There are 64 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 |
$4,400 |
No Rx Coverage |
H8768 -028 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx OK-MA01 (PPO)
| $0.00 |
$4,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H3288 -051 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (PPO)
| $0.00 |
$5,000 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$6,900 |
No Rx Coverage |
H4801 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$6,900 |
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 Generations Valor (HMO-POS)
| $0.00 |
$3,900 |
No Rx Coverage |
H3706 -009 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Generations Valor (HMO-POS)
| $0.00 |
$3,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage |
H5216 -140 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R4845-001 (Regional PPO)
| $0.00 |
$3,400 |
No Rx Coverage |
R4845 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R4845-001 (Regional PPO)
| $0.00 |
$3,400 |
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 No Premium (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H9900 -008 -0 | This plan does NOT include Prescription Drug coverage. | |
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new |
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2024 Wellcare Patriot No Premium (HMO)
| $0.00 |
$3,850 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Navigate (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H3749 -020 -0 | $0.00 | $10.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC OK-0004 (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
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2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H8768 -009 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC OK-0006 (PPO)
| $0.00 |
$4,900 |
$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 Aetna Medicare Freedom Core Plan (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H3288 -021 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Freedom Core Plan (PPO)
| $0.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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-- This plan not offered in 2023 --
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H3979 -001 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,543 2024 Formulary |
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-- This plan not offered in 2023 --
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H4801 -007 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Classic (PPO)
| $0.00 |
$4,900 |
$150 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,543 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Blue Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$6,900 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4801 -021 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$6,900 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
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-- This plan not offered in 2023 --
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H4801 -022 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Health Choice (PPO)
| $0.00 |
$5,900 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
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2023 Generations Chronic Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H3706 -024 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,196
2023 Formulary |
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2024 Generations Chronic Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,226 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 Generations Chronic Care Savings (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H3706 -025 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,196
2023 Formulary |
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2024 Generations Chronic Care Savings (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,226 2024 Formulary |
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2023 Generations Classic Plus (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H3706 -023 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,196
2023 Formulary |
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2024 Generations Classic Plus (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,226 2024 Formulary |
|
2023 Generations Classic Rewards (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H3706 -001 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,196
2023 Formulary |
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2024 Generations Classic Rewards (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,226 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 -071 -0 | $0.00 | $0.00 | $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 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H6622-033 (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. |
H6622 -033 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H6622-033 (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -329 -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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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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H5216 -372 -0 | | | | | |
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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 H5216-264 (PPO)
| $0.00 |
$7,550 |
$195 | Yes, some additional gap coverage. |
H5216 -264 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-264 (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $7.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-337 (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H5216 -337 -2 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-337 (PPO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $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 Senior Health Plan Silver (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H3755 -002 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Senior Health Plan Silver (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Senior Health Plan Silver Plus (HMO)
| $0.00 |
$4,800 |
$0 | Yes, some additional gap coverage. |
H3755 -005 -0 | $5.00 | $10.00 | $40.00 | $40.00 | 3,196
2023 Formulary |
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2024 Senior Health Plan Silver Plus (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,226 2024 Formulary |
|
2023 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H9900 -001 -0 | $0.00 | $7.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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new |
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2024 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $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 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H9900 -004 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
|
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2024 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $1.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$4,600 |
$0 | Yes, some additional gap coverage. |
H4537 -001 -0 | $0.00 | $7.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$4,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Aetna Medicare Freedom Preferred Plan (PPO)
| $15.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H3288 -019 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plus (PPO)
| $15.00 |
$5,500 |
$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 --
|
H8145 -126 -0 | | | | | |
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2024 Humana Gold Choice H8145-126 (PFFS)
| $15.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 AARP Medicare Advantage Flex Plus (HMO-POS)
| $19.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H3749 -017 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC OK-0002 (HMO-POS)
