There are 59 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 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,390 |
No Rx Coverage |
H5521 -286 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle (PPO)
| $0.00 |
$4,390 |
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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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 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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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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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 (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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2023 UW Health IL Quartz Med Advantage Value (HMO)
| $0.00 |
$4,700 |
No Rx Coverage |
H5262 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 UW Health IL Quartz Med Advantage Value (HMO)
| $0.00 |
$4,500 |
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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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 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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2023 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$4,150 |
$0 | Yes, some additional gap coverage. |
H3192 -013 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H7301 -021 -0 | | | | | |
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2024 Aetna Medicare SmartFit (PPO)
| $0.00 |
$3,875 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 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 Value Advantra (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H7301 -006 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,622
2023 Formulary |
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2024 Aetna Medicare Value Advantra (PPO)
| $0.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,658 2024 Formulary |
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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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2023 Blue Cross Medicare Advantage Classic (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H8634 -012 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
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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 |
|
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 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 |
|
2023 Blue Cross Medicare Advantage Saver Plus (PPO)
| $0.00 |
$6,900 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8634 -020 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Saver Plus (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 |
|
2023 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H3822 -014 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
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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 |
|
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 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 |
|
-- This plan not offered in 2023 --
|
H5454 -005 -0 | | | | | |
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-- |
-- |
|
2024 Clear Spring Health Essential (HMO C-SNP)
| $0.00 |
n/a |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,292 2024 Formulary |
|
2023 Clear Spring Health Essential (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5454 -001 -0 | $0.00 | $12.00 | $42.00 | $42.00 | 3,255
2023 Formulary |
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-- |
-- |
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2024 Clear Spring Health Essential (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,292 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 --
|
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 |
|
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 |
|
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 H5216-251 (PPO)
| $0.00 |
$3,200 |
$0 | Yes, some additional gap coverage. |
H5216 -251 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-251 (PPO)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
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 |
|
2023 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8046 -001 -0 | | | | | 3,267
2023 Formulary |
-- |
-- |
-- |
|
2024 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,290 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 --
|
H2715 -001 -0 | | | | | |
|
new |
new |
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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 |
|
2023 UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
| $0.00 |
$5,700 |
$0 | Yes, some additional gap coverage. |
H5262 -019 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,846
2023 Formulary |
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2024 UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)
| $0.00 |
$5,500 |
$300 | Yes, some additional gap coverage. | $10.00 | $20.00 | $47.00 | $47.00 | 3,877 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 |
|
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 |
2023 Aetna Medicare Premier Advantra (PPO)
| $22.00 |
$4,450 |
$0 | Yes, some additional gap coverage. |
H7301 -002 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,622
2023 Formulary |
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|
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2024 Aetna Medicare Premier Advantra (PPO)
| $9.00 |
$3,875 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,658 2024 Formulary |
|
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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|
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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 |
|
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 |
|
|
|
|
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 |
2023 HumanaChoice H5216-283 (PPO)
| $25.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H5216 -283 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-283 (PPO)
| $30.00 |
$3,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 UW Health IL Quartz Med Advantage Elite (HMO)
| $30.00 |
$3,450 |
No Rx Coverage |
H5262 -027 -0 | This plan does NOT include Prescription Drug coverage. | |
|
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|
|
2024 UW Health IL Quartz Med Advantage Elite (HMO)
| $30.00 |
$3,250 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
| $27.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H5262 -018 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,846
2023 Formulary |
|
|
|
|
2024 UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)
| $32.00 |
$4,500 |
$250 | Yes, some additional gap coverage. | $10.00 | $20.00 | $47.00 | $47.00 | 3,877 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 --
|
H8145 -006 -0 | | | | | |
|
|
|
|
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 |
|
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 |
|
|
|
|
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 |
|
|
|
|
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 |
|
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 UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
| $63.10 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5262 -026 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,846
2023 Formulary |
|
|
|
|
2024 UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)
| $68.00 |
$3,250 |
$200 | Yes, some additional gap coverage. | $10.00 | $20.00 | $47.00 | $47.00 | 3,877 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 |
|
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 |
|
|
|
|
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 |
|
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 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 H5216-357 (PPO)
| $95.00 |
$1,500 |
$505 | Yes, some additional gap coverage. |
H5216 -357 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-357 (PPO)
| $138.00 |
$1,000 |
$545 | Yes, some additional gap coverage. | $5.00 | $15.00 | $47.00 | $47.00 | 3,448 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 |
|
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 --
|
H7301 -015 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Enhanced Select (PPO)
| $169.00 |
$1,400 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | 25% | 25% | 3,619 2024 Formulary |
|
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 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 --
| | | | | |
|
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 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 --
| | | | | |
|
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 --
| | | | | |
|
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 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 --
|
| | | | |
|