There are 62 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 |
-- This plan not offered in 2023 --
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H5322 -043 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx SC-MA01 (HMO-POS)
| $0.00 |
$4,500 |
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 -279 -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 BlueCross Blue Basic (PPO)
| $0.00 |
$6,000 |
No Rx Coverage |
H8003 -007 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 BlueCross Blue Basic (PPO)
| $0.00 |
$5,900 |
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 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -217 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice H5216-157 (PPO)
| $0.00 |
$6,100 |
No Rx Coverage |
H5216 -157 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice H5216-157 (PPO)
| $0.00 |
$6,100 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R3392-001 (Regional PPO)
| $0.00 |
$7,550 |
No Rx Coverage |
R3392 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R3392-001 (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 |
2023 UnitedHealthcare Medicare Advantage Patriot (Regional PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
R2604 -005 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO)
| $0.00 |
$7,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Wellcare Patriot Giveback (HMO-POS)
| $0.00 |
$7,550 |
No Rx Coverage |
H4847 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Wellcare Patriot Giveback (HMO-POS)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Choice Rebate (PPO)
| $0.00 |
$6,700 |
$95 | Yes, some additional gap coverage. |
H2577 -005 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC SC-0002 (PPO)
| $0.00 |
$6,700 |
$245 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice Plan 1 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H2577 -006 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC SC-0003 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H5322 -040 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC SC-0005 (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$7,500 |
$200 | Yes, some additional gap coverage. |
H5521 -373 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Essential Plan (PPO)
| $0.00 |
$7,500 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 Premier Plan (PPO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H5521 -249 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier Plan (PPO)
| $0.00 |
$6,350 |
$150 | 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 -444 -0 | | | | | |
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2024 Aetna Medicare SmartFit Plan (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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2023 BlueCross Total Value (PPO)
| $0.00 |
$6,900 |
$25 | Yes, some additional gap coverage. |
H8003 -005 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,276
2023 Formulary |
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2024 BlueCross Total Value (PPO)
| $0.00 |
$7,900 |
$95 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,219 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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H9403 -004 -0 | | | | | |
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-- |
-- |
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2024 Clear Spring Health Select Plan (HMO)
| $0.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,292 2024 Formulary |
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2023 First Choice VIP Care Plus (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8213 -001 -0 | | | | | 3,501
2023 Formulary |
-- |
-- |
-- |
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2024 First Choice VIP Care Plus (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,538 2024 Formulary |
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-- This plan not offered in 2023 --
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H5619 -161 -0 | | | | | |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$145 | 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 H5619-152 (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H5619 -152 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-152 (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Humana Honor (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5216 -286 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$8,600 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$145 | Yes, some additional gap coverage. |
H5216 -244 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice - Diabetes and Heart (PPO C-SNP)
| $0.00 |
n/a |
$145 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-154 (PPO)
| $0.00 |
$7,550 |
$400 | No additional gap coverage, only the Donut Hole Discount |
H5216 -154 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-154 (PPO)
| $0.00 |
$8,850 |
$400 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $15.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-279 (PPO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H5216 -279 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-279 (PPO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 HumanaChoice H5216-345 (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H5216 -345 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-345 (PPO)
| $0.00 |
$8,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-347 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H5216 -347 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-347 (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice R3392-004 (Regional PPO)
| $0.00 |
$7,550 |
$195 | No additional gap coverage, only the Donut Hole Discount |
R3392 -004 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice R3392-004 (Regional PPO)
| $0.00 |
$8,850 |
$195 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2533 -001 -0 | | | | | 3,267
2023 Formulary |
-- |
-- |
-- |
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2024 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 3,290 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 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H8176 -003 -0 | $3.00 | $12.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
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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 UnitedHealthcare Chronic Complete (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0271 -057 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 UHC Complete Care SC-0001 (PPO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Wellcare Giveback Open (PPO)
| $0.00 |
$6,700 |
$90 | Yes, some additional gap coverage. |
H7326 -003 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare Giveback Open (PPO)
| $0.00 |
$6,700 |
$545 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 |
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$5,500 |
$100 | Yes, some additional gap coverage. |
