Find a 2025 Medicare Advantage Plan (Health and Health w/Rx Plans)

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Selected County:* Sanilac, Michigan

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Other Options: Only plans with MOOP ≤ $3,650   5-star rated plans   Limit search to 10 plans   Part B Giveback plans  

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Maximum Premium:
$  max: $353

Maximum Deductible:
$  max: $590

Health Coverage Type: All Types of Health Plans Cost Plans Local Health Maintenance Org. (HMO) Plans Medicare-Medicaid Plan Medicare Savings Account (MSA) Plans Private-Fee-For-Services (PFFS) Plans Local Preferred Provider Org. (PPO) Plans Regional Preferred Provider Org. (PPO) Plans Local and Regional (PPO) Plans

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tip: enter 0 to show plans with a $0 Tier 1 copay

Prescription Drug Coverage: Show plans with AND without Drug Coverage Show only plans WITH Drug Coverage Show only plans WITHOUT Drug Coverage

Additional Info: Display the Part A & B Benefit MOOP Limit Display the Total Number of Formulary Drugs Display the Plan’s Summary Star-Rating Display if the Plan Offers a Mail Order Service Display the Number of Plan Members in this Plan ID Display the Number of Plan Members National Wide Display Medicare Part B Giveback Amount Display the Health Plan Type (HMO, PPO, etc.) Eligibility Requirement if SNP

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There are 54 Michigan 2025 Medicare Advantage plans (MAPD) meeting your criteria.
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Click on the plan name or details button below to access plan details and contact information.

2025 Medicare Advantage Plan Information Click here to jump to the Chart Legend & Search Tips
Plan Name			County	Monthly Prem. (Parts C & D)	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance 30-Day Supply	MOOP for Part A & B Benefits
Cust. Service Rating	Member Plan Exper.	RxCost Info Rating
AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO) - H0294-022-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$6,700
Aetna Medicare Eagle (PPO) - H5521-286-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$4,900
BCN Advantage Elements (HMO-POS) - H5883-001-3 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$4,500
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HAP Medicare MedicalAccess (HMO) - H2354-019-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$4,500
Humana USAA Honor Giveback (PPO) - H5216-190-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$6,750
HumanaChoice R0110-013 (Regional PPO) - R0110-013-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$6,750
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Trinity Health Plan of Michigan Glory No RX (HMO) - H9179-003-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$5,500
	new	new
Wellcare Patriot Giveback Open (PPO) - H2117-003-0 Benefits & Contact Info			Sanilac	$0.00	No Rx Coverage		This Plan does NOT include Prescription Drug coverage.	$5,000
AARP Medicare Advantage from UHC MI-0001 (PPO) - H0294-017-0 Benefits & Contact Info			Sanilac	$0.00	$495 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 27% all covered insulin pay $35 or less	$6,700 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
BCN Advantage HMO-POS Prime Value (HMO-POS) - H5883-014-3 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: $42.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$4,200 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Covenant Advantage (HMO-POS) - H7646-002-0 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33% all covered insulin pay $35 or less	$3,900 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
HAP Medicare Connect (HMO) - H2354-015-0 Benefits & Contact Info			Sanilac	$0.00	$150 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $9.00 Preferred Brand: 15% Non-Preferred Drug: 48% Specialty Tier: 31% all covered insulin pay $35 or less	$5,000 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HAP Medicare Explore (PPO) - H2322-011-0 Benefits & Contact Info			Sanilac	$0.00	$300 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: 15% Non-Preferred Drug: 48% Specialty Tier: 29% all covered insulin pay $35 or less	$5,200 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
HAP MSU-HC Medicare (HMO) - H2354-028-0 Benefits & Contact Info			Sanilac	$0.00	$150 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $9.00 Preferred Brand: 15% Non-Preferred Drug: 48% Specialty Tier: 31% all covered insulin pay $35 or less	$5,000 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
HAP MSU-HC Medicare Prime (PPO) - H2322-016-0 Benefits & Contact Info			Sanilac	$0.00	$200 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: 18% Non-Preferred Drug: 48% Specialty Tier: 30% all covered insulin pay $35 or less	$5,300 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Humana Full Access Giveback H5216-306 (PPO) - H5216-306-0 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: $34.00 Non-Preferred Drug: 45% Specialty Tier: 33% all covered insulin pay $35 or less	$9,350 Browse Formulary
Humana Full Access H5216-384 (PPO) - H5216-384-0 Benefits & Contact Info			Sanilac	$0.00	$250 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: 46% Specialty Tier: 30% all covered insulin pay $35 or less	$5,900 Browse Formulary
Humana Gold Plus H8908-004 (HMO-POS) - H8908-004-0 Benefits & Contact Info			Sanilac	$0.00	$250 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: 43% Specialty Tier: 30% all covered insulin pay $35 or less	$4,600 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Humana USAA Honor Giveback with Rx (PPO) - H5216-305-0 Benefits & Contact Info			Sanilac	$0.00	$350 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 45% Specialty Tier: 28% all covered insulin pay $35 or less	$8,850 Browse Formulary
HumanaChoice - Diabetes and Heart (PPO C-SNP) - H5216-375-0 Benefits & Contact Info			Sanilac	$0.00	$200 Tier 1, 2 and 6 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 42% Specialty Tier: 30% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$6,750 Browse Formulary
McLaren Medicare Inspire (HMO) - H6322-001-0 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$4,200 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
McLaren Medicare Inspire Flex (HMO-POS) - H6322-003-1 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$3,800 Browse Formulary
Medicare Plus Blue + Meijer (PPO) - H9572-007-3 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: $42.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$6,750 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Medicare Plus Blue PPO Essential (PPO) - H9572-004-3 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: $42.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$6,250 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Medicare Plus Blue PPO Part B Credit (PPO) - H9572-006-3 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$6,550 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
PriorityMedicare Key (HMO-POS) - H2320-022-4 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $4.00 Generic: $15.00 Preferred Brand: 25% Non-Preferred Drug: 45% Specialty Tier: 33% all covered insulin pay $35 or less	$5,500 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
PriorityMedicare Thrive (PPO) - H4875-024-2 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $3.00 Generic: $10.00 Preferred Brand: 25% Non-Preferred Drug: 45% Specialty Tier: 33% all covered insulin pay $35 or less	$5,900 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Trinity Health Plan of Michigan Cash Back (HMO) - H9179-002-0 Benefits & Contact Info			Sanilac	$0.00	$350 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 28% all covered insulin pay $35 or less	$6,700 Browse Formulary
	new	new
Trinity Health Plan of Michigan No Premium (HMO) - H9179-001-0 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$4,500 Browse Formulary
	new	new
University of Michigan Health Advantage Flex (PPO) - H6727-001-0 Benefits & Contact Info			Sanilac	$0.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 33% all covered insulin pay $35 or less	$5,500 Browse Formulary
	new	new	Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Wellcare Giveback (HMO-POS) - H5475-031-0 Benefits & Contact Info			Sanilac	$0.00	$420 Tier 1, 2 and 6 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 28% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$7,550 Browse Formulary
	--		Higher cost-sharing at standard network pharmacies. Details:
Wellcare Simple (HMO-POS) - H5475-026-0 Benefits & Contact Info			Sanilac	$0.00	$420 Tier 1, 2 and 6 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 44% Specialty Tier: 28% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$4,600 Browse Formulary
	--		Higher cost-sharing at standard network pharmacies. Details:
Wellcare Simple Open (PPO) - H2117-001-0 Benefits & Contact Info			Sanilac	$0.00	$420 Tier 1, 2 and 6 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 45% Specialty Tier: 28% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$5,000 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Wellcare Low Premium (HMO-POS) - H5475-024-0 Benefits & Contact Info			Sanilac	$16.00	$420 Tier 1, 2 and 6 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 36% Specialty Tier: 28% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$4,800 Browse Formulary
	--		Higher cost-sharing at standard network pharmacies. Details:
Wellcare Assist (HMO-POS) - H5475-038-0 Benefits & Contact Info			Sanilac	$16.20	$520 Tier 1 and 6 exempt	Basic Alternative Standard (BA)	Preferred Generic: $18.00 Generic: $19.00 Preferred Brand: 22% Non-Preferred Drug: $100.00 Specialty Tier: 25% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$5,000 Browse Formulary
	--		Higher cost-sharing at standard network pharmacies. Details:
Humana Full Access H5216-380 (PPO) - H5216-380-0 Benefits & Contact Info			Sanilac	$19.30	$200 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $47.00 Non-Preferred Drug: 50% Specialty Tier: 30% all covered insulin pay $35 or less	$6,750 Browse Formulary
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Humana Value Plus H5216-382 (PPO) - H5216-382-0 Benefits & Contact Info			Sanilac	$20.90	$250 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $5.00 Preferred Brand: $47.00 Non-Preferred Drug: 42% Specialty Tier: 30% all covered insulin pay $35 or less	$9,350 Browse Formulary
Wellcare Dual Access Open (PPO D-SNP) - H2117-002-0 Benefits & Contact Info			Sanilac	$0.00 for people who qualify for both Medicare and Medicaid.	$0 for people who qualify for both Medicare and Medicaid.	Basic Alternative Standard (BA)	Preferred Generic: $18.00 Generic: $19.00 Preferred Brand: 22% Non-Preferred Drug: $100.00 Specialty Tier: 25% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$9,350 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Wellcare Dual Access (HMO-POS D-SNP) - H5475-001-0 Benefits & Contact Info			Sanilac	$0.00 for people who qualify for both Medicare and Medicaid.	$0 for people who qualify for both Medicare and Medicaid.	Basic Alternative Standard (BA)	Preferred Generic: $18.00 Generic: $19.00 Preferred Brand: 21% Non-Preferred Drug: 36% Specialty Tier: 25% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$9,350 Browse Formulary
	--		Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Covenant Advantage Plus (HMO-POS) - H7646-005-0 Benefits & Contact Info			Sanilac	$25.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $45.00 Non-Preferred Drug: $95.00 Specialty Tier: 33% all covered insulin pay $35 or less	$3,900 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
McLaren Medicare Inspire Plus (HMO) - H6322-002-0 Benefits & Contact Info			Sanilac	$25.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $12.00 Preferred Brand: $47.00 Non-Preferred Brand: $100.00 Specialty Tier: 33% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$3,500 Browse Formulary
Wellcare Low Premium Open (PPO) - H2117-005-0 Benefits & Contact Info			Sanilac	$27.00	$420 Tier 1, 2 and 6 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $0.00 Preferred Brand: 25% Non-Preferred Drug: 37% Specialty Tier: 28% Select Care Drugs: $0.00 all covered insulin pay $35 or less	$5,000 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
AARP Medicare Advantage from UHC MI-0002 (PPO) - H0294-018-0 Benefits & Contact Info			Sanilac	$32.00	$420 Tier 1 and 2 exempt	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $8.00 Preferred Brand: $47.00 Non-Preferred Drug: $100.00 Specialty Tier: 28% all covered insulin pay $35 or less	$4,100 Browse Formulary
PriorityMedicare Thrive Plus (PPO) - H4875-018-4 Benefits & Contact Info			Sanilac	$39.00	$0	Enhanced Alternative (EA)	Preferred Generic: $4.00 Generic: $13.00 Preferred Brand: 25% Non-Preferred Drug: 40% Specialty Tier: 33% all covered insulin pay $35 or less	$5,600 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
PriorityMedicare Value (HMO-POS) - H2320-029-4 Benefits & Contact Info			Sanilac	$44.00	$0	Enhanced Alternative (EA)	Preferred Generic: $2.00 Generic: $10.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$4,900 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
Medicare Plus Blue PPO Vitality (PPO) - H9572-002-3 Benefits & Contact Info			Sanilac	$75.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: $42.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$5,000 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
PriorityMedicare (HMO-POS) - H2320-028-4 Benefits & Contact Info			Sanilac	$99.00	$0	Enhanced Alternative (EA)	Preferred Generic: $1.00 Generic: $8.00 Preferred Brand: 25% Non-Preferred Drug: 45% Specialty Tier: 33% all covered insulin pay $35 or less	$4,500 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
HAP Senior Plus (HMO-POS) - H2354-021-0 Benefits & Contact Info			Sanilac	$105.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $9.00 Preferred Brand: 20% Non-Preferred Drug: 48% Specialty Tier: 33% all covered insulin pay $35 or less	$4,500 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
BCN Advantage HMO-POS Classic (HMO-POS) - H5883-002-3 Benefits & Contact Info			Sanilac	$115.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $38.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$3,800 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
PriorityMedicare Merit (PPO) - H4875-016-2 Benefits & Contact Info			Sanilac	$118.00	$0	Enhanced Alternative (EA)	Preferred Generic: $2.00 Generic: $10.00 Preferred Brand: 25% Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$4,100 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Medicare Plus Blue PPO Signature (PPO) - H9572-001-3 Benefits & Contact Info			Sanilac	$141.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $10.00 Preferred Brand: $42.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$4,700 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Plan Name			County	Monthly Prem.	Deduct- ible	Drug Benefit Detail	Preferred Pharmacy Copay/ Coinsurance	MOOP for A & B
Service	Exper.	Cost Info
HAP Senior Plus (PPO) - H2322-008-0 Benefits & Contact Info			Sanilac	$165.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $11.00 Preferred Brand: 20% Non-Preferred Drug: 48% Specialty Tier: 33% all covered insulin pay $35 or less	$4,000 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
BCN Advantage HMO-POS Prestige (HMO-POS) - H5883-003-3 Benefits & Contact Info			Sanilac	$228.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $38.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$3,400 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:
Medicare Plus Blue PPO Assure (PPO) - H9572-003-3 Benefits & Contact Info			Sanilac	$281.00	$0	Enhanced Alternative (EA)	Preferred Generic: $0.00 Generic: $7.00 Preferred Brand: $37.00 Non-Preferred Drug: 50% Specialty Tier: 33% all covered insulin pay $35 or less	$3,425 Browse Formulary
			Higher cost-sharing at standard network pharmacies. Details:

• Print Version
• 2025 DrugFinder and Formulary Search
• Compare Changes in the 2024 & 2025 Health Plans
• See 2025 Stand-Alone Medicare Part D Prescription Plans
• Compare 2024 & 2025 Rx Plans
  
  

Review Medicare Advantage plans

Email chart to me:

Free Part D Newsletter?

Chart Legend:

Below are a few notes to help with the understanding of the 2025 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.
    
    
  Note: Plan ratings are by contract. This means that a Medicare Advantage plan that does NOT offer prescription drug coverage will still show drug plan ratings in the table above because these ratings are for the entire contract -- which may include plans that offer drug coverage and plans that do not. Click on the star icons to see further star rating details for the plan -- including the health plan ratings.
  
  
  • 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. (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 initial deductible is $590. 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.
    
    
  • Plan ID: This is the unique id for this particular plan.
    
    
  • Copay / Coinsurance - Cost Sharing - This is what you will pay for formulary drugs in the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach your maximum cap on out-of-pocket spending for Part D formulary drugs - RxMOOP. 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. (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 2024 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.
    
    
  • Members Nationwide (updated: September 2024 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.
    
    
  • Medicare Part B Giveback Amount - If the plan rebates a portion of the Medicare Part B premium back to plan members, the amount will be shown in this column. This is also called "Part B premium Buy-Down", "Part B premium reduction", or "Part B premium give-back".
    
    
  • 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.)

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(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. You should always verify cost and coverage information with your Medicare plan provider.