H5521-488-000 Local PPO
Exact segment geography Aetna Medicare Eagle Giveback (PPO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Not reported
H5521-488-000 — Open exact plan page → H0628-012-000 HMO
Exact segment geography Aetna Medicare HIDE (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0628-012-000 — Open exact plan page → H0628-040-000 HMO
Exact segment geography Aetna Medicare Partial Dual (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0628-040-000 — Open exact plan page → H5521-020-000 Local PPO
Exact segment geography Aetna Medicare Premier (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $105 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H5521-020-000 — Open exact plan page → H5521-085-000 Local PPO
Exact segment geography Aetna Medicare Signature (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5521-085-000 — Open exact plan page → H5521-490-000 Local PPO
Exact segment geography Aetna Medicare Value Plus (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $9.50 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H5521-490-000 — Open exact plan page → H9525-022-000 HMO
Exact segment geography Anthem Chronic Care Advantage (HMO C-SNP)
Anthem Blue Cross and Blue Shield
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9525-022-000 — Open exact plan page → H9525-011-000 HMOPOS
Exact segment geography Anthem Kidney Care (HMO-POS C-SNP)
Anthem Blue Cross and Blue Shield
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,050 in-network
- Drug coverage
- Reported
H9525-011-000 — Open exact plan page → H9525-013-004 HMOPOS
Exact segment geography Anthem Medicare Advantage (HMO-POS)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H9525-013-004 — Open exact plan page → H4036-036-000 Local PPO
Exact segment geography