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Coshocton, Ohio

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There are 29 Ohio 2019 Medicare Advantage plans (MAPD) meeting your criteria.

Caution: The 2019 Medicare Advantage plan information below is for research purposes.
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2019 Medicare Advantage Plan Information
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Plan Name County Monthly
Prem. (Parts C & D)
Deduct-
ible
(Donut Hole)
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
30-Day Supply
MOOP for Part A & B Benefits
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Anthem MediBlue Preferred (HMO) - H3655-040-0
Benefit Details
           
Coshocton $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $4.00
Generic: $10.00
Preferred Brand: $42.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$4,900
Browse Formulary
Anthem MediBlue Preferred (HMO) - H3655-040-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Preferred (HMO) - H3655-040-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Preferred (HMO) - H3655-040-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice H5525-042 (PPO) - H5525-042-0
Benefit Details
           
Coshocton $0.00 $250
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $7.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 28%
$6,700
Browse Formulary
HumanaChoice H5525-042 (PPO) - H5525-042-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) HumanaChoice H5525-042 (PPO) - H5525-042-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) HumanaChoice H5525-042 (PPO) - H5525-042-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice R5495-001 (Regional PPO) - R5495-001-0
Benefit Details
        
Coshocton $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,700
HumanaChoice R5495-001 (Regional PPO) - R5495-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) HumanaChoice R5495-001 (Regional PPO) - R5495-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice R5495-001 (Regional PPO) - R5495-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
MedMutual Advantage Classic (HMO) - H6723-001-2
Benefit Details
           
Coshocton $0.00 $160
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $15.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 30%
$4,700
Browse Formulary
MedMutual Advantage Classic (HMO) - H6723-001-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedMutual Advantage Classic (HMO) - H6723-001-2 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) MedMutual Advantage Classic (HMO) - H6723-001-2 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
The Health Plan SecureCare - Option I, MA Only (HMO) - H3672-014-0
Benefit Details
        
Coshocton $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$3,900
The Health Plan SecureCare - Option I, MA Only (HMO) - H3672-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) The Health Plan SecureCare - Option I, MA Only (HMO) - H3672-014-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) The Health Plan SecureCare - Option I, MA Only (HMO) - H3672-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
The Health Plan SecureCare - Option IV (HMO) - H3672-018-0
Benefit Details
           
Coshocton $0.00 $200
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Drug: $85.00
Specialty Tier: 29%
$4,200
Browse Formulary
The Health Plan SecureCare - Option IV (HMO) - H3672-018-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) The Health Plan SecureCare - Option IV (HMO) - H3672-018-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) The Health Plan SecureCare - Option IV (HMO) - H3672-018-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue Access Core (Regional PPO) - R5941-013-0
Benefit Details
        
Coshocton $15.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$5,400
Anthem MediBlue Access Core (Regional PPO) - R5941-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Access Core (Regional PPO) - R5941-013-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Anthem MediBlue Access Core (Regional PPO) - R5941-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
HumanaChoice H5216-106 (PPO) - H5216-106-0
Benefit Details
           
Coshocton $15.00 $125
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $8.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%
$3,400
Browse Formulary
HumanaChoice H5216-106 (PPO) - H5216-106-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice H5216-106 (PPO) - H5216-106-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) HumanaChoice H5216-106 (PPO) - H5216-106-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
UnitedHealthcare Dual Complete (HMO-POS SNP) - H5322-028-0
Benefit Details
           
Coshocton $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole DiscountAll Formulary Drugs: 15%
All Formulary Drugs: 15%
All Formulary Drugs: 15%
All Formulary Drugs: 15%
All Formulary Drugs: 15%
n/a
Browse Formulary
UnitedHealthcare Dual Complete (HMO-POS SNP) - H5322-028-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) UnitedHealthcare Dual Complete (HMO-POS SNP) - H5322-028-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) UnitedHealthcare Dual Complete (HMO-POS SNP) - H5322-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Humana Value Plus H5525-041 (PPO) - H5525-041-0
Benefit Details
           
