MedicarePartD.guide

A non-government resource built from CMS public data

PrimeTime Health Plan Aultimate (HMO-POS)

Available to residents of Portage County, OH for 2026. Contract H3664, plan 021, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$270.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH3664-021-0
Offered byPrimeTime Health Plan
Parent organizationAultman Health Foundation
Formulary drugs3,533

CMS star ratings

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

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$8.00
Tier 320%
Tier 440%
Tier 530%

Also available in 10 other OH counties