H3931-175-000 HMO
Exact segment geography Aetna Medicare Dual Extra Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3931-175-000 — Open exact plan page → H5521-378-000 Local PPO
Exact segment geography Aetna Medicare Eagle (PPO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Not reported
H5521-378-000 — Open exact plan page → H3931-196-000 HMO
Exact segment geography Aetna Medicare Full Dual Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3931-196-000 — Open exact plan page → H5593-005-000 HMO
Exact segment geography Aetna Medicare Full Dual Extra Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5593-005-000 — Open exact plan page → H5593-008-000 HMO
Exact segment geography Aetna Medicare Prime (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H5593-008-000 — Open exact plan page → H5593-006-000 HMO
Exact segment geography Aetna Medicare Signature (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5593-006-000 — Open exact plan page → H5521-443-000 Local PPO
Exact segment geography Aetna Medicare Value Care (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5521-443-000 — Open exact plan page → H4346-037-000 HMOPOS
Exact segment geography Anthem Chronic Care (HMO-POS C-SNP)
Anthem Blue Cross and Blue Shield
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H4346-037-000 — Open exact plan page → H4346-014-000 HMO
Exact segment geography Anthem Dual Advantage (HMO D-SNP)
Anthem Blue Cross and Blue Shield
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4346-014-000 — Open exact plan page → H7147-009-000 HMO
Exact segment geography DEVOTED C-SNP ENHANCED 009 CO (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,700 in-network
- Drug coverage
- Reported
H7147-009-000 — Open exact plan page → H7147-016-000 HMO
Exact segment geography DEVOTED C-SNP GIVEBACK EXTRAS 016 CO (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H7147-016-000 — Open exact plan page → H7147-013-000 HMO
Exact segment geography DEVOTED C-SNP PLUS 013 CO (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7147-013-000 — Open exact plan page → H4808-002-000 Local PPO
Exact segment geography DEVOTED CHOICE 002 CO (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,050 in-network
- Drug coverage
- Reported
H4808-002-000 — Open exact plan page → H4808-003-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 003 CO (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,950 in-network
- Drug coverage
- Reported
H4808-003-000 — Open exact plan page → H4808-004-000 Local PPO
Exact segment geography DEVOTED CHOICE MA ONLY 004 CO (PPO)
Devoted Health
- Premium
- $0 / month
- MOOP
- $7,900 in-network
- Drug coverage
- Not reported
H4808-004-000 — Open exact plan page → H7147-004-000 HMO
Exact segment geography DEVOTED CORE 004 CO (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H7147-004-000 — Open exact plan page → H7147-007-000 HMO
Exact segment geography DEVOTED DUAL 007 CO (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H7147-007-000 — Open exact plan page → H7147-012-000 HMO
Exact segment geography DEVOTED DUAL FULL 012 CO (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7147-012-000 — Open exact plan page → H7147-003-000 HMO
Exact segment geography DEVOTED DUAL PLUS 003 CO (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7147-003-000 — Open exact plan page → H7147-019-000 HMO
Exact segment geography DEVOTED GIVEBACK EXTRAS 019 CO (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H7147-019-000 — Open exact plan page → H5608-001-000 HMO
Exact segment geography Elevate Medicare Choice (HMO D-SNP)
Elevate Medicare Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5608-001-000 — Open exact plan page → H5608-002-000 HMO
Exact segment geography Elevate Medicare Select (HMO)
Elevate Medicare Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5608-002-000 — Open exact plan page → H2752-005-000 HMO
Exact segment geography HealthSpring Preferred (HMO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,150 in-network
- Drug coverage
- Reported
H2752-005-000 — Open exact plan page → H2752-009-000 HMO
Exact segment geography HealthSpring TotalCare (HMO D-SNP)
HealthSpring
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2752-009-000 — Open exact plan page → H2752-008-000 HMO
Exact segment geography HealthSpring TotalCare Plus (HMO D-SNP)
HealthSpring
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2752-008-000 — Open exact plan page → H7849-147-000 Local PPO
Exact segment geography HealthSpring True Choice (PPO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,500 in-network
- Drug coverage
- Reported
H7849-147-000 — Open exact plan page → H0028-078-000 HMO
Exact segment geography Humana Dual Select H0028-078 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H0028-078-000 — Open exact plan page → H0028-063-000 HMO
Exact segment geography Humana Essentials Plus Giveback (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H0028-063-000 — Open exact plan page → H5216-435-002 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
H5216-435-002 — Open exact plan page → H7617-061-000 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
H7617-061-000 — Open exact plan page → H0028-081-001 HMO
Exact segment geography Humana Total Complete (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,750 in-network
- Drug coverage
- Reported
H0028-081-001 — Open exact plan page → H5216-436-002 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,200 in-network
- Drug coverage
- Not reported
H5216-436-002 — Open exact plan page → H5216-078-001 Local PPO
