There are 69 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 |
$4,500 |
No Rx Coverage |
H8768 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx KY-MA01 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle (HMO)
| $0.00 |
$5,900 |
No Rx Coverage |
H0628 -014 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle (HMO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Anthem MediBlue Service (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H4909 -023 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Anthem Veteran (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Honor (PPO)
| $0.00 |
$4,200 |
No Rx Coverage |
H5216 -105 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$4,200 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -225 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R0865-001 (Regional PPO)
| $0.00 |
$3,900 |
No Rx Coverage |
R0865 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R0865-001 (Regional PPO)
| $0.00 |
$4,350 |
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 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$5,500 |
No Rx Coverage |
H3975 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Flex Plan 1 (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H5253 -099 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC KY-0001 (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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2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H8768 -013 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC KY-0003 (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $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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H5253 -127 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC KY-0004 (HMO-POS)
| $0.00 |
$6,500 |
$395 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H5253 -128 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC KY-0005 (HMO-POS)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. |
H0628 -009 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,622
2023 Formulary |
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2024 Aetna Medicare Premier (HMO-POS)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,658 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
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H5521 -442 -0 | | | | | |
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2024 Aetna Medicare SmartFit (PPO)
| $0.00 |
$3,850 |
$400 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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2023 Aetna Medicare Value Plan (PPO)
| $19.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H5521 -259 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (PPO)
| $0.00 |
$5,500 |
$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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H9525 -017 -0 | | | | | |
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2024 Anthem Chronic Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $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 Anthem MediBlue ESRD Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H9525 -011 -0 | $2.00 | $9.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
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2024 Anthem Kidney Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $2.00 | $9.00 | $42.00 | $42.00 | 3,562 2024 Formulary |
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2023 Anthem MediBlue Plus (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. |
H9525 -013 -2 | $2.00 | $9.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
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2024 Anthem Medicare Advantage (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
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-- This plan not offered in 2023 --
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H4036 -036 -0 | | | | | |
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2024 Anthem Medicare Advantage (PPO)
| $0.00 |
$5,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $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 Essence Advantage (HMO)
| $0.00 |
$3,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2610 -021 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,290
2023 Formulary |
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2024 Essence Advantage (HMO)
| $0.00 |
$3,350 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,332 2024 Formulary |
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-- This plan not offered in 2023 --
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H6200 -006 -0 | | | | | |
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new |
new |
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2024 Essence Advantage Choice (PPO)
| $0.00 |
$3,850 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,332 2024 Formulary |
|
2023 Humana Community (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H1036 -236 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,404
2023 Formulary |
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2024 Humana Community (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 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 Community HMO Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1036 -234 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,404
2023 Formulary |
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2024 Humana Community HMO Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,448 2024 Formulary |
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-- This plan not offered in 2023 --
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H5619 -164 -0 | | | | | |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H5619-071 (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5619 -071 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-071 (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H5216 -396 -0 | | | | | |
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2024 Humana USAA Honor with Rx (PPO)
| $0.00 |
$8,850 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-226 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5216 -226 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-226 (PPO)
| $0.00 |
$7,250 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-317 (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H5216 -317 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-317 (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-322 (PPO)
| $0.00 |
$7,550 |
$505 | Yes, some additional gap coverage. |
H5216 -322 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-322 (PPO)
| $0.00 |
$7,550 |
$545 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Passport Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H1799 -002 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
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2024 Passport 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 Signature Advantage Community (HMO I-SNP)
| $12.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2400 -002 -0 | | | | | 3,445
2023 Formulary |
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-- |
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2024 Signature Advantage Community (HMO I-SNP)
| $0.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,460 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 (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H9730 -007 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback (HMO)
| $0.00 |
$6,700 |
$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 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H9730 -009 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Essential (HMO-POS)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H9730 -005 -0 | $0.00 | $2.00 | $35.00 | $35.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Essential (HMO-POS)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $2.00 | $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 Open (PPO)
