5-Star Rated
Medicare Advantage Plans (MA, MAPD)
State
Carrier
Plan Name (Plan ID)
Nbr of Counties
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
(H0524-003)
2
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Solano (HMO)
(H0524-008)
1
CA
Kaiser Permanente
Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
(H0524-013)
8
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Inland Empire (HMO)
(H0524-015)
2
CA
Kaiser Permanente
Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)
(H0524-029)
7
CA
Kaiser Permanente
Senior Advantage Medicare Medi-Cal Plan North (HMO SNP)
(H0524-030)
23
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Marin San Mateo (HMO)
(H0524-031)
2
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
(H0524-032)
3
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Contra Costa (HMO)
(H0524-033)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Ventura (HMO)
(H0524-034)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Enhanced Kern (HMO)
(H0524-035)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Basic Kern (HMO)
(H0524-036)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage San Diego (HMO)
(H0524-037)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
(H0524-038)
5
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Santa Clara (HMO)
(H0524-039)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
(H0524-040)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Basic Stanis (HMO)
(H0524-041)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
(H0524-042)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
(H0524-043)
1
CA
Kaiser Permanente
Kaiser Permanente Senior Advantage Basic Fresno (HMO)
(H0524-046)
5
CA
Kaiser Permanente
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
(H0524-051)
8
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-013)
11
CO
Kaiser Permanente
Senior Advantage Medicare Medicaid (HMO SNP)
(H0630-014)
11
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-015)
11
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Gold (HMO)
(H0630-016)
11
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-017)
4
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-018)
4
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-020)
2
CO
Kaiser Permanente
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-021)
2
CO
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
1
CO
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
1
CO
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
1
CO
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
1
CO
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
1
DC
Kaiser Permanente
Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost)
(H2150-002)
1
DC
Kaiser Permanente
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost)
(H2150-009)
1
DC
Kaiser Permanente
Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost)
(H2150-017)
1
DC
Kaiser Permanente
Kaiser Permanente Medicare Plus High w/o D (AB) (Cost)
(H2150-021)
1
DC
Kaiser Permanente
Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost)
(H2150-022)
1
DC
Kaiser Permanente
Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost)
(H2150-033)
1
FL
Optimum HealthCare, Inc.
Optimum Gold Rewards Plan (HMO)
(H5594-001)
6
FL
Optimum HealthCare, Inc.
Optimum Platinum Plan (HMO)
(H5594-002)
6
FL
Optimum HealthCare, Inc.
Optimum Emerald Partial (HMO SNP)
(H5594-016)
25
FL
Optimum HealthCare, Inc.
Optimum Emerald Full (HMO SNP)
(H5594-017)
25
FL
Optimum HealthCare, Inc.
Optimum Platinum Plan (HMO)
(H5594-019)
3
FL
Optimum HealthCare, Inc.
Optimum Gold Rewards Plan (HMO)
(H5594-022)
4
FL
Optimum HealthCare, Inc.
Optimum Gold Rewards Plan (HMO)
(H5594-026)
3
FL
Optimum HealthCare, Inc.
Optimum Diamond Rewards
(HMO SNP)
(H5594-028)
4
FL
Optimum HealthCare, Inc.
Optimum Diamond Rewards COPD (HMO SNP)
(H5594-029)
4
FL
Optimum HealthCare, Inc.
Optimum Diamond Rewards
(HMO SNP)
(H5594-030)
11
FL
Optimum HealthCare, Inc.
Optimum Diamond Rewards COPD (HMO SNP)
(H5594-031)
8
FL
Optimum HealthCare, Inc.
Optimum Gold Plus Plan (HMO)
(H5594-032)
1
FL
Optimum HealthCare, Inc.
Optimum Diamond Rewards
(HMO SNP)
(H5594-034)
7
FL
Optimum HealthCare, Inc.
Optimum Diamond Rewards COPD (HMO SNP)
(H5594-035)
6
IA
Senior Preferred
Gundersen Senior Preferred Elite (w/Rx) (HMO)
(H5262-001)
1
IA
Senior Preferred
Gundersen Senior Preferred Value (w/Rx) (HMO)
(H5262-003)
1
IA
Senior Preferred
Gundersen Senior Preferred Value
(no Rx) (HMO)
(H5262-004)
1
IA
Senior Preferred
Gundersen Senior Preferred Elite
(no Rx) (HMO)
(H5262-005)
1
KS
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
1
KS
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
1
KS
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
1
KS
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
1
KS
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
1
MA
Blue Cross Blue Shield of Massachusetts
Medicare HMO Blue PlusRx (HMO)
(H2261-005)
11
MA
Blue Cross Blue Shield of Massachusetts
Medicare HMO Blue ValueRx (HMO)
(H2261-019)
11
MA
Blue Cross Blue Shield of Massachusetts
Medicare HMO Blue FlexRx
(HMO-POS)
(H2261-021)
11
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
(H2256-001)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
(H2256-001)
5
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
(H2256-001)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx (HMO)
(H2256-015)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx (HMO)
(H2256-015)
5
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx (HMO)
(H2256-015)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime No Rx (HMO)
(H2256-016)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime No Rx (HMO)
(H2256-016)
5
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime No Rx (HMO)
(H2256-016)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value Rx (HMO)
(H2256-018)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value Rx (HMO)
(H2256-018)
5
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value Rx (HMO)
(H2256-018)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value No Rx (HMO)
(H2256-019)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value No Rx (HMO)
(H2256-019)
5
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value No Rx (HMO)
(H2256-019)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Basic Rx (HMO)
