There are 84 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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H0609 -056 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx TX-MA03 (HMO-POS)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H1278 -026 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx TX-MA04 (PPO)
| $0.00 |
$6,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H4513 -009 -0 | | | | | |
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2024 Cigna Courage Medicare (HMO)
| $0.00 |
$4,300 |
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 |
$5,400 |
No Rx Coverage |
H5216 -128 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$5,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Humana Honor (PPO)
| $0.00 |
$6,900 |
No Rx Coverage |
H5216 -348 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$6,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 HumanaChoice R4182-001 (Regional PPO)
| $0.00 |
$5,700 |
No Rx Coverage |
R4182 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 HumanaChoice R4182-001 (Regional PPO)
| $0.00 |
$5,100 |
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 |
$3,450 |
No Rx Coverage |
H5294 -014 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Wellcare Patriot No Premium (HMO)
| $0.00 |
$3,450 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$6,400 |
$225 | Yes, some additional gap coverage. |
H1278 -005 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC TX-0003 (PPO)
| $0.00 |
$6,300 |
$225 | 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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H0609 -063 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC TX-0028 (HMO-POS)
| $0.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 |
-- This plan not offered in 2023 --
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H0609 -067 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC TX-0040 (HMO-POS)
| $0.00 |
$6,400 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H0609 -050 -0 | | | | | |
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2024 AARP SecureHorizons Medicare Advantage TX-0021 (HMO-POS)
| $0.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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2023 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H3288 -046 -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 |
$6,000 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Freedom Plan (PPO)
| $0.00 |
$6,400 |
$200 | Yes, some additional gap coverage. |
H2293 -019 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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new |
new |
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2024 Aetna Medicare Freedom 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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2023 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$5,900 |
$250 | Yes, some additional gap coverage. |
H4523 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Premier Plan (HMO)
| $0.00 |
$3,850 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Value Plan (HMO)
| $0.00 |
$3,900 |
$150 | Yes, some additional gap coverage. |
H8332 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO)
| $0.00 |
$3,850 |
$0 | 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 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$6,700 |
$350 | Yes, some additional gap coverage. |
H1666 -008 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
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2024 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,543 2024 Formulary |
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2023 CHRISTUS Health Plan Generations Plus (HMO)
| $0.00 |
$4,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H1189 -009 -0 | $4.00 | $10.00 | $47.00 | $47.00 | 3,178
2023 Formulary |
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2024 CHRISTUS Health Medicare Plus (HMO)
| $0.00 |
$4,400 |
$0 | Yes, some additional gap coverage. | $4.00 | $10.00 | $47.00 | $47.00 | 3,204 2024 Formulary |
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2023 Cigna Preferred Medicare (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H4513 -061 -4 | $0.00 | $4.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna Preferred Medicare (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 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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H4513 -083 -4 | | | | | |
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2024 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$6,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
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2023 Clover Health Choice (PPO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5141 -025 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,361
2023 Formulary |
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2024 Clover Health Choice (PPO)
| $0.00 |
$7,499 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,392 2024 Formulary |
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2023 Devoted BEWELL San Antonio - D (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H7993 -005 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,364
2023 Formulary |
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2024 Devoted BE WELL San Antonio (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,391 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 Devoted CORE San Antonio (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H7993 -003 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,364
2023 Formulary |
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2024 Devoted CORE San Antonio (HMO)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,391 2024 Formulary |
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2023 Humana Gold Plus H0028-030 (HMO)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. |
H0028 -030 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H0028-030 (HMO)
| $0.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,448 2024 Formulary |
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2023 Humana USAA Honor with Rx (PPO)
| $0.00 |
$6,900 |
$480 | Yes, some additional gap coverage. |
H5216 -351 -0 | $0.00 | $2.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana USAA Honor with Rx (PPO)
| $0.00 |
$6,900 |
$480 | 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 HumanaChoice H5216-360 (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H5216 -360 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-360 (PPO)
| $0.00 |
$5,750 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
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2023 Molina Medicare Choice Care (HMO)
| $0.00 |
$8,300 |
$125 | No additional gap coverage, only the Donut Hole Discount |
H7678 -004 -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 |
