO)
| $0.00 |
$3,650 |
$0 | Yes, some additional gap coverage. |
H2663 -017 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier Preferred (HMO)
| $0.00 |
$3,400 |
$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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H7301 -016 -0 | | | | | |
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2024 Aetna Medicare SmartSaver Elite (PPO)
| $0.00 |
$6,000 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | 25% | 25% | 3,619 2024 Formulary |
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2023 Aetna Medicare Value (PPO)
| $0.00 |
$4,650 |
$0 | Yes, some additional gap coverage. |
H7301 -007 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value (PPO)
| $0.00 |
$4,650 |
$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 Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8634 -021 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$7,550 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
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-- This plan not offered in 2023 --
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H8634 -012 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Essential (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,543 2024 Formulary |
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2023 Blue Cross Medicare Advantage Health Choice (PPO)
| $0.00 |
$6,900 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8634 -018 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Health Choice (PPO)
| $0.00 |
$6,900 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 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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H3822 -014 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Value (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,543 2024 Formulary |
|
2023 Blue Medicare Advantage (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0927 -001 -0 | | | | | 2,940
2023 Formulary |
-- |
-- |
-- |
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2024 Blue Medicare Advantage (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 2,997 2024 Formulary |
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-- This plan not offered in 2023 --
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H1463 -044 -0 | | | | | |
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2024 Health Alliance Medicare POS Choice Rx (HMO-POS)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $2.00 | $15.00 | $47.00 | $47.00 | 3,867 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 Plus H1468-007 (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H1468 -007 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H1468-007 (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0336 -001 -0 | | | | | 3,200
2023 Formulary |
-- |
-- |
-- |
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2024 Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,265 2024 Formulary |
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2023 HumanaChoice H5216-215 (PPO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H5216 -215 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-215 (PPO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H6080 -001 -0 | | | | | 3,394
2023 Formulary |
-- |
-- |
-- |
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2024 Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,353 2024 Formulary |
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2023 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8046 -001 -0 | | | | | 3,267
2023 Formulary |
-- |
-- |
-- |
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2024 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,290 2024 Formulary |
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-- This plan not offered in 2023 --
|
H8019 -007 -0 | | | | | |
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2024 OSF with Medica Advantage Select (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $42.00 | $42.00 | 3,564 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 --
|
H8019 -006 -0 | | | | | |
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2024 OSF with Medica Advantage Value (HMO)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $42.00 | $42.00 | 3,564 2024 Formulary |
|
2023 Wellcare Giveback Open (PPO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H6713 -002 -0 | $0.00 | $15.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback Open (PPO)
| $0.00 |
$5,000 |
$545 | Yes, some additional gap coverage. | $0.00 | $15.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium (HMO-POS)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1416 -009 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare No Premium (HMO-POS)
| $0.00 |
$2,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare No Premium Essential (HMO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5779 -002 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Essential (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5779 -009 -0 | | | | | |
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2024 Wellcare No Premium Essential Value (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H6713 -001 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H1416 -082 -0 | | | | | |
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2024 Wellcare No Premium Value (HMO-POS)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
2023 Aetna Medicare Premier (PPO)
| $13.00 |
$4,650 |
$0 | Yes, some additional gap coverage. |
H7301 -009 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier (PPO)
| $13.00 |
$4,650 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Wellcare Assist Compass (HMO)
| $13.40 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1416 -023 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist Compass (HMO)
| $19.50 |
$2,900 |
$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 UnitedHealthcare Chronic Complete Assure (PPO C-SNP)
| $9.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -027 -0 | | | | | 3,682
2023 Formulary |
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2024 UHC Complete Care IL-001A (PPO C-SNP)
| $23.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
|
H7301 -017 -0 | | | | | |
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2024 Aetna Medicare Discover Value Plus (PPO)
| $27.80 |
$3,950 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 AARP Medicare Advantage (HMO-POS)
| $25.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H5253 -108 -1 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC IA-0002 (HMO-POS)
| $29.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H5216 -399 -0 | | | | | |
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2024 HumanaChoice H5216-399 (PPO)
| $30.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP)