H7326 -001 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare Mutual of Omaha No Premium Open (PPO)
| $0.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$5,200 |
$0 | Yes, some additional gap coverage. |
H4847 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,200 |
$125 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
|
2023 Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H1723 -001 -0 | | | | | 3,394
2023 Formulary |
-- |
-- |
-- |
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2024 Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | | | | | 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 Aetna Medicare Value Plan (PPO)
| $16.00 |
$6,700 |
$150 | Yes, some additional gap coverage. |
H5521 -251 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (PPO)
| $16.00 |
$6,700 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Humana Together in Health (PPO I-SNP)
| $35.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -243 -0 | $3.00 | $11.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
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2024 Humana Together in Health (PPO I-SNP)
| $16.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Aetna Medicare Value Plus Plan (HMO)
| $22.00 |
$6,900 |
$95 | Yes, some additional gap coverage. |
H3146 -011 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Value Plus Plan (HMO)
| $19.00 |
$6,900 |
$300 | 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 BlueCross Total (PPO)
| $15.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H8003 -002 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,399
2023 Formulary |
|
|
|
|
2024 BlueCross Total (PPO)
| $19.00 |
$6,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,292 2024 Formulary |
|
2023 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $9.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
R2604 -002 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care GS-001A (Regional PPO C-SNP)
| $20.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Liberty Open (PPO D-SNP)
| $23.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7326 -006 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty Open (PPO D-SNP)
| $25.40 |
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 Wellcare Assist (HMO)
| $14.90 |
$6,500 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4847 -005 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Assist (HMO)
| $26.50 |
$6,500 |
$395 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 Wellcare Assist Open (PPO)
| $15.70 |
$6,000 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7326 -007 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Assist Open (PPO)
| $26.70 |
$6,000 |
$435 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $15.00 |
n/a |
$0 | Yes, some additional gap coverage. |
R2604 -003 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care GS-0002 (Regional PPO C-SNP)
| $28.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H5322 -044 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC SC-0006 (HMO-POS)
| $31.00 |
$4,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Assure Plan (HMO D-SNP)
| $21.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3146 -017 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Assure Plan (HMO D-SNP)
| $34.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8176 -001 -0 | $0.00 | $4.00 | $45.00 | $45.00 | 3,270
2023 Formulary |
|
|
|
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $36.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 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 --
|
H3146 -019 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Assure Flex Plan (HMO D-SNP)
| $37.30 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 AARP Medicare Advantage Choice Plan 2 (PPO)
| $29.00 |
$6,900 |
$295 | Yes, some additional gap coverage. |
H2577 -026 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC SC-0004 (PPO)
| $39.00 |
$6,900 |
$295 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5619 -082 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
| $44.80 |
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 First Choice VIP Care (HMO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4739 -001 -0 | $7.00 | 25% | | | 3,501
2023 Formulary |
|
new |
new |
|
2024 First Choice VIP Care (HMO D-SNP)
| $45.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,538 2024 Formulary |
|
2023 HumanaChoice H5216-280 (PPO)
| $36.70 |
$7,550 |
$505 | Yes, some additional gap coverage. |
H5216 -280 -2 | $0.00 | $20.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-280 (PPO)
| $45.70 |
$8,850 |
$545 | Yes, some additional gap coverage. | $0.00 | $20.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5216 -277 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
| $45.70 |
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 UnitedHealthcare Dual Complete Choice (PPO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -016 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete SC-S001 (PPO D-SNP)
| $45.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Select (PPO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0271 -056 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete SC-V001 (PPO D-SNP)
| $45.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $37.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4847 -004 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $45.70 |
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 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $49.00 |
$6,700 |
$295 | Yes, some additional gap coverage. |
R2604 -001 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage GS-0001 (Regional PPO)
| $62.00 |
$6,300 |
$345 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 HumanaChoice R3392-002 (Regional PPO)
| $103.00 |
$6,700 |
$340 | No additional gap coverage, only the Donut Hole Discount |
R3392 -002 -0 | $7.00 | $17.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R3392-002 (Regional PPO)
| $92.00 |
$8,850 |
$340 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $17.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H8748 -002 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC SC-0005 (HMO-POS) H5322-040 --
| | | | | |
|
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 Plan 2 (HMO-POS)
| $24.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H8748 -025 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC SC-0006 (HMO-POS) H5322-044 --
| | | | | |
|
2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$4,500 |
No Rx Coverage |
H8748 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage Patriot No Rx SC-MA01 (HMO-POS) H5322-043 --
| | | | | |
|
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 ApexBold (HMO)
| $0.00 |
$6,500 |
$0 | Yes, some additional gap coverage. |
H9828 -003 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,288
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|