There are 64 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Patriot (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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2023 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$5,000 |
No Rx Coverage |
H4801 -019 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Blue Cross Medicare Advantage Protect (PPO)
| $0.00 |
$6,350 |
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 CHRISTUS Health Plan Guardian (HMO)
| $0.00 |
$4,400 |
No Rx Coverage |
H1189 -006 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 CHRISTUS Health Medicare Guardian (HMO)
| $0.00 |
$4,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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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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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 R4182-001 (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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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 |
$6,700 |
$245 | Yes, some additional gap coverage. |
H1278 -016 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC TX-0008 (PPO)
| $0.00 |
$6,700 |
$245 | 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 |
2023 AARP Medicare Advantage (HMO-POS)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4527 -001 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC TX-0011 (HMO-POS)
| $0.00 |
$3,400 |
$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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H4527 -048 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC TX-0035 (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 -054 -0 | | | | | |
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2024 AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS)
| $0.00 |
$3,700 |
$355 | Yes, some additional gap coverage. | $0.00 | $14.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Choice Plan (PPO)
| $0.00 |
$6,000 |
$250 | Yes, some additional gap coverage. |
H3288 -009 -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 |
$6,000 |
$200 | Yes, some additional gap coverage. |
H2293 -017 -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 |
$6,000 |
$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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H4801 -011 -0 | | | | | |
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2024 Blue Cross Medicare Advantage Complete (PPO)
| $0.00 |
$5,900 |
$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 Blue Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$6,500 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4801 -016 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Dental Premier (PPO)
| $0.00 |
$6,700 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
|
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 Health Choice (PPO)
| $0.00 |
$6,900 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4801 -018 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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2024 Blue Cross Medicare Advantage Health Choice (PPO)
| $0.00 |
$6,900 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,200 2024 Formulary |
|
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 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 |
|
2023 Blue Cross Medicare Advantage Value (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H9706 -005 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
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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 |
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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 -005 -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 |
|
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 Preferred Medicare (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H4513 -074 -0 | $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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-- This plan not offered in 2023 --
|
H4513 -083 -7 | | | | | |
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2024 Cigna Preferred Savings Medicare (HMO)
| $0.00 |
$7,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
2023 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,100 |
$0 | Yes, some additional gap coverage. |
H7849 -103 -0 | $0.00 | $4.00 | $42.00 | $42.00 | 3,524
2023 Formulary |
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2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$6,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0028 -039 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,448 2024 Formulary |
|
2023 Humana Gold Plus H0028-029 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0028 -029 -0 | $0.00 | $0.00 | $45.00 | $45.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H0028-029 (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 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 |
|
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 |
|
2023 UnitedHealthcare Chronic Complete (HMO-POS C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H4527 -041 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 UHC Complete Care TX-0018 (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 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5294 -012 -0 | $0.00 | $12.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare Giveback (HMO)
| $0.00 |
$7,550 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $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 |
$3,450 |
$0 | Yes, some additional gap coverage. |
H5294 -011 -0 | $0.00 | $12.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium (HMO)
| $0.00 |
$3,450 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $42.00 | $42.00 | 3,371 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 |
|
2023 Cigna TotalCare (HMO D-SNP)
| $7.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4513 -075 -0 | | | | | 3,524
2023 Formulary |
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2024 Cigna TotalCare (HMO D-SNP)
| $12.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Humana Gold Choice H8145-126 (PFFS)
| $30.00 |
n/a |
No Rx Coverage |
H8145 -126 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana Gold Choice H8145-126 (PFFS)
| $15.00 |
n/a |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 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 |
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|
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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 |
|
2023 UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
| $21.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4527 -004 -0 | | | | | 3,682
2023 Formulary |
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2024 UHC Dual Complete TX-V003 (HMO-POS D-SNP)
| $19.80 |
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 --
|
H0609 -057 -0 | | | | | |
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|
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2024 UHC Dual Complete TX-D006 (HMO-POS D-SNP)
| $20.00 |
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 |
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|
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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 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 Wellcare Complement Assist (HMO)
| $6.30 |
$3,450 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5294 -013 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Complement Assist (HMO)
| $25.50 |
$3,450 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H2593 -045 -0 | | | | | |
|
-- |
|
|
2024 Wellpoint Full Dual Advantage (HMO D-SNP)
| $26.40 |
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 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 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 |
|
-- This plan not offered in 2023 --
|
H0028 -064 -0 | | | | | |
|
|
|
|
2024 Humana Gold Plus SNP-DE H0028-064 (HMO D-SNP)
| $28.40 |
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 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 |
|
2023 Humana Gold Choice H8145-084 (PFFS)
| $70.00 |
n/a |
$250 | Yes, some additional gap coverage. |
H8145 -084 -0 | $6.00 | $12.00 | $47.00 | $47.00 | 3,409
2023 Formulary |
|
|
|
|
2024 Humana Gold Choice H8145-084 (PFFS)
| $45.00 |
n/a |
$250 | Yes, some additional gap coverage. | $6.00 | $12.00 | $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 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 |
|
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 |
|
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 |
|
2023 Blue Cross Medicare Advantage Flex (PPO)
| $213.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4801 -014 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
|
|
|
|
2024 Blue Cross Medicare Advantage Flex (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 SecureHorizons (HMO-POS)
| $0.00 |
$3,700 |
$355 | Yes, some additional gap coverage. |
H4590 -025 -0 | $0.00 | $14.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS) H0609-054 --
| | | | | |
|
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 Classic (PPO)
| $0.00 |
$6,050 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H4801 -006 -0 | $0.00 | $5.00 | $44.00 | $44.00 | 3,177
2023 Formulary |
|
|
|
|
-- Members will be assigned to Blue Cross Medicare Advantage Complete (PPO) H4801-011 --
| | | | | |
|
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 UnitedHealthcare Dual Complete (HMO-POS D-SNP)
| $23.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4590 -033 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to UHC Dual Complete TX-D006 (HMO-POS D-SNP) H0609-057 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Lasso Healthcare Growth (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -001 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Lasso Healthcare Growth Plus (MSA)
| $0.00 |
n/a |
No Rx Coverage |
H1924 -004 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 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 --
|
| | | | |
|
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 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 --
|
| | | | |
|
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 --
|
| | | | |
|
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 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 --
|
| | | | |
|