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2023 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H7678 -005 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,221
2023 Formulary |
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2024 Molina Medicare Choice Care Select (HMO)
| $0.00 |
$8,300 |
$200 | No additional gap coverage, only the Donut Hole Discount | $15.00 | $20.00 | $47.00 | $47.00 | 3,248 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 --
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H0609 -058 -0 | | | | | |
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2024 UHC Complete Care TX-0024 (HMO-POS 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 (HMO)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H0174 -020 -0 | $0.00 | $5.00 | $20.00 | $20.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback (HMO)
| $0.00 |
$8,850 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$0 | Yes, some additional gap coverage. |
H0174 -015 -0 | $0.00 | $3.00 | $20.00 | $20.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$4,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $3.00 | $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 |
$4,300 |
$0 | Yes, some additional gap coverage. |
H5294 -017 -0 | $0.00 | $12.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,500 |
$250 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Rx Plus Open (PPO)
| $0.00 |
$6,000 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H7323 -006 -0 | $0.00 | $0.00 | $35.00 | $35.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Rx Plus Open (PPO)
| $0.00 |
$6,000 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Amerivantage Diabetes Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8849 -001 -0 | $0.00 | $7.50 | $35.00 | $35.00 | 3,157
2023 Formulary |
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2024 Wellpoint 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 |
|
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 Amerivantage Lung Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8849 -013 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
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2024 Wellpoint 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 Amerivantage Classic (HMO)
| $0.00 |
$8,300 |
$0 | Yes, some additional gap coverage. |
H2593 -029 -0 | $3.00 | $10.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
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-- |
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2024 Wellpoint Medicare Advantage 2 (HMO)
| $0.00 |
$8,300 |
$0 | Yes, some additional gap coverage. | $3.00 | $10.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
|
2023 UnitedHealthcare Medicare Silver (Regional PPO C-SNP)
| $8.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
R6801 -008 -0 | | | | | 3,682
2023 Formulary |
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2024 UHC Complete Care TX-001A (Regional PPO C-SNP)
| $10.00 |
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 |
2023 Cigna TotalCare (HMO D-SNP)
| $7.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4513 -060 -4 | | | | | 3,524
2023 Formulary |
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2024 Cigna TotalCare (HMO D-SNP)
| $11.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
2023 Devoted PRIME San Antonio (HMO)
| $18.70 |
$3,900 |
$505 | Yes, some additional gap coverage. |
H7993 -004 -0 | $0.00 | $0.00 | 25% | 25% | 3,364
2023 Formulary |
|
|
|
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2024 Devoted PRIME San Antonio (HMO)
| $15.00 |
$3,900 |
$545 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,391 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -369 -0 | | | | | |
|
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|
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2024 Humana Together in Health (PPO I-SNP)
| $15.30 |
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 H5216-043 (PPO)
| $10.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5216 -043 -1 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-043 (PPO)
| $16.00 |
$7,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0174 -022 -0 | | | | | |
|
|
|
|
2024 Wellcare All Dual Assure (HMO D-SNP)
| $16.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0609 -053 -0 | | | | | |
|
|
|
|
2024 UHC Dual Complete TX-D005 (HMO-POS D-SNP)
| $17.50 |
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 Complement Assist (HMO)
| $6.10 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5294 -016 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Complement Assist (HMO)
| $21.10 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 Amerivantage Dual Coordination (HMO D-SNP)
| $18.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2593 -032 -0 | $15.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
-- |
|
|
2024 Wellpoint Dual Advantage 2 (HMO D-SNP)
| $21.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
| $22.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9706 -002 -0 | | | | | 3,488
2023 Formulary |
|
|
|
|
2024 Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)
| $21.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,538 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 --
|
H0609 -065 -0 | | | | | |
|
|
|
|
2024 UHC Dual Complete TX-V007 (HMO-POS D-SNP)
| $21.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Wellcare Dual Access Harmony (HMO D-SNP)
| $5.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5294 -015 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access Harmony (HMO D-SNP)
| $21.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 UnitedHealthcare Medicare Gold (Regional PPO C-SNP)
| $27.00 |
n/a |
$295 | Yes, some additional gap coverage. |
R6801 -009 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Complete Care TX-0029 (Regional PPO C-SNP)
| $22.00 |
n/a |
$295 | Yes, some additional gap coverage. | $4.00 | $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 |
2023 Wellcare Assist (HMO)
| $11.90 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0174 -009 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Assist (HMO)
| $22.40 |
$3,450 |
$535 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 Wellcare Dual Liberty Nurture (HMO D-SNP)
| $6.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5294 -010 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty Nurture (HMO D-SNP)
| $22.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Aetna Medicare Choice II Plan (PPO)
| $23.00 |
$7,000 |
$175 | Yes, some additional gap coverage. |
H3288 -048 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Value Plus (PPO)
| $23.00 |
$7,000 |
$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 |
-- This plan not offered in 2023 --
|
H0609 -071 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC TX-0043 (HMO-POS)