| $27.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -039 -0 | | | | | 3,682
2023 Formulary |
|
-- |
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2024 UHC Nursing Home Plan IL-F001 (PPO I-SNP)
| $30.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H8145 -006 -0 | | | | | |
|
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2024 Humana Gold Choice H8145-006 (PFFS)
| $40.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice (PPO)
| $47.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H8768 -003 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC IL-0003 (PPO)
| $49.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Health Alliance Medicare POS Basic Rx (HMO-POS)
| $53.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1463 -015 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
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|
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2024 Health Alliance Medicare POS Basic Rx (HMO-POS)
| $53.00 |
$5,400 |
$0 | Yes, some additional gap coverage. | $2.00 | $15.00 | $47.00 | $47.00 | 3,867 2024 Formulary |
|
2023 HumanaChoice R5361-002 (Regional PPO)
| $96.00 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount |
R5361 -002 -0 | $12.00 | $20.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
|
-- |
|
|
2024 HumanaChoice R5361-002 (Regional PPO)
| $97.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $15.00 | 24% | 24% | 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 H5525-004 (PPO)
| $84.00 |
$5,500 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5525 -004 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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|
|
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2024 HumanaChoice H5525-004 (PPO)
| $100.00 |
$6,300 |
$300 | No additional gap coverage, only the Donut Hole Discount | $6.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Health Alliance Medicare HMO 20 Rx (HMO)
| $125.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H1463 -003 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
2024 Health Alliance Medicare HMO 20 Rx (HMO)
| $125.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $2.00 | $15.00 | $47.00 | $47.00 | 3,867 2024 Formulary |
|
2023 HumanaChoice H5525-069 (PPO)
| $95.00 |
$1,500 |
$505 | Yes, some additional gap coverage. |
H5525 -069 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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|
|
2024 HumanaChoice H5525-069 (PPO)
| $138.00 |
$1,000 |
$545 | Yes, some additional gap coverage. | $5.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H8019 -008 -0 | | | | | |
|
|
|
|
2024 OSF with Medica Advantage Preferred (HMO-POS)
| $160.00 |
n/a |
$200 | Yes, some additional gap coverage. | $0.00 | $8.00 | $42.00 | $42.00 | 3,564 2024 Formulary |
|
2023 Health Alliance Medicare POS 10 Rx (HMO-POS)
| $165.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H1463 -019 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
2024 Health Alliance Medicare POS 10 Rx (HMO-POS)
| $165.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $2.00 | $15.00 | $47.00 | $47.00 | 3,867 2024 Formulary |
|
2023 OSF MedAdvantage Enrich (HMO-POS)
| $150.00 |
n/a |
$175 | Yes, some additional gap coverage. |
H1463 -042 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
2024 Health Alliance Medicare POS Enrich Rx (HMO-POS)
| $165.00 |
n/a |
$250 | Yes, some additional gap coverage. | $2.00 | $15.00 | $47.00 | $47.00 | 3,867 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 Cross Medicare Advantage Flex (PPO)
| $187.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8634 -014 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
|
|
|
|
2024 Blue Cross Medicare Advantage Flex (PPO)
| $202.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
|
2023 Blue Cross Medicare Advantage Classic (PPO)
| $0.00 |
$5,900 |
$250 | Yes, some additional gap coverage. |
H8634 -013 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Essential (PPO) H8634-012 --
| | | | | |
|
2023 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3822 -015 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Value (HMO) H3822-014 --
| | | | | |
|
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 Health Alliance Medicare POS Basic (HMO-POS)
| $23.00 |
$6,700 |
No Rx Coverage |
H1463 -014 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare HMO Basic (HMO) H1463-008 --
| | | | | |
|
2023 Health Alliance Medicare HMO Basic Rx (HMO)
| $33.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H1463 -009 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare POS Choice Rx (HMO-POS) H1463-044 --
| | | | | |
|
2023 Health Alliance Medicare HMO 40 Rx (HMO)
| $75.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H1463 -010 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare POS Choice Rx (HMO-POS) H1463-044 --
| | | | | |
|
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 Health Alliance Medicare POS 30 Rx (HMO-POS)
| $105.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H1463 -017 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare POS Choice Rx (HMO-POS) H1463-044 --
| | | | | |
|
2023 OSF MedAdvantage Core (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1463 -035 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare POS Choice Rx (HMO-POS) H1463-044 --
| | | | | |
|
2023 OSF MedAdvantage Open (HMO-POS)
| $39.00 |
$4,750 |
$0 | Yes, some additional gap coverage. |
H1463 -036 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare POS Choice Rx (HMO-POS) H1463-044 --
| | | | | |
|
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 Health Alliance Medicare HMO Classic Rx (HMO)
| $0.00 |
$8,300 |
$100 | Yes, some additional gap coverage. |
H1463 -043 -0 | $2.00 | $15.00 | $47.00 | $47.00 | 3,864
2023 Formulary |
|
|
|
|
-- Members will be assigned to Health Alliance Medicare POS Choice Rx (HMO-POS) H1463-044 --
| | | | | |
|
2023 Wellcare Assist (HMO)
| $10.40 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5779 -008 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium Essential (HMO) H5779-002 --
| | | | | |
|
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 HealthPartners UnityPoint Health Align (PPO)
| $0.00 |
$3,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H3416 -001 -6 | $0.00 | $0.00 | $47.00 | $47.00 | 3,331
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 HealthPartners UnityPoint Health Symmetry (PPO)
| $49.00 |
$3,300 |
$0 | Yes, some additional gap coverage. |
H3416 -002 -4 | $0.00 | $0.00 | $47.00 | $47.00 | 3,331
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 Humana Gold Choice H8145-008 (PFFS)
| $137.00 |
n/a |
$380 | No additional gap coverage, only the Donut Hole Discount |
H8145 -008 -0 | $6.00 | $15.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|