There are 77 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 (HMO-POS)
| $0.00 |
$5,500 |
No Rx Coverage |
H4527 -024 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS)
| $0.00 |
$5,500 |
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 -027 -0 | | | | | |
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2024 AARP Medicare Advantage Patriot No Rx TX-MA05 (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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H2293 -015 -0 | | | | | |
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new |
new |
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2024 Aetna Medicare Eagle II (PPO)
| $0.00 |
$5,000 |
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 (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H4527 -002 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC TX-0012 (HMO-POS)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H1278 -022 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC TX-0032 (PPO)
| $0.00 |
$7,500 |
$350 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Walgreens (PPO)
| $0.00 |
$6,400 |
$0 | Yes, some additional gap coverage. |
H1278 -004 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage Walgreens from UHC TX-0002 (PPO)
| $0.00 |
$6,300 |
$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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2023 Aetna Medicare Freedom Plan (PPO)
| $0.00 |
$6,500 |
$250 | Yes, some additional gap coverage. |
H2293 -018 -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 |
$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 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 |
$4,900 |
$150 | Yes, some additional gap coverage. |
H8332 -005 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Value Plan (HMO)
| $0.00 |
$4,900 |
$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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H1666 -006 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$7,950 |
$545 | 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 Value (HMO)
| $0.00 |
$3,655 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9706 -007 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Dental Value (HMO)
| $0.00 |
$3,850 |
$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 Blue Cross Medicare Advantage Saver (HMO)
| $0.00 |
$6,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9706 -008 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Saver (HMO)
| $0.00 |
$6,900 |
$0 | 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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H9706 -005 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Value (HMO)
| $0.00 |
$3,850 |
$0 | 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 Devoted CHOICE Austin (PPO)
| $0.00 |
$5,200 |
$200 | Yes, some additional gap coverage. |
H6813 -002 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
new |
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2024 Devoted CHOICE Austin (PPO)
| $0.00 |
$6,700 |
$200 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
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2023 Devoted CHOICE GIVEBACK Austin (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H6813 -001 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,364
2023 Formulary |
|
new |
new |
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2024 Devoted CHOICE GIVEBACK Austin (PPO)
| $0.00 |
$7,550 |
$545 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,391 2024 Formulary |
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2023 Humana Gold Plus H0028-037 (HMO)
| $0.00 |
$4,200 |
$0 | Yes, some additional gap coverage. |
H0028 -037 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H0028-037 (HMO)
| $0.00 |
$4,850 |
$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 H0473-001 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H0473 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H0473-001 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-358 (PPO)
| $0.00 |
$7,500 |
$300 | Yes, some additional gap coverage. |
H5216 -358 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5216-358 (PPO)
| $0.00 |
$7,500 |
$395 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Chronic Complete (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4527 -039 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 UHC Complete Care TX-0016 (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 |
|
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 --
|
H6678 -003 -0 | | | | | |
|
new |
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2024 Wellcare Complete - Giveback (HMO)
| $0.00 |
$8,850 |
$500 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H6678 -004 -0 | | | | | |
|
new |
|
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2024 Wellcare Complete No Premium (HMO)
| $0.00 |
$3,850 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Ascension Complete Seton Access Plus (PPO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9357 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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new |
|
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2024 Wellcare Complete No Premium Open (PPO)
| $0.00 |
$3,850 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Giveback (HMO)
| $0.00 |
$6,700 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H0174 -017 -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 TexanPlus No Premium (HMO)
| $0.00 |
$5,000 |
$200 | Yes, some additional gap coverage. |
H0174 -002 -0 | $0.00 | $0.00 | $25.00 | $25.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$5,000 |
$250 | Yes, some additional gap coverage. | $0.00 | $0.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Open (PPO)
| $0.00 |
$6,500 |
$200 | Yes, some additional gap coverage. |
H7323 -009 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,393
2023 Formulary |
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2024 Wellcare No Premium Open (PPO)
| $0.00 |
$6,500 |
$200 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 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 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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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 |
-- This plan not offered in 2023 --
|
H5216 -369 -0 | | | | | |