| $24.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $21.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0174 -006 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $26.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2593 -051 -0 | | | | | |
|
-- |
|
|
2024 Wellpoint Full Dual Advantage 2 (HMO D-SNP)
| $26.80 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 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)
| $23.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0174 -004 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access (HMO D-SNP)
| $27.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Aetna Medicare Dual Complete Plan (HMO D-SNP)
| $8.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8597 -001 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Dual Complete Plan (HMO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Community First Medicare Advantage D-SNP (HMO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5447 -002 -0 | 25% | 25% | 25% | 25% | 3,833
2023 Formulary |
|
-- |
-- |
|
2024 Community First Medicare Advantage D-SNP (HMO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,677 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)
| $16.50 |
n/a |
$495 | No additional gap coverage, only the Donut Hole Discount |
H0028 -036 -0 | $5.00 | $13.00 | 20% | 20% | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 Molina Medicare Complete Care (HMO D-SNP)
| $25.00 |
n/a |
$505 | Yes, some additional gap coverage. |
H7678 -001 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,270
2023 Formulary |
|
|
|
|
2024 Molina Medicare Complete Care (HMO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,303 2024 Formulary |
|
2023 Provider Partners Texas Advantage Plan (HMO I-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4054 -001 -0 | | | | | 3,445
2023 Formulary |
|
new |
|
|
2024 Provider Partners Texas Advantage Plan (HMO I-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,460 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 Texas Independence Health Plan, Inc. (HMO I-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5015 -001 -0 | | | | | 3,445
2023 Formulary |
|
-- |
|
|
2024 Texas Independence Health Plan, Inc. (HMO I-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,460 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
R6801 -011 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete TX-S001 (Regional PPO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H4514 -021 -0 | | | | | |
|
|
|
|
2024 UHC Dual Complete TX-S003 (HMO-POS D-SNP)
| $28.40 |
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 Open (PPO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H7323 -005 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Access Open (PPO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
2023 Amerivantage Dual Secure Plus (HMO D-SNP)
| $24.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8849 -011 -3 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Wellpoint Dual Advantage (HMO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,581 2024 Formulary |
|
2023 UnitedHealthcare Medicare Advantage Choice (Regional PPO)
| $49.00 |
$7,550 |
$395 | Yes, some additional gap coverage. |
R6801 -012 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Medicare Advantage TX-0030 (Regional PPO)
| $48.00 |
$7,550 |
$395 | Yes, some additional gap coverage. | $4.00 | $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 |
2023 HumanaChoice R4182-004 (Regional PPO)
| $41.00 |
$6,900 |
$175 | Yes, some additional gap coverage. |
R4182 -004 -0 | $6.00 | $13.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R4182-004 (Regional PPO)
| $49.00 |
$6,900 |
$275 | Yes, some additional gap coverage. | $6.00 | $13.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-042 (PPO)
| $93.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H5216 -042 -0 | $7.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-042 (PPO)
| $65.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $7.00 | $12.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice R4182-003 (Regional PPO)
| $84.00 |
$6,900 |
$175 | Yes, some additional gap coverage. |
R4182 -003 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice R4182-003 (Regional PPO)
| $72.00 |
$6,900 |
$175 | Yes, some additional gap coverage. | $0.00 | $10.00 | $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 Blue Cross Medicare Advantage Flex Access (PPO)
| $213.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H1666 -018 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
|
|
|
|
2024 Blue Cross Medicare Advantage Flex Access (PPO)
| $238.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
|
2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$5,400 |
No Rx Coverage |
H4590 -029 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage Patriot No Rx TX-MA03 (HMO-POS) H0609-056 --
| | | | | |
|
2023 Cigna Courage Medicare (HMO)
| $0.00 |
$4,300 |
No Rx Coverage |
H4513 -062 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- Members will be assigned to Cigna Courage Medicare (HMO) H4513-009 --
| | | | | |
|
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 Chronic Complete (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4590 -037 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to UHC Complete Care TX-0024 (HMO-POS C-SNP) H0609-058 --
| | | | | |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $16.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4590 -022 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to UHC Dual Complete TX-D005 (HMO-POS D-SNP) H0609-053 --
| | | | | |
|
2023 Amerivantage Heart Care Plus (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8849 -012 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellpoint Chronic Care (HMO C-SNP) H8849-001 --
| | | | | |
|
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 Specialty No Premium (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0174 -008 -0 | $0.00 | $0.00 | $0.00 | $0.00 | 3,393
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 Provider Partners Texas Community Plan (HMO I-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4054 -002 -0 | | | | | 3,445
2023 Formulary |
|
new |
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. |
H4513 -066 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 AARP Medicare Advantage SecureHorizons (HMO-POS)
| $0.00 |
$3,800 |
$0 | Yes, some additional gap coverage. |
H4590 -010 -0 | $0.00 | $0.00 | $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 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H4590 -045 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Classic Plus (HMO)
| $0.00 |
$5,600 |
$0 | Yes, some additional gap coverage. |
H8849 -008 -3 | $5.00 | $12.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Dual Coordination Plus (HMO D-SNP)
| $17.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8849 -010 -3 | $18.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|