Wellpoint Medicare Advantage 2 (HMO-POS)
Available to residents of Dyer County, TN for 2026. Contract H5828, plan 016, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $200.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H5828-016-0 |
| Offered by | Wellpoint |
| Parent organization | Elevance Health, Inc. |
| Formulary drugs | 3,443 |
CMS star ratings
- Overall
- 3 out of 5 stars for Overall
- Health plan (Part C)
- 3 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H5828 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | 25% |
| Tier 4 | 30% |
| Tier 5 | 30% |
Also available in 67 other TN counties
- Bedford
- Benton
- Bledsoe
- Bradley
- Carroll
- Carter
- Chester
- Claiborne
- Clay
- Cocke
- Coffee
- Crockett
- Cumberland
- Decatur
- DeKalb
- Fentress
- Franklin
- Gibson
- Giles
- Grainger
- Greene
- Grundy
- Hamblen
- Hancock
- Hardeman
- Hardin
- Hawkins
- Haywood
- Henderson
- Henry
- Hickman
- Houston
- Humphreys
- Jackson
- Jefferson
- Johnson
- Lake
- Lauderdale
- Lawrence
- Lewis
- Lincoln
- McMinn
- McNairy
- Madison
- Marshall
- Meigs
- Monroe
- Montgomery
- Moore
- Obion
- Overton
- Perry
- Pickett
- Polk
- Putnam
- Rhea
- Scott
- Sevier
- Stewart
- Sullivan
Plan facts come from the CMS quarterly prescription drug plan public use files.