(H2256-026)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Basic Rx (HMO)
(H2256-026)
5
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Basic Rx (HMO)
(H2256-026)
2
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Saver Rx (HMO)
(H2256-028)
8
MA
Tufts Health Plan
Tufts Health Plan Senior Care Options (HMO SNP)
(H2256-029)
10
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime Rx (HMO)
(H2256-033)
1
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value Rx (HMO)
(H2256-034)
1
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Basic Rx (HMO)
(H2256-036)
1
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Prime No Rx (HMO)
(H2256-039)
1
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Value No Rx (HMO)
(H2256-040)
1
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Basic No Rx (HMO)
(H2256-041)
1
MA
Tufts Health Plan
Tufts Medicare Preferred HMO Basic No Rx (HMO)
(H2256-042)
2
MA
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
2
MA
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
2
MA
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
2
MA
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
2
MA
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
2
MD
Kaiser Permanente
Kaiser Permanente Medicare Plus High w/Part D (AB) (Cost)
(H2150-002)
11
MD
Kaiser Permanente
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost)
(H2150-009)
11
MD
Kaiser Permanente
Kaiser Permanente Medicare Plus Basic w/o D (AB) (Cost)
(H2150-017)
11
MD
Kaiser Permanente
Kaiser Permanente Medicare Plus High w/o D (AB) (Cost)
(H2150-021)
11
MD
Kaiser Permanente
Kaiser Permanente Medicare Plus Std w/o D (AB) (Cost)
(H2150-022)
11
MD
Kaiser Permanente
Kaiser Permanente Medicare Plus Basic w/D (AB) (Cost)
(H2150-033)
11
MD
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
3
MD
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
3
MD
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
3
MD
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
3
MD
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
3
MI
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
1
MI
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
1
MI
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
1
MI
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
1
MI
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
1
MN
HealthPartners
HealthPartners Freedom Basic (Cost)
(H2462-004)
87
MN
HealthPartners
HealthPartners Freedom Balance (Cost)
(H2462-007)
87
MN
HealthPartners
HealthPartners Freedom Balance
with Rx (Cost)
(H2462-008)
87
MN
HealthPartners
HealthPartners Freedom Ultimate (Cost)
(H2462-010)
87
MN
HealthPartners
HealthPartners Freedom Ultimate
with Rx (Cost)
(H2462-011)
87
MN
HealthPartners
HealthPartners Freedom Ultimate
with Enhanced Rx (Cost)
(H2462-012)
87
MN
HealthPartners
HealthPartners Freedom Vital (Cost)
(H2462-018)
87
MN
HealthPartners
HealthPartners Freedom Vital
with Rx (Cost)
(H2462-019)
87
MN
HealthPartners
HealthPartners Freedom Active (Cost)
(H2462-020)
87
MN
HealthPartners
HealthPartners Freedom Active
with Rx (Cost)
(H2462-021)
87
NJ
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
2
NJ
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
2
NJ
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
2
NJ
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
2
NJ
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
2
OH
PrimeTime Health Plan
PrimeTime Health Plan Basic
- MA Only (HMO-POS)
(H3664-014)
12
OH
PrimeTime Health Plan
PrimeTime Health Plan Plus
(HMO-POS)
(H3664-017)
12
OH
PrimeTime Health Plan
PrimeTime Health Plan Classic
(HMO-POS)
(H3664-020)
12
OH
PrimeTime Health Plan
PrimeTime Health Plan Aultimate (HMO-POS)
(H3664-021)
12
OR
Kaiser Permanente
Kaiser Permanente Senior Advantage (HMO)
(H9003-001)
9
OR
Kaiser Permanente
Kaiser Permanente Senior Advantage Basic (HMO)
(H9003-006)
9
PA
UnitedHealthcare
Erickson Advantage Signature
with Drugs (HMO-POS)
(H5652-001)
2
PA
UnitedHealthcare
Erickson Advantage Signature
without Drugs (HMO-POS)
(H5652-002)
2
PA
UnitedHealthcare
Erickson Advantage Guardian
(HMO-POS SNP)
(H5652-003)
2
PA
UnitedHealthcare
Erickson Advantage Champion
(HMO-POS SNP)
(H5652-004)
2
PA
UnitedHealthcare
Erickson Advantage Freedom
(HMO-POS)
(H5652-006)
2
TX
KelseyCare Advantage
KelseyCare Advantage Essential (HMO)
(H0332-001)
4
TX
KelseyCare Advantage
KelseyCare Advantage Rx (HMO)
(H0332-002)
4
TX
KelseyCare Advantage
KelseyCare Advantage Essential+Choice (HMO-POS)
(H0332-003)
4
TX
KelseyCare Advantage
KelseyCare Advantage Rx+Choice (HMO-POS)
(H0332-004)
4
TX
UnitedHealthcare
Tips & Disclaimers
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The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
Medicare has neither reviewed nor endorsed the information on our site.
We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information.
However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist.
For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year.
Our PDPCompare.com and
MACompare.com provide highlights of annual plan benefit changes.
The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
Limitations, copayments, and restrictions may apply.
We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area.
However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service
area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048),
24 hours a day/7 days a week or consult
www.medicare.gov .
Statement required by Medicare:
"We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
When enrolling in a Medicare Advantage plan, you must continue to pay your
Medicare Part B premium .
Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA).
Read more on IRMAA .
Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can
appeal IRMAA .
You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult
www.medicare.gov ; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare.
Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits
money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible.
The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll
during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at
www.medicare.gov .
Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the
medicare.gov site.
Beneficiaries can
appoint a representative by submitting CMS Form-1696.