There are 81 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
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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 |
H7404 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx NV-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 Plan (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5521 -353 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $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 |
$5,999 |
No Rx Coverage |
H5216 -216 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,999 |
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 SelectHealth Medicare NoRx (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H2246 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
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new |
new |
|
2024 Select Health Medicare NoRx (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H0609 -028 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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|
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2024 AARP Medicare Advantage from UHC NV-0001 (HMO-POS)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H7404 -018 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC NV-0007 (PPO)
| $0.00 |
$5,900 |
$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 AARP Medicare Advantage Walgreens Plan 2 (PPO)
| $0.00 |
$6,700 |
$195 | Yes, some additional gap coverage. |
H7404 -020 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC NV-0008 (PPO)
| $0.00 |
$6,300 |
$295 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Walgreens Plan 1 (HMO-POS)
| $0.00 |
$900 |
$0 | Yes, some additional gap coverage. |
H0609 -038 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage Walgreens from UHC NV-0005 (HMO-POS)
| $0.00 |
$900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -055 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Elite Plan (PPO)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. |
H5521 -299 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (PPO)
| $0.00 |
$6,300 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 Aetna Medicare Premier Plan (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H4711 -001 -0 | $2.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier Plan (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Prime Plan (HMO-POS)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H4711 -002 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Prime Plan (HMO-POS)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Prime Plus Plan (HMO-POS)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H3931 -151 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Prime Plus Plan (HMO-POS)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Select Plan (HMO-POS)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H3931 -094 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Select Plan (HMO-POS)
| $0.00 |
$2,500 |
$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 --
|
H8244 -002 -0 | | | | | |
|
new |
new |
|
2024 Alignment Health AVA (PPO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,517 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 Alignment Health Heart & Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H9686 -004 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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|
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2024 Alignment Health Heart & Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,517 2024 Formulary |
|
2023 Alignment Health Platinum (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H9686 -001 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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2024 Alignment Health Platinum (HMO)
| $0.00 |
$699 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,517 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5296 -007 -0 | | | | | |
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|
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2024 Alignment Health Platinum + Instacart (HMO)
| $0.00 |
$698 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,517 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 --
|
H5296 -008 -0 | | | | | |
|
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|
|
2024 Alignment Health smartHMO (HMO)
| $0.00 |
$2,499 |
$545 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,517 2024 Formulary |
|
2023 Anthem MediBlue Diabetes Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4346 -006 -0 | $0.00 | $7.50 | $35.00 | $35.00 | 3,157
2023 Formulary |
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|
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2024 Anthem I Carelon Chronic Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $35.00 | $35.00 | 3,221 2024 Formulary |
|
2023 Anthem MediBlue Care On Site (HMO I-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4346 -010 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
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2024 Anthem I Carelon Home Care (HMO I-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $40.00 | $40.00 | 3,221 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 Lung Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4346 -005 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
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|
|
|
2024 Anthem I Carelon Lung Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $40.00 | $40.00 | 3,221 2024 Formulary |
|
2023 Anthem MediBlue Value Plus (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H4346 -001 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
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|
|
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2024 Anthem I Carelon Medicare Advantage (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.50 | $40.00 | $40.00 | 3,221 2024 Formulary |
|
2023 Anthem MediBlue StartSmart Plus (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4346 -009 -0 | $5.00 | $10.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
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2024 Anthem I Carelon Premium Savings (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $5.00 | $10.50 | $40.00 | $40.00 | 3,221 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 Plus (HMO)
| $0.00 |
$1,250 |
$0 | Yes, some additional gap coverage. |
H4346 -017 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,583
2023 Formulary |
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|