Exact segment geography Humana Value Choice (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $53 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5216-078-001 — Open exact plan page → H5216-261-000 Local PPO
Exact segment geography Humana Value Choice (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,200 in-network
- Drug coverage
- Reported
H5216-261-000 — Open exact plan page → H7617-064-000 Local PPO
Exact segment geography Humana Value Choice (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H7617-064-000 — Open exact plan page → H5216-223-000 Local PPO
Exact segment geography HumanaChoice H5216-223 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $20 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H5216-223-000 — Open exact plan page → H5216-267-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H5216-267 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $2.10 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-267-000 — Open exact plan page → H7617-067-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H7617-067 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-067-000 — Open exact plan page → H0630-027-000 HMO
Exact segment geography Kaiser Permanente Dual Complete (HMO D-SNP)
Kaiser Permanente
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0630-027-000 — Open exact plan page → H0630-014-000 HMO
Exact segment geography Kaiser Permanente Dual Essential (HMO D-SNP)
Kaiser Permanente
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H0630-014-000 — Open exact plan page → H0630-025-000 HMOPOS
Exact segment geography Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)
Kaiser Permanente
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,800 in-network
- Drug coverage
- Reported
H0630-025-000 — Open exact plan page → H0630-013-000 HMOPOS
Exact segment geography Kaiser Permanente Senior Advantage Core DM (HMO-POS)
Kaiser Permanente
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,400 in-network
- Drug coverage
- Reported
H0630-013-000 — Open exact plan page → H0630-016-000 HMOPOS
Exact segment geography Kaiser Permanente Senior Advantage Gold (HMO-POS)
Kaiser Permanente
Prescription-drug coverage reported
- Premium
- $194 / month
- MOOP
- $3,300 in-network
- Drug coverage
- Reported
H0630-016-000 — Open exact plan page → H0630-015-000 HMOPOS
Exact segment geography Kaiser Permanente Senior Advantage Silver DM (HMO-POS)
Kaiser Permanente
Prescription-drug coverage reported
- Premium
- $48 / month
- MOOP
- $3,600 in-network
- Drug coverage
- Reported
H0630-015-000 — Open exact plan page → H0363-001-000 HMO
Exact segment geography Longevity Health Plan (HMO I-SNP)
Longevity Health Plan
InstitutionalPrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0363-001-000 — Open exact plan page → H3419-003-000 HMOPOS
Exact segment geography Perennial Advantage Freedom (HMO-POS)
Perennial Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,500 in-network
- Drug coverage
- Reported
H3419-003-000 — Open exact plan page → H3419-004-000 HMOPOS
Exact segment geography Perennial Advantage Premier (HMO-POS I-SNP)
Perennial Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,300 in-network
- Drug coverage
- Reported
H3419-004-000 — Open exact plan page → H3419-001-000 HMO
Exact segment geography Perennial Advantage Strive (HMO I-SNP)
Perennial Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $14.60 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3419-001-000 — Open exact plan page → H1994-027-000 HMO
Exact segment geography Select Health Medicare Essential (HMO)
Select Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H1994-027-000 — Open exact plan page → H1994-033-000 HMO
Exact segment geography Select Health Medicare Veterans (HMO)
Select Health
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Not reported
H1994-033-000 — Open exact plan page → H0609-012-000 HMOPOS
Exact segment geography AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H0609-012-000 — Open exact plan page → H0609-048-000 HMOPOS
Exact segment geography AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H0609-048-000 — Open exact plan page → H0609-007-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC CO-0001 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $56 / month
- MOOP
- $3,900 in-network
- Drug coverage
- Reported
H0609-007-000 — Open exact plan page → H0609-079-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC CO-21P (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Reported
H0609-079-000 — Open exact plan page → H0609-018-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx CO-MA01 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Not reported
H0609-018-000 — Open exact plan page → H0609-047-000 HMOPOS
Exact segment geography UHC Complete Care CO-1P (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,100 in-network
- Drug coverage
- Reported
H0609-047-000 — Open exact plan page → H2001-052-000 Local PPO
Exact segment geography UHC Dual Advantage CO-V1 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H2001-052-000 — Open exact plan page → H0624-001-000 HMOPOS
Exact segment geography UHC Dual Complete CO-Q1 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0624-001-000 — Open exact plan page → H2001-053-000 Local PPO
Exact segment geography UHC Dual Complete CO-Q2 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2001-053-000 — Open exact plan page → H0624-008-002 HMOPOS
Exact segment geography UHC Dual Complete CO-S4 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0624-008-002 — Open exact plan page → H0710-007-000 Local PPO
Exact segment geography UHC Nursing Home Plan CO-F001 (PPO I-SNP)
UnitedHealthcare
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0710-007-000 — Open exact plan page →