There are 70 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 |
$6,700 |
No Rx Coverage |
H8768 -031 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 AARP Medicare Advantage Patriot No Rx MS-MA01 (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,900 |
No Rx Coverage |
H5521 -324 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Aetna Medicare Eagle (PPO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Cigna Courage Medicare (HMO)
| $0.00 |
$5,900 |
No Rx Coverage |
H4407 -011 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Cigna Courage Medicare (HMO)
| $0.00 |
$5,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
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 -200 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Humana USAA Honor (PPO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 HumanaChoice R0110-001 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R0110 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 HumanaChoice R0110-001 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Wellcare Patriot Giveback (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage |
H1416 -060 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Wellcare Patriot Giveback (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
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 --
|
H5253 -141 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC MS-0001 (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice Plan 2 (PPO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. |
H8768 -034 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC MS-0003 (PPO)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H8768 -040 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC MS-0004 (PPO)
| $0.00 |
$7,500 |
$295 | Yes, some additional gap coverage. | $0.00 | $14.00 | $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 Aetna Medicare Freedom Plan (PPO)
| $0.00 |
$4,700 |
$0 | Yes, some additional gap coverage. |
H5521 -220 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Freedom (PPO)
| $0.00 |
$4,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -477 -0 | | | | | |
|
|
|
|
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 |
|
-- This plan not offered in 2023 --
|
H3239 -017 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Signature (HMO)
| $0.00 |
$4,700 |
$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 |
-- This plan not offered in 2023 --
|
H1347 -001 -0 | | | | | |
|
new |
new |
|
2024 Blue Advantage Plus (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $13.00 | $40.00 | $40.00 | 3,200 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H4407 -030 -1 | | | | | |
|
|
|
|
2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$5,750 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H7849 -064 -4 | | | | | |
|
|
|
|
2024 Cigna True Choice Access Medicare (PPO)
| $0.00 |
$5,600 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H1036 -151 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus H1036-151 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5216 -334 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-300 (PPO)
| $0.00 |
$4,150 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -300 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-300 (PPO)
| $0.00 |
$4,150 |
$0 | No additional gap coverage, only the Donut Hole Discount | $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 Vantage BASIC (HMO-POS)
| $0.00 |
$5,900 |
$505 | Yes, some additional gap coverage. |
H7163 -002 -0 | $0.00 | $16.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
-- |
|
|
2024 Primewell Classic (HMO-POS)
| $0.00 |
$4,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
|
2023 Vantage Giveback (HMO-POS)
| $0.00 |
$5,900 |
$505 | Yes, some additional gap coverage. |
H7163 -005 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
-- |
|
|
2024 Primewell Giveback (HMO-POS)
| $0.00 |
$5,900 |
$195 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H1416 -065 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Giveback (HMO)
| $0.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare No Premium (HMO)
| $0.00 |
$5,900 |
$275 | Yes, some additional gap coverage. |
H1416 -072 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium (HMO)
| $0.00 |
$5,900 |
$275 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$6,000 |
$150 | Yes, some additional gap coverage. |
H0074 -001 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium Open (PPO)
| $0.00 |
$6,000 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1416 -081 -0 | | | | | |
|
|
|
|
2024 Wellcare All Dual Assure (HMO D-SNP)
| $20.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Cigna TotalCare Plus (HMO D-SNP)
| $18.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4407 -029 -0 | | | | | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna TotalCare Plus (HMO D-SNP)
| $22.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $15.60 |
$5,500 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H1416 -068 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Assist (HMO)
| $24.90 |
$5,500 |
$440 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 Cigna TotalCare (HMO D-SNP)
| $14.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4407 -004 -0 | | | | | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna TotalCare (HMO D-SNP)
| $25.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Dual Access Open (PPO D-SNP)
| $22.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0074 -004 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $25.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Shared Health Dual Plus (HMO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3015 -001 -0 | | | | | 3,588
2023 Formulary |
|
-- |
|
|
2024 Shared Health Dual Plus (HMO D-SNP)
| $25.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,619 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1416 -026 -0 | | | | | |
|
|
|
|
2024 Wellcare Low Premium (HMO-POS)
| $30.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice Plan 1 (PPO)
| $25.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H8768 -030 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC MS-0002 (PPO)
| $32.00 |
$5,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Cigna Preferred Plus Medicare (HMO)
| $28.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4407 -027 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
2024 Cigna Preferred Plus Medicare (HMO)
| $32.00 |
$5,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -004 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan EX-F001 (PPO I-SNP)
| $32.10 |
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 Wellcare Dual Access (HMO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1416 -034 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $32.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -464 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Choice (PPO D-SNP)