| $0.00 |
$6,000 |
$100 | Yes, some additional gap coverage. |
H3975 -001 -0 | $0.00 | $3.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$6,000 |
$250 | Yes, some additional gap coverage. | $1.00 | $3.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9730 -011 -0 | | | | | |
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2024 Wellcare All Dual Assure (HMO D-SNP)
| $17.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $9.00 |
$5,000 |
$260 | No additional gap coverage, only the Donut Hole Discount |
H9730 -010 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist (HMO)
| $20.60 |
$5,000 |
$205 | 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 HumanaChoice H5216-188 (PPO)
| $18.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5216 -188 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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|
|
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2024 HumanaChoice H5216-188 (PPO)
| $22.00 |
$6,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H4036 -035 -0 | | | | | |
|
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|
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2024 Anthem Medicare Advantage 2 (PPO)
| $28.00 |
$4,950 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
|
2023 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $9.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9525 -007 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
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|
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2024 Anthem Full Dual Advantage (HMO D-SNP)
| $28.40 |
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 Wellcare Dual Access Open (PPO D-SNP)
| $24.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3975 -004 -0 | | | | | 3,394
2023 Formulary |
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|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 AARP Medicare Advantage Flex Plan 2 (HMO-POS)
| $26.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H5253 -100 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC KY-0002 (HMO-POS)
| $29.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9525 -016 -0 | | | | | |
|
|
|
|
2024 Anthem Dual Advantage (HMO D-SNP)
| $29.60 |
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 Passport Advantage (HMO D-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1799 -001 -0 | $0.00 | $0.00 | $29.00 | $29.00 | 3,270
2023 Formulary |
|
|
|
|
2024 Passport Advantage (HMO D-SNP)
| $32.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0710 -064 -0 | | | | | |
|
-- |
|
|
2024 UHC Nursing Home Plan KY-F001 (PPO I-SNP)
| $33.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $20.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9730 -004 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $37.30 |
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 (HMO D-SNP)
| $26.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9730 -003 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $39.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Aetna Medicare Assure 1 (HMO D-SNP)
| $18.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0628 -012 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure 1 (HMO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 HumanaChoice H5216-019 (PPO)
| $43.00 |
$5,300 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -019 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-019 (PPO)
| $41.00 |
$5,800 |
$0 | No additional gap coverage, only the Donut Hole Discount | $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 |
2023 Signature Advantage Plan (HMO I-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2400 -001 -0 | | | | | 3,445
2023 Formulary |
|
-- |
|
|
2024 Signature Advantage Plan (HMO I-SNP)
| $42.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,460 2024 Formulary |
|
2023 Humana Community HMO SNP-DE (HMO D-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1036 -235 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Community HMO SNP-DE (HMO D-SNP)
| $42.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5619 -075 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP)
| $42.30 |
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 |
-- This plan not offered in 2023 --
|
H5619 -163 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)
| $42.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5525 -045 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5525-045 (PPO D-SNP)
| $42.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0710 -071 -0 | | | | | |
|
-- |
|
|
2024 UHC Care Advantage KY-E001 (PPO I-SNP)
| $42.30 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $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 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1889 -008 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete KY-S001 (PPO D-SNP)
| $42.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6595 -004 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete KY-S002 (HMO-POS D-SNP)
| $42.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $28.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6595 -003 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete KY-V001 (HMO-POS D-SNP)
| $42.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H4036 -034 -0 | | | | | |
|
|
|
|
2024 Anthem Medicare Advantage 3 (PPO)
| $44.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $3.00 | $12.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
|
2023 HumanaChoice R0865-003 (Regional PPO)
| $33.00 |
$7,550 |
$195 | Yes, some additional gap coverage. |
R0865 -003 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R0865-003 (Regional PPO)
| $46.00 |
$7,550 |
$245 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Anthem MediBlue Access Basic (Regional PPO)
| $81.00 |
$6,400 |
$0 | Yes, some additional gap coverage. |
R4487 -001 -0 | $6.00 | $15.00 | $37.00 | $37.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Medicare Advantage (Regional PPO)
| $73.00 |
$6,400 |
$0 | Yes, some additional gap coverage. | $6.00 | $15.00 | $37.00 | $37.00 | 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 HumanaChoice H5216-324 (PPO)
| $74.00 |
$2,200 |
$250 | Yes, some additional gap coverage. |
H5216 -324 -0 | $2.00 | $8.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-324 (PPO)
| $77.00 |
$2,250 |
$250 | Yes, some additional gap coverage. | $2.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-107 (PPO)
| $132.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H5216 -107 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-107 (PPO)
| $123.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Anthem MediBlue + Kroger Dual Advantage (HMO D-SNP)
| $9.40 |
n/a |
$450 | No additional gap coverage, only the Donut Hole Discount |
H9525 -010 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
-- Members will be assigned to Anthem Full Dual Advantage (HMO D-SNP) H9525-007 --
| | | | | |
|
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 Plus (PPO)
| $19.00 |
$5,450 |
$0 | Yes, some additional gap coverage. |
H7728 -009 -0 | $3.00 | $12.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
-- Members will be assigned to Anthem Medicare Advantage 2 (PPO) H4036-035 --
| | | | | |
|
2023 Anthem MediBlue Access (PPO)
| $44.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H7728 -013 -0 | $3.00 | $12.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
-- Members will be assigned to Anthem Medicare Advantage 3 (PPO) H4036-034 --
| | | | | |
|
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 Essence Advantage Plus (HMO)
| $0.00 |
$5,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H2610 -022 -0 | $2.00 | $9.00 | $45.00 | $45.00 | 3,290
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue + Kroger Access (PPO)
| $0.00 |
$5,500 |
$125 | Yes, some additional gap coverage. |
H4909 -025 -0 | $3.00 | $12.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|