|
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2024 Anthem Medicare Advantage (HMO)
| $0.00 |
$1,250 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,557 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6474 -001 -0 | | | | | |
new |
new |
new |
|
2024 Champion Advantage (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H7389 -008 -0 | | | | | |
|
new |
|
|
2024 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $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 |
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H6622 -029 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 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 | $5.00 | $40.00 | $40.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H6622-028 (HMO)
| $0.00 |
$1,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6622 -028 -0 | $2.00 | $8.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H6622-028 (HMO)
| $0.00 |
$2,500 |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H6622-056 (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. |
H6622 -056 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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|
|
|
2024 Humana Gold Plus H6622-056 (HMO)
| $0.00 |
$999 |
$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 Humana Gold Plus H6622-082 (HMO)
| $0.00 |
$2,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H6622 -082 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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|
|
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2024 Humana Gold Plus H6622-082 (HMO)
| $0.00 |
$2,999 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus Lung (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H6622 -030 -0 | $0.00 | $2.00 | $40.00 | $40.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus Lung (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $2.00 | $40.00 | $40.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-141 (PPO)
| $0.00 |
$5,500 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5216 -141 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,270
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-141 (PPO)
| $0.00 |
$5,500 |
$365 | 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 HumanaChoice H5216-281 (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H5216 -281 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-281 (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H2478 -002 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
|
new |
new |
|
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 SCAN Balance (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0978 -002 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,458
2023 Formulary |
|
|
|
|
2024 SCAN Balance (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 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 |
2023 SCAN Classic (HMO)
| $0.00 |
$900 |
$0 | Yes, some additional gap coverage. |
H0978 -001 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,458
2023 Formulary |
|
|
|
|
2024 SCAN Classic (HMO)
| $0.00 |
$900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,535 2024 Formulary |
|
2023 SCAN Compass (HMO)
| $0.00 |
$1,200 |
$0 | Yes, some additional gap coverage. |
H0978 -009 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,458
2023 Formulary |
|
|
|
|
2024 SCAN Compass (HMO)
| $0.00 |
$1,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 3,535 2024 Formulary |
|
2023 SCAN Heart First (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0978 -003 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,458
2023 Formulary |
|
|
|
|
2024 SCAN Heart First (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $37.00 | $37.00 | 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 --
|
H0978 -011 -0 | | | | | |
|
|
|
|
2024 SCAN MyChoice (HMO)
| $0.00 |
$900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,535 2024 Formulary |
|
2023 SCAN Venture (HMO)
| $0.00 |
$1,800 |
$0 | Yes, some additional gap coverage. |
H0978 -004 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,458
2023 Formulary |
|
|
|
|
2024 SCAN Venture (HMO)
| $0.00 |
$1,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H1994 -021 -0 | | | | | |
|
|
|
|
2024 Select Health Medicare + Kroger (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,829 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 SelectHealth Medicare Choice (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H2246 -019 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,992
2023 Formulary |
|
new |
new |
|
2024 Select Health Medicare Choice (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,829 2024 Formulary |
|
2023 SelectHealth Medicare Essential (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H1994 -012 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,992
2023 Formulary |
|
|
|
|
2024 Select Health Medicare Essential (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,829 2024 Formulary |
|
2023 Senior Care Plus Complete Plan (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H2960 -019 -0 | $2.00 | $8.00 | $41.00 | $41.00 | 3,288
2023 Formulary |
|
|
|
|
2024 Senior Care Plus Complete Plan (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $2.00 | $8.00 | $47.00 | $47.00 | 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 |
2023 UnitedHealthcare Medicare Advantage Assist (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0609 -037 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care NV-0004 (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Medicare Advantage Focus (HMO-POS)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. |
H0609 -032 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage NV-001P (HMO-POS)
| $0.00 |
$1,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. |
H6446 -001 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium (HMO)
| $0.00 |
$1,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H8458 -003 -0 | | | | | |
|
new |
|
|
2024 Wellcare No Premium Open (PPO)
| $0.00 |
$4,900 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare Specialty No Premium (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H6446 -017 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,393
2023 Formulary |
|
|
|
|
2024 Wellcare Specialty No Premium (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Alignment Health the ONE (HMO D-SNP)
| $14.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9686 -005 -0 | $0.00 | $20.00 | 25% | 25% | 3,467
2023 Formulary |
|
|
|