Coshocton $29.20 $260
Tier 1 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $15.00
Preferred Brand: $47.00
Non-Preferred Drug: $97.00
Specialty Tier: 28%
$6,700
Browse Formulary
Humana Value Plus H5525-041 (PPO) - H5525-041-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Value Plus H5525-041 (PPO) - H5525-041-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Value Plus H5525-041 (PPO) - H5525-041-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Valor Health Plan (HMO SNP) - H1119-001-0
Benefit Details
           
Coshocton $30.90 $415 No additional gap coverage, only the Donut Hole DiscountAll Formulary Drugs: 25%
n/a
Browse Formulary
new new new  
Allwell Dual Medicare (HMO SNP) - H0908-001-0
Benefit Details
           
Coshocton $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 32%
Select Care Drugs: $0.00
n/a
Browse Formulary
-- -- Allwell Dual Medicare (HMO SNP) - H0908-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue Dual Advantage (HMO SNP) - H3655-033-0
Benefit Details
           
Coshocton $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $4.00
Preferred Brand: $47.00
Non-Preferred Drug: $95.00
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Anthem MediBlue Dual Advantage (HMO SNP) - H3655-033-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Dual Advantage (HMO SNP) - H3655-033-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Dual Advantage (HMO SNP) - H3655-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Extra (HMO) - H3655-041-0
Benefit Details
           
Coshocton $32.90 $415
Tier 1 and 6 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $7.00
Preferred Brand: $47.00
Non-Preferred Drug: $95.00
Specialty Tier: 25%
Select Care Drugs: $0.00
$6,700
Browse Formulary
Anthem MediBlue Extra (HMO) - H3655-041-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Extra (HMO) - H3655-041-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Extra (HMO) - H3655-041-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
The Health Plan SecureCare SNP (HMO SNP) - H3672-019-0
Benefit Details
           
Coshocton $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole DiscountAll Formulary Drugs: 15%
Tier 2: 15%
Tier 3: 15%
Tier 4: 15%
Tier 5: 15%
n/a
Browse Formulary
The Health Plan SecureCare SNP (HMO SNP) - H3672-019-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) The Health Plan SecureCare SNP (HMO SNP) - H3672-019-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) The Health Plan SecureCare SNP (HMO SNP) - H3672-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
The Health Plan SecureCare - Option II (HMO) - H3672-013-0
Benefit Details
           
Coshocton $46.00 $100
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Drug: $85.00
Specialty Tier: 31%
$3,900
Browse Formulary
The Health Plan SecureCare - Option II (HMO) - H3672-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) The Health Plan SecureCare - Option II (HMO) - H3672-013-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) The Health Plan SecureCare - Option II (HMO) - H3672-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice H5216-045 (PPO) - H5216-045-0
Benefit Details
           
Coshocton $65.00 $100
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $7.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Drug: $97.00
Specialty Tier: 31%
$4,900
Browse Formulary
HumanaChoice H5216-045 (PPO) - H5216-045-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice H5216-045 (PPO) - H5216-045-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) HumanaChoice H5216-045 (PPO) - H5216-045-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
The Health Plan SecureChoice - Option II (PPO) - H8604-010-0
Benefit Details
           
Coshocton $66.00 $100
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $3.00
Generic: $10.00
Preferred Brand: $35.00
Non-Preferred Drug: $85.00
Specialty Tier: 31%
$6,700
Browse Formulary
The Health Plan SecureChoice - Option II (PPO) - H8604-010-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) The Health Plan SecureChoice - Option II (PPO) - H8604-010-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) The Health Plan SecureChoice - Option II (PPO) - H8604-010-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue Access Basic (Regional PPO) - R5941-014-0
Benefit Details
           