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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 |
|
-- 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 |
|
2023 Amerivantage ESRD Care (HMO-POS C-SNP)
| $23.30 |
n/a |
$100 | Yes, some additional gap coverage. |
H2593 -031 -0 | $2.00 | $7.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
|
-- |
|
|
2024 Wellpoint Kidney Care (HMO-POS C-SNP)
| $19.40 |
n/a |
$100 | Yes, some additional gap coverage. | $2.00 | $7.00 | $42.00 | $42.00 | 3,562 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 |
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 |
|
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 |
|
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 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 |
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4527 -003 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete TX-V002 (HMO-POS D-SNP)
| $23.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2593 -055 -0 | | | | | |
|
-- |
|
|
2024 Wellpoint Full Dual Advantage 2 (HMO D-SNP)
| $24.90 |
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 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 |
|
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 |
|
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 H0028-044 (HMO D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0028 -044 -0 | | | | | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $25.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4514 -013 -2 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete TX-D002 (HMO-POS D-SNP)
| $28.40 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 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 |
|
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 --
|
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 |
|
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 |
|
-- This plan not offered in 2023 --
|
H1278 -023 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC TX-0033 (PPO)
| $29.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $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 H0473-003 (PPO)
| $37.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0473 -003 -0 | $4.00 | $12.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H0473-003 (PPO)
| $46.00 |
$7,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $47.00 | $47.00 | 3,448 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 |
|
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 |
|
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 R4182-003 (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 |
|
-- This plan not offered in 2023 --
|
H1666 -003 -0 | | | | | |
|
|
|
|
2024 Blue Cross Medicare Advantage Choice Premier (PPO)
| $88.00 |
$6,355 |
$295 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,543 2024 Formulary |
|
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 |
|
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 Eagle II Plan (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H2293 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
|
new |
new |
|
-- Members will be assigned to Aetna Medicare Eagle II (PPO) H2293-015 --
| | | | | |
|
2023 Blue Cross Medicare Advantage Choice Plus (PPO)
| $0.00 |
$6,700 |
$505 | Yes, some additional gap coverage. |
H1666 -004 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Choice Plus (PPO) H1666-006 --
| | | | | |
|
2023 Blue Cross Medicare Advantage Choice Premier (PPO)
| $88.00 |
$6,050 |
$300 | Yes, some additional gap coverage. |
H1666 -001 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,503
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Choice Premier (PPO) H1666-003 --
| | | | | |
|
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 Value (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9706 -003 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Value (HMO) H9706-005 --
| | | | | |
|
2023 Imperial Insurance Traditional Plus (HMO)
| $0.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H2793 -007 -0 | | | | | 3,346
2023 Formulary |
|
|
|
|
-- Members will be assigned to Imperial Insurance Company Traditional (HMO) H2793-003 --
| | | | | |
|
2023 Ascension Complete Seton Reward (HMO)
| $0.00 |
$3,450 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H6678 -001 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
|
|
-- Members will be assigned to Wellcare Complete - Giveback (HMO) H6678-003 --
| | | | | |
|
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 Ascension Complete Seton Secure (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H6678 -002 -0 | $0.00 | $1.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
|
|
-- Members will be assigned to Wellcare Complete No Premium (HMO) H6678-004 --
| | | | | |
|
2023 Ascension Complete Seton Access (PPO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9357 -002 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
new |
|
|
-- Members will be assigned to Wellcare Complete No Premium Open (PPO) H9357-001 --
| | | | | |
|
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 Imperial Insurance Company Traditional (HMO)
| $0.00 |
$2,999 |
$0 | Yes, some additional gap coverage. |
H2793 -003 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,346
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Imperial Insurance Company Dual (HMO D-SNP)
| $25.00 |
n/a |
$505 | Yes, some additional gap coverage. |
H2793 -004 -0 | 0% | 25% | 25% | 25% | 3,346
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Imperial Insurance Value (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H2793 -005 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,387
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Imperial Courage Plan (HMO)
| $0.00 |
$2,999 |
No Rx Coverage |
H2793 -008 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Classic Plus (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H8849 -008 -6 | $5.00 | $12.00 | $42.00 | $42.00 | 3,603
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 Amerivantage Dual Coordination Plus (HMO D-SNP)
| $17.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8849 -010 -6 | $18.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Dual Secure Plus (HMO D-SNP)
| $24.50 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8849 -011 -6 | $10.00 | $20.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|