|
2024 Alignment Health the ONE (HMO D-SNP)
| $7.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,517 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 Dual Advantage (HMO D-SNP)
| $14.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4346 -025 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,583
2023 Formulary |
|
|
|
|
2024 Anthem Full Dual Advantage (HMO D-SNP)
| $15.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,557 2024 Formulary |
|
2023 Anthem MediBlue Connect (HMO D-SNP)
| $24.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4346 -026 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,157
2023 Formulary |
|
|
|
|
2024 Anthem I Carelon Full Dual Advantage (HMO D-SNP)
| $19.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,221 2024 Formulary |
|
2023 Wellcare Dual Access (HMO D-SNP)
| $18.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6446 -014 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $22.50 |
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 |
-- This plan not offered in 2023 --
|
H3931 -157 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Value Plus Plan (HMO-POS)
| $23.00 |
$2,500 |
$400 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $32.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2478 -001 -0 | $0.00 | $0.00 | $29.00 | $29.00 | 3,270
2023 Formulary |
|
new |
new |
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $25.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
2023 Aetna Medicare Select Plan (PPO)
| $32.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H5521 -022 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Select Plan (PPO)
| $29.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-037 (PPO)
| $34.00 |
$5,999 |
$225 | No additional gap coverage, only the Donut Hole Discount |
H5216 -037 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-037 (PPO)
| $29.00 |
$5,999 |
$225 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)
| $29.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6622 -079 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)
| $29.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Aetna Medicare Dual Prime Plan (HMO D-SNP)
| $21.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4711 -011 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Prime Plan (HMO D-SNP)
| $29.70 |
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 AARP Medicare Advantage Premier (HMO-POS)
| $32.50 |
$900 |
$0 | Yes, some additional gap coverage. |
H0609 -031 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NV-0002 (HMO-POS)
| $31.70 |
$900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6474 -002 -0 | | | | | |
new |
new |
new |
|
2024 Champion Connect (HMO C-SNP)
| $32.00 |
n/a |
$545 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,332 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6474 -003 -0 | | | | | |
new |
new |
new |
|
2024 Champion Select (HMO C-SNP)
| $32.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 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 HumanaChoice SNP-DE H5216-302 (PPO D-SNP)
| $32.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -302 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-302 (PPO D-SNP)
| $32.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0978 -010 -0 | | | | | |
|
|
|
|
2024 SCAN Strive (HMO C-SNP)
| $32.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $31.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1360 -001 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete NV-S001 (HMO-POS D-SNP)
| $32.00 |
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 --
|
H1889 -012 -0 | | | | | |
|
|
|
|
2024 UHC Dual Complete NV-S002 (PPO D-SNP)
| $32.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Alignment Health AVA (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. |
H9686 -003 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
|
|
|
|
-- Members will be assigned to Alignment Health Platinum (HMO) H9686-001 --
| | | | | |
|
2023 Anthem MediBlue Heart Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4346 -008 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- Members will be assigned to Anthem I Carelon Chronic Care (HMO C-SNP) H4346-006 --
| | | | | |
|
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 Imperial Insurance Traditional Plus (HMO)
| $0.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2793 -007 -0 | | | | | 3,346
2023 Formulary |
|
|
|
|
-- Members will be assigned to Imperial Insurance Company Traditional (HMO) H2793-003 --
| | | | | |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H6446 -003 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium (HMO) H6446-001 --
| | | | | |
|
2023 Wellcare Assist (HMO)
| $7.90 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6446 -011 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare No Premium (HMO) H6446-001 --
| | | | | |
|
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 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H8458 -001 -0 | $0.00 | $7.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
|
|
-- Members will be assigned to Wellcare No Premium Open (PPO) H8458-003 --
| | | | | |
|
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 --
|
| | | | |
|
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 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$375 | No additional gap coverage, only the Donut Hole Discount |
H2478 -003 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
|
new |
new |
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Imperial Insurance Company Traditional (HMO)
| $0.00 |
$2,999 |
$0 | Yes, some additional gap coverage. |
H2793 -003 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,346
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Imperial Insurance Value (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2793 -005 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,387
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 Imperial Courage Plan (HMO)
| $0.00 |
$2,999 |
No Rx Coverage |
H2793 -008 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Alignment Health Duals (PPO D-SNP)
| $15.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8244 -001 -0 | $0.00 | $20.00 | 25% | 25% | 3,467
2023 Formulary |
|
new |
new |
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Patriot Giveback Open (PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
H8458 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
|
new |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|