Coshocton $70.00 $200
Tier 1, 2 and 6 exempt
Yes, some additional gap coverage.Preferred Generic: $6.00
Generic: $15.00
Preferred Brand: $42.00
Non-Preferred Drug: 41%
Specialty Tier: 29%
Select Care Drugs: $0.00
$6,000
Browse Formulary
Anthem MediBlue Access Basic (Regional PPO) - R5941-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Access Basic (Regional PPO) - R5941-014-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Anthem MediBlue Access Basic (Regional PPO) - R5941-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
MedMutual Advantage Choice (HMO) - H6723-002-2
Benefit Details
           
Coshocton $86.00 $55
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 32%
$3,950
Browse Formulary
MedMutual Advantage Choice (HMO) - H6723-002-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedMutual Advantage Choice (HMO) - H6723-002-2 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) MedMutual Advantage Choice (HMO) - H6723-002-2 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
MedMutual Advantage Select (PPO) - H4497-001-2
Benefit Details
           
Coshocton $98.00 $160
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $15.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 30%
$6,500
Browse Formulary
MedMutual Advantage Select (PPO) - H4497-001-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedMutual Advantage Select (PPO) - H4497-001-2 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) MedMutual Advantage Select (PPO) - H4497-001-2 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
HumanaChoice R5495-002 (Regional PPO) - R5495-002-0
Benefit Details
           
Coshocton $100.00 $395
Tier 1 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $9.00
Generic: $19.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 25%
$6,700
Browse Formulary
HumanaChoice R5495-002 (Regional PPO) - R5495-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) HumanaChoice R5495-002 (Regional PPO) - R5495-002-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) HumanaChoice R5495-002 (Regional PPO) - R5495-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Humana Gold Choice H8145-032 (PFFS) - H8145-032-0
Benefit Details
           
Coshocton $103.00 $225
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $7.00
Generic: $17.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 28%
n/a
Browse Formulary
Humana Gold Choice H8145-032 (PFFS) - H8145-032-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Gold Choice H8145-032 (PFFS) - H8145-032-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Choice H8145-032 (PFFS) - H8145-032-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
MedMutual Advantage Plus (HMO) - H6723-003-2
Benefit Details
           
Coshocton $119.00 $55
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 32%
$3,400
Browse Formulary
MedMutual Advantage Plus (HMO) - H6723-003-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedMutual Advantage Plus (HMO) - H6723-003-2 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) MedMutual Advantage Plus (HMO) - H6723-003-2 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
MedMutual Advantage Preferred (PPO) - H4497-002-2
Benefit Details
           
Coshocton $136.00 $55
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 32%
$5,700
Browse Formulary
MedMutual Advantage Preferred (PPO) - H4497-002-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedMutual Advantage Preferred (PPO) - H4497-002-2 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) MedMutual Advantage Preferred (PPO) - H4497-002-2 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice H5525-030 (PPO) - H5525-030-0
Benefit Details
           
Coshocton $155.00 $100
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $1.00
Generic: $4.00
Preferred Brand: $47.00
Non-Preferred Drug: $97.00
Specialty Tier: 31%
$3,400
Browse Formulary
HumanaChoice H5525-030 (PPO) - H5525-030-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) HumanaChoice H5525-030 (PPO) - H5525-030-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) HumanaChoice H5525-030 (PPO) - H5525-030-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
MedMutual Advantage Premium (PPO) - H4497-003-2
Benefit Details
           
Coshocton $184.00 $55
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 32%
$3,400
Browse Formulary
MedMutual Advantage Premium (PPO) - H4497-003-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) MedMutual Advantage Premium (PPO) - H4497-003-2 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) MedMutual Advantage Premium (PPO) - H4497-003-2 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare OH Connect Gold 2 (Regional PPO) - R6694-005-0
Benefit Details
           
Coshocton $190.00 $350
Tier 1 and 2 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 26%
$3,500
Browse Formulary
Aetna Medicare OH Connect Gold 2 (Regional PPO) - R6694-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare OH Connect Gold 2 (Regional PPO) - R6694-005-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Aetna Medicare OH Connect Gold 2 (Regional PPO) - R6694-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare OH Connect Gold (Regional PPO) - R6694-003-0
Benefit Details
           
Coshocton $204.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
$3,500
Browse Formulary
Aetna Medicare OH Connect Gold (Regional PPO) - R6694-003-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare OH Connect Gold (Regional PPO) - R6694-003-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Aetna Medicare OH Connect Gold (Regional PPO) - R6694-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:



Chart Legend:

Below are a few notes to help with the understanding of the 2019 Medicare Advantage Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.