| $19.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Wellcare Low Premium Open (PPO)
| $25.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H4537 -003 -0 | $0.00 | $2.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
|
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2024 Wellcare Low Premium Open (PPO)
| $19.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $1.00 | $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 Senior Health Plan Platinum (HMO)
| $25.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H3755 -001 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,196
2023 Formulary |
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|
|
|
2024 Senior Health Plan Platinum (HMO)
| $20.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,226 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H9900 -009 -0 | | | | | |
|
new |
|
|
2024 Wellcare All Dual Assure (HMO D-SNP)
| $20.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Generations Dual Support (HMO D-SNP)
| $32.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3706 -028 -0 | | | | | 3,258
2023 Formulary |
|
|
|
|
2024 Generations Dual Support (HMO D-SNP)
| $22.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,294 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 Generations Dual Premier (HMO D-SNP)
| $32.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3706 -029 -0 | | | | | 3,258
2023 Formulary |
|
|
|
|
2024 Generations Dual Premier (HMO D-SNP)
| $22.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,294 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $14.10 |
$3,900 |
$370 | No additional gap coverage, only the Donut Hole Discount |
H9900 -006 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
new |
|
|
2024 Wellcare Assist (HMO)
| $25.10 |
$3,850 |
$490 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 HumanaChoice H5216-316 (PPO)
| $22.00 |
$4,400 |
$0 | Yes, some additional gap coverage. |
H5216 -316 -3 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-316 (PPO)
| $26.00 |
$4,400 |
$0 | Yes, some additional gap coverage. | $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 |
-- This plan not offered in 2023 --
|
H0710 -058 -0 | | | | | |
|
-- |
|
|
2024 UHC Care Advantage EX-E001 (PPO I-SNP)
| $28.40 |
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 Wellcare Dual Access (HMO D-SNP)
| $21.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9900 -002 -0 | | | | | 3,394
2023 Formulary |
|
new |
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $29.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $22.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9900 -003 -0 | | | | | 3,394
2023 Formulary |
|
new |
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $32.00 |
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 Wellcare Dual Access Open (PPO D-SNP)
| $23.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4537 -004 -0 | | | | | 3,394
2023 Formulary |
|
new |
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $33.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
| $26.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8554 -003 -0 | | | | | 3,488
2023 Formulary |
|
|
|
|
2024 Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
| $37.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,538 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete LP (HMO-POS D-SNP)
| $31.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5322 -031 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete OK-S002 (HMO-POS D-SNP)
| $37.10 |
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 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $32.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -052 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan OK-F001 (PPO I-SNP)
| $39.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $32.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -053 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete OK-S001 (PPO D-SNP)
| $39.30 |
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)
| $32.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5322 -033 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete OK-V001 (HMO-POS D-SNP)
| $40.10 |
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 R4845-002 (Regional PPO)
| $41.00 |
$6,700 |
$505 | No additional gap coverage, only the Donut Hole Discount |
R4845 -002 -0 | $8.00 | $15.00 | 19% | 19% | 3,409
2023 Formulary |
|
|
|
|
2024 HumanaChoice R4845-002 (Regional PPO)
| $42.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $19.00 | $20.00 | 21% | 21% | 3,448 2024 Formulary |
|
2023 American Health Advantage of Oklahoma (HMO I-SNP)
| $32.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3708 -001 -0 | | | | | 3,478
2023 Formulary |
|
-- |
|
|
2024 American Health Advantage of Oklahoma (HMO I-SNP)
| $42.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,481 2024 Formulary |
|
2023 HumanaChoice SNP-DE H5216-228 (PPO D-SNP)
| $30.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -228 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-228 (PPO D-SNP)
| $42.20 |
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 H5216-331 (PPO D-SNP)
| $32.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -331 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-331 (PPO D-SNP)
| $42.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-081 (PPO)
| $60.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5216 -081 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-081 (PPO)
| $54.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-083 (PPO)
| $68.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount |
H5216 -083 -0 | $8.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-083 (PPO)
| $69.00 |
$6,700 |
$195 | No additional gap coverage, only the Donut Hole Discount | $8.00 | $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 Senior Health Plan Platinum Plus (HMO)
| $109.00 |
$4,400 |
$0 | Yes, some additional gap coverage. |
H3755 -004 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,196
2023 Formulary |
|
|
|
|
2024 Senior Health Plan Platinum Plus (HMO)
| $96.00 |
$4,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,226 2024 Formulary |
|
2023 Humana Gold Choice H8145-122 (PFFS)
| $131.00 |
n/a |
$195 | Yes, some additional gap coverage. |
H8145 -122 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
|
|
|
|
2024 Humana Gold Choice H8145-122 (PFFS)
| $132.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Blue Cross Medicare Advantage Flex (PPO)
| $167.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4801 -013 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
|
|
|
|
2024 Blue Cross Medicare Advantage Flex (PPO)
| $202.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Blue Cross Medicare Advantage Basic (HMO)
| $0.00 |
$3,750 |
$0 | Yes, some additional gap coverage. |
H3979 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Basic (HMO) H3979-001 --
| | | | | |
|
2023 Blue Cross Medicare Advantage Classic (PPO)
| $0.00 |
$4,900 |
$250 | Yes, some additional gap coverage. |
H4801 -008 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Classic (PPO) H4801-007 --
| | | | | |
|
2023 HumanaChoice H9070-006 (PPO)
| $0.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9070 -006 -3 | $7.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-337 (PPO) H5216-337 --
| | | | | |
|
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 Humana Value Plus H6622-049 (HMO)
| $26.10 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6622 -049 -0 | $5.00 | $20.00 | 21% | 21% | 3,404
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 Humana Gold Choice H8145-120 (PFFS)
| $31.00 |
n/a |
No Rx Coverage |
H8145 -120 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|