| $34.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H3239 -015 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Signature (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 Wellcare Dual Liberty (HMO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1416 -044 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $36.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H3239 -016 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Signature Select (HMO D-SNP)
| $37.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5008 -011 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete MS-S002 (HMO-POS D-SNP)
| $37.90 |
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 --
|
H5521 -470 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Value Plus (PPO)
| $38.20 |
$6,350 |
$400 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1889 -011 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete MS-S001 (PPO D-SNP)
| $38.90 |
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)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5008 -016 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete MS-V001 (HMO-POS D-SNP)
| $39.30 |
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 |
2023 Aetna Medicare Dual Preferred Plan (HMO D-SNP)
| $20.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -008 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Preferred (HMO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Aetna Medicare Dual Select Plan (HMO D-SNP)
| $18.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3239 -012 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Select (HMO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -465 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Dual Select Choice (PPO D-SNP)
| $40.10 |
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 American Health Advantage of Mississippi (HMO I-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9909 -001 -0 | | | | | 3,478
2023 Formulary |
|
-- |
|
|
2024 American Health Advantage of Mississippi (HMO I-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,481 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1036 -222 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Humana Value Plus H5216-160 (PPO)
| $31.90 |
$7,550 |
$490 | No additional gap coverage, only the Donut Hole Discount |
H5216 -160 -0 | $18.00 | $20.00 | 20% | 20% | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Value Plus H5216-160 (PPO)
| $40.10 |
$6,800 |
$545 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $20.00 | 22% | 22% | 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 H5216-292 (PPO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -292 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-292 (PPO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 HumanaChoice SNP-DE H5216-298 (PPO D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -298 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-298 (PPO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -367 -0 | | | | | |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-367 (PPO D-SNP)
| $40.10 |
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 Vantage DUAL PLUS (HMO-POS D-SNP)
| $31.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7163 -003 -0 | | | | | 3,826
2023 Formulary |
|
-- |
|
|
2024 Primewell Dual Plus (HMO-POS D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,508 2024 Formulary |
|
2023 Vantage STANDARD (HMO-POS)
| $31.90 |
$4,900 |
$505 | Yes, some additional gap coverage. |
H7163 -004 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,826
2023 Formulary |
|
-- |
|
|
2024 Primewell Reliance (HMO-POS)
| $40.10 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,508 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9946 -001 -0 | | | | | |
new |
new |
new |
|
2024 Shared Health Dual Freedom (PPO D-SNP)
| $40.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 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 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $33.50 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0710 -070 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Care Advantage EX-E002 (PPO I-SNP)
| $41.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 HumanaChoice H5216-136 (PPO)
| $43.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5216 -136 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-136 (PPO)
| $59.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 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 |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$6,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4407 -026 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna Preferred Medicare (HMO) H4407-030 --
| | | | | |
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,600 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H7849 -016 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna True Choice Access Medicare (PPO) H7849-064 --
| | | | | |
|
2023 Cigna True Choice Access Medicare (PPO)
| $0.00 |
$5,600 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H7849 -064 -1 | $0.00 | $4.00 | $40.00 | $40.00 | 3,524
2023 Formulary |
|
|
|
|
-- Members will be assigned to Cigna True Choice Access Medicare (PPO) H7849-064 --
| | | | | |
|
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 H1036-171 (HMO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1036 -171 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to Humana Gold Plus H1036-151 (HMO) H1036-151 --
| | | | | |
|
2023 Wellcare Premium Hybrid Open (PPO)
| $232.00 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H0074 -002 -0 | $0.00 | $5.00 | $30.00 | $30.00 | 3,392
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Community Assist (PPO)
| $30.40 |
$6,000 |
$340 | No additional gap coverage, only the Donut Hole Discount |
H0074 -003 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
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 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 --
|
| | | | |
|
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 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H2196 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
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 Wellcare No Premium Medicare (HMO)
| $0.00 |
$7,450 |
$300 | Yes, some additional gap coverage. |
H9811 -001 -0 | $0.00 | $10.00 | $32.00 | $32.00 | 3,392
2023 Formulary |
|
-- |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Dual Access Medicare (HMO D-SNP)
| $22.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9811 -006 -0 | | | | | 3,394
2023 Formulary |
|
-- |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Giveback Boost (HMO)
| $0.00 |
$8,300 |
$445 | No additional gap coverage, only the Donut Hole Discount |
H9811 -008 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
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 Wellcare Assist Complement (HMO)
| $13.40 |
$6,700 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H9811 -009 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
-- |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|