  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The plan name is followed by the health plan type (HMO, HMO-POS, PPO, PFFS, etc).  The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

      This category includes measures of how drug plans rate on the following areas:
      • Time on Hold When Customer and Pharmacist Calls Drug Plan.
      • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
      • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
      • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

    • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

      This category includes measures of how drug plans rate on the following areas:
      • Drug Plan Provides Information or Help When Members Need It.
      • Members’ Overall Rating of Drug Plan.
      • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

    • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

      This category includes measures of how drug plans rate on the following areas:
      • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
      • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
      • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
      • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
      • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

  • County: Medicare Advantage Plans are only available in specific county and in some cases only in part of a county. This field will note the county where the plan is available or in some cases, "Statewide" if the plan is available in every county. (Search Tip: You must enter your 5 digit ZIP Code in the criteria field to begin your search. We will determine your county from your ZIP code and only show appropriate plans.)

  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

    (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.

  • Deductible: The standard CMS plan deductible is $415. Many Medicare plans do not have a deductible, however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage phase tier 1 cost-sharing.

  • Gap Coverage (the Donut Hole): In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $3,834 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2019, ALL formulary generics will have at least a 63% discount and ALL brand-name drugs will have at least a 75% discount in the coverage gap. The Gap Coverage Types discussed in this section are in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Rx Cov.: This plan does not include prescription drug coverage. You are 100% responsible for your medication costs. If you would like to see ONLY those plans that do include some type of prescription coverage, please select "Show only plans WITH Drug Coverage" in the "Prescription Drug Coverage" selector above (this is the default setting);
    • No Gap Coverage: you pay up to $3,834 depending on your mix of generics and brand-name drugs. Read more...
    • Yes: This plan offers some level of gap coverage. See plan details for a description of the gap coverage. It will read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • Plan ID: This is the unique id for this particular plan.

  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)


Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.

  • Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.

  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.

  • Members in This Plan ID (September 2019 figures) - This is the total number of members in this plan's service area (a "Plan ID" is a specific contract ID and plan ID, for example H1234-001). The number of members for the selected county and the enrollment for the selected state are shown in addition to the plan ID enrollment on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.

  • Initial Coverage Limit (ICL) - The initial coverage limit phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2019 is $3,820 and increases each year.

  • MOOP for Part A & B Benefits - MOOP is the Maximum Out-of-Pocket limit set by the Medicare Advantage Plan. The figure shown is the beneficiaries yearly maximum out of pocket cost-sharing expenditure (co-payments / co-insurance) for Medicare Parts A & B (NOT Part D - prescription drug cost-sharing). Also see, What happens when I reach my Medicare Advantage plan maximum out of pocket limit (MOOP)? N/A means that this plan does not actually offer health cost-sharing benefits. Example: a Medicare Savings Account (MSA).

  • Health Plan Type - This the organization type for the Medicare Advantage Plan. This could be Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), etc. (Search Tip: If you would like to limit your search to a specific type of Medicare Advantage Plans, please select the health plan type in the "Type of Health Coverage" field.)

  • SNP Eligibility Requirements - Special Needs Plans (SNPs) have an eligibility requirement whereas all other Medicare Advantage plans do not. (Search Tip: If you would like to limit your search to specific types of Special Needs Medicare Advantage Plans, please check the appropriate boxes in the "Special Needs Plans (SNP) Options" field.)


(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information.