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 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H5521 -235 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Giveback (PPO)
| $0.00 |
$5,900 |
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 -201 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R0110-001 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R0110 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R0110-001 (Regional PPO)
| $0.00 |
$7,550 |
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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H9763 -006 -0 | | | | | |
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2024 Ochsner Health Plan Heroes (HMO-POS)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Peoples Health Patriot (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H4544 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Peoples Health Patriot (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Advantra Plan (HMO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H3928 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Advantra (HMO)
| $0.00 |
$5,900 |
$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 Freedom Plan (PPO)
| $0.00 |
$5,900 |
$150 | Yes, some additional gap coverage. |
H5521 -178 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Freedom (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H5521 -476 -0 | | | | | |
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2024 Aetna Medicare Giveback Choice (PPO)
| $0.00 |
$8,850 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
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2023 Aetna Medicare Signature Plan (PPO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H5521 -365 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Signature (PPO)
| $0.00 |
$3,850 |
$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 |
-- This plan not offered in 2023 --
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H6453 -013 -4 | | | | | |
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2024 Blue adVantage Classic (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
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2023 Blue Advantage (HMO)
| $0.00 |
$7,550 |
$195 | Yes, some additional gap coverage. |
H6453 -011 -0 | $3.00 | $12.00 | $45.00 | $45.00 | 3,467
2023 Formulary |
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2024 Blue adVantage Giveback (HMO-POS)
| $0.00 |
$5,500 |
$195 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
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2023 Blue Advantage (PPO)
| $0.00 |
$7,550 |
$195 | Yes, some additional gap coverage. |
H1248 -007 -0 | $3.00 | $12.00 | $45.00 | $45.00 | 3,467
2023 Formulary |
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2024 Blue adVantage Liberty (PPO)
| $0.00 |
$6,900 |
$195 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 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 - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1951 -044 -0 | $0.00 | $4.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Humana Gold Plus H1951-047 (HMO)
| $0.00 |
$3,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1951 -047 -1 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H1951-047 (HMO)
| $0.00 |
$3,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Humana LCMC Advantage H1951-051 (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1951 -051 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana LCMC Advantage H1951-051 (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 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 Humana-Ochsner Network H1951-038 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1951 -038 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Select Partner Plan H1951-038 (HMO)
| $0.00 |
$3,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-325 (PPO)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -325 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-325 (PPO)
| $0.00 |
$3,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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-- This plan not offered in 2023 --
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H9763 -004 -1 | | | | | |
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2024 Ochsner Health Plan Freedom (HMO-POS)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,332 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 Ochsner Health Plan Premier (HMO)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H9763 -003 -1 | $0.00 | $10.00 | $45.00 | $45.00 | 3,288
2023 Formulary |
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2024 Ochsner Health Plan Premier (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,332 2024 Formulary |
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2023 Peoples Health Choices (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H4544 -001 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 Peoples Health Choices (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
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2023 Peoples Health Choices 65 (HMO-POS)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H1961 -014 -1 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 Peoples Health Choices 65 (HMO-POS)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 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 --
|
H1961 -020 -0 | | | | | |
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2024 Peoples Health Medicare Advantage LA-0004 (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Wellcare Endurance (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H2491 -016 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,393
2023 Formulary |
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2024 Wellcare Endurance (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
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2023 Wellcare Giveback Open (PPO)
| $0.00 |
$7,550 |
$195 | Yes, some additional gap coverage. |
H3047 -002 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
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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 |
|
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 --
|
H2491 -027 -1 | | | | | |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,000 |
$75 | Yes, some additional gap coverage. |
H3047 -001 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$5,000 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
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2023 Aetna Medicare Value Plus Plan (PPO)
| $17.00 |
$6,000 |
$150 | Yes, some additional gap coverage. |
H5521 -326 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plus (PPO)
| $20.00 |
$6,000 |
$150 | 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 |
-- This plan not offered in 2023 --
|
H5521 -474 -0 | | | | | |
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2024 Aetna Medicare Value Plus Signature (PPO)
| $24.10 |
$6,000 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2491 -025 -0 | | | | | |
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2024 Wellcare All Dual Assure (HMO D-SNP)
| $25.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
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2023 Wellcare Assist (HMO)
| $12.70 |
$3,400 |
$385 | No additional gap coverage, only the Donut Hole Discount |
H2491 -010 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
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2024 Wellcare Assist (HMO)
| $25.90 |
$3,400 |
$315 | 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 |
-- This plan not offered in 2023 --
|
H5521 -473 -0 | | | | | |
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2024 Aetna Medicare Dual Signature Select (PPO D-SNP)
| $27.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
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-- This plan not offered in 2023 --
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H5521 -472 -0 | | | | | |
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2024 Aetna Medicare Dual Signature Choice (PPO D-SNP)
| $29.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6453 -019 -0 | | | | | |
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2024 Blue adVantage Dual Plus (HMO-POS D-SNP)
| $30.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,508 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 Healthy Blue Enhanced Care (HMO D-SNP)
| $16.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1947 -003 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
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2024 Healthy Blue Enhanced Care (HMO D-SNP)
| $30.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 Healthy Blue Dual Advantage (HMO D-SNP)
| $33.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1947 -001 -0 | $10.00 | $20.00 | $40.00 | $40.00 | 3,603
2023 Formulary |
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2024 Healthy Blue Dual Advantage (HMO D-SNP)
| $32.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 Aetna Medicare Dual Select Plan (HMO D-SNP)
| $17.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -011 -0 | | | | | 3,597
2023 Formulary |
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2024 Aetna Medicare Dual Select (HMO D-SNP)
| $35.20 |
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 Aetna Medicare Dual Plus Plan (HMO D-SNP)
| $18.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -013 -0 | | | | | 3,597
2023 Formulary |
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2024 Aetna Medicare Dual Signature (HMO D-SNP)
| $37.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Wellcare Dual Pinnacle Liberty (HMO D-SNP)
| $31.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2491 -012 -0 | | | | | 3,394
2023 Formulary |
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2024 Wellcare Dual Pinnacle Liberty (HMO D-SNP)
| $38.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Dual Freedom Access (HMO D-SNP)
| $31.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2491 -011 -0 | | | | | 3,394
2023 Formulary |
|
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|
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2024 Wellcare Dual Freedom Access (HMO D-SNP)
| $39.00 |
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 Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)
| $38.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1951 -057 -0 | | | | | 3,404
2023 Formulary |
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|
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2024 Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)
| $41.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Peoples Health Secure Health (HMO-POS D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1961 -003 -0 | | | | | 3,682
2023 Formulary |
|
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|
|
2024 Peoples Health Secure Health (HMO-POS D-SNP)
| $44.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Peoples Health Secure Complete (HMO-POS D-SNP)
| $37.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1961 -019 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 Peoples Health Secure Complete (HMO-POS D-SNP)
| $45.10 |
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 HumanaChoice H5216-064 (PPO)
| $44.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -064 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-064 (PPO)
| $46.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Aetna Medicare Dual Preferred Plan (HMO D-SNP)
| $30.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -001 -0 | | | | | 3,597
2023 Formulary |
|
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|
|
2024 Aetna Medicare Dual Preferred (HMO D-SNP)
| $46.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Dignity Health Plan (HMO I-SNP)
| $38.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8492 -001 -0 | | | | | 3,445
2023 Formulary |
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-- |
|
|
2024 American Health Advantage of Louisiana (HMO I-SNP)
| $46.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,481 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 --
|
H6453 -017 -2 | | | | | |
|
|
|
|
2024 Blue adVantage Reliance (HMO-POS)
| $46.20 |
$4,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1951 -032 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)
| $46.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1951 -056 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H1951-056 (HMO D-SNP)
| $46.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice SNP-DE H5216-332 (PPO D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -332 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-332 (PPO D-SNP)
| $46.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1889 -010 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete LA-S001 (PPO D-SNP)
| $46.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5008 -010 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete LA-S003 (HMO-POS D-SNP)
| $46.20 |
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 Blue Advantage (PPO)
| $100.00 |
$4,000 |
$0 | Yes, some additional gap coverage. |
H1248 -004 -0 | $3.00 | $12.00 | $45.00 | $45.00 | 3,467
2023 Formulary |
|
|
|
|
2024 Blue adVantage Premier (PPO)
| $100.00 |
$4,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
|
2023 HumanaChoice R0110-003 (Regional PPO)
| $109.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
R0110 -003 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R0110-003 (Regional PPO)
| $150.00 |
$3,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6453 -018 -2 | | | | | |
|
|
|
|
2024 Blue adVantage Platinum (HMO-POS)
| $169.00 |
$3,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 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 Vantage BASIC (HMO-POS)
| $0.00 |
$5,900 |
$505 | Yes, some additional gap coverage. |
H5576 -020 -1 | $0.00 | $16.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Classic (HMO-POS) H6453-013 --
| | | | | |
|
2023 Blue Advantage (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H6453 -008 -1 | $3.00 | $12.00 | $45.00 | $45.00 | 3,467
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Classic (HMO-POS) H6453-013 --
| | | | | |
|
2023 Vantage DUAL PLUS (HMO-POS D-SNP)
| $38.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5576 -019 -0 | | | | | 3,826
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Dual Plus (HMO-POS D-SNP) H6453-019 --
| | | | | |
|
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 Vantage Giveback (HMO-POS)
| $0.00 |
$5,900 |
$505 | Yes, some additional gap coverage. |
H5576 -023 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Giveback (HMO-POS) H6453-011 --
| | | | | |
|
2023 Vantage PREMIUM (HMO-POS)
| $171.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H5576 -018 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Platinum (HMO-POS) H6453-018 --
| | | | | |
|
2023 Vantage 100 (HMO-POS)
| $220.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5576 -022 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Platinum (HMO-POS) H6453-018 --
| | | | | |
|
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 Vantage STANDARD (HMO-POS)
| $38.40 |
$4,900 |
$505 | Yes, some additional gap coverage. |
H5576 -017 -1 | $0.00 | $14.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue adVantage Reliance (HMO-POS) H6453-017 --
| | | | | |
|
2023 Humana Gold Plus SNP-DE H1951-033 (HMO D-SNP)
| $36.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1951 -033 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP) H1951-032 --
| | | | | |
|
2023 Ochsner Health Plan Freedom (HMO-POS)
| $0.00 |
$3,700 |
$0 | Yes, some additional gap coverage. |
H9763 -002 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,288
2023 Formulary |
|
|
|
|
-- Members will be assigned to Ochsner Health Plan Freedom (HMO-POS) H9763-004 --
| | | | | |
|
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 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H2491 -007 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium (HMO) H2491-027 --
| | | | | |
|
2023 Wellcare Community Assist (PPO)
| $30.80 |
$6,000 |
$305 | No additional gap coverage, only the Donut Hole Discount |
H3047 -004 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium Open (PPO) H3047-001 --
| | | | | |
|
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 Wellcare Patriot No Premium (HMO)
| $0.00 |
$5,500 |
No Rx Coverage |
H2491 -018 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Dual Access Medicare (HMO D-SNP)
| $26.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5117 -004 -0 | | | | | 3,394
2023 Formulary |
|
-- |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|