H4931-007-000 HMO
Exact segment geography Banner Medicare Advantage Dual (HMO D-SNP)
Banner Medicare Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4931-007-000 — Open exact plan page → H4931-015-000 HMO
Exact segment geography Banner Medicare Advantage Dual (HMO D-SNP)
Banner Medicare Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4931-015-000 — Open exact plan page → H5587-002-000 HMO
Exact segment geography Health Choice Pathway (HMO D-SNP)
Blue Cross Blue Shield of Arizona Health Choice
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5587-002-000 — Open exact plan page → H4869-003-000 HMOPOS
Exact segment geography Gold Dialysis & Kidney (HMO-POS C-SNP)
Gold Kidney Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $2,900 in-network
- Drug coverage
- Reported
H4869-003-000 — Open exact plan page → H4869-014-000 HMOPOS
Exact segment geography Gold Dialysis & Kidney Complete (HMO-POS C-SNP)
Gold Kidney Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H4869-014-000 — Open exact plan page → H4869-001-000 HMOPOS
Exact segment geography Gold Heart & Diabetes (HMO-POS C-SNP)
Gold Kidney Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,200 in-network
- Drug coverage
- Reported
H4869-001-000 — Open exact plan page → H5216-435-001 Local PPO
Exact segment geography Humana Essentials Plus Giveback (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,850 in-network
- Drug coverage
- Reported
H5216-435-001 — Open exact plan page → H5216-436-001 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $5,150 in-network
- Drug coverage
- Not reported
H5216-436-001 — Open exact plan page → H5216-224-000 Local PPO
Exact segment geography HumanaChoice H5216-224 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $4,150 in-network
- Drug coverage
- Reported
H5216-224-000 — Open exact plan page → R7220-001-000 Regional PPO
Exact segment geography HumanaChoice R7220-001 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Not reported
R7220-001-000 — Open exact plan page → R7220-002-000 Regional PPO
Exact segment geography HumanaChoice R7220-002 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $110 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
R7220-002-000 — Open exact plan page → H5580-001-000 HMO
Exact segment geography Mercy Care Advantage (HMO D-SNP)
Mercy Care Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5580-001-000 — Open exact plan page → H5580-004-000 HMO
Exact segment geography Mercy Care Advantage (HMO D-SNP)
Mercy Care Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5580-004-000 — Open exact plan page → H5580-005-000 HMO
Exact segment geography Mercy Care Advantage (HMO D-SNP)
Mercy Care Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.10 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5580-005-000 — Open exact plan page → H8845-001-000 HMO
Exact segment geography Molina Medicare Complete Care (HMO D-SNP)
Molina Healthcare of Arizona
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8845-001-000 — Open exact plan page → H2406-063-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC AZ-0008 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $64 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2406-063-000 — Open exact plan page → H2406-076-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC AZ-0010 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2406-076-000 — Open exact plan page → H2406-077-000 Local PPO
Exact segment geography AARP Medicare Advantage Patriot No Rx AZ-MA01 (PPO)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H2406-077-000 — Open exact plan page → H0321-002-000 HMOPOS
Exact segment geography UHC Dual Complete AZ-S001 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0321-002-000 — Open exact plan page → H0321-004-000 HMOPOS
Exact segment geography UHC Dual Complete AZ-YL (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $16.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0321-004-000 — Open exact plan page → H5590-012-001 HMO
Exact segment geography Wellcare Arizona Complete Health Dual Liberty Sync (HMO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5590-012-001 — Open exact plan page → H0351-071-000 HMO
Exact segment geography Wellcare Simple (HMO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,800 in-network
- Drug coverage
- Reported
H0351-071-000 — Open exact plan page →