MedicarePartD.guide

A non-government resource built from CMS public data

MercyOne Health Plan Cash Back (HMO)

Available to residents of Delaware County, IA for 2026. Contract H3668, plan 031, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$250.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH3668-031-0
Offered byMediGold
Parent organizationTrinity Health Corporation
Formulary drugs3,507

CMS star ratings

Overall
4.5 out of 5 stars for Overall
Health plan (Part C)
4 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$5.00
Tier 325%
Tier 435%
Tier 530%

Also available in 56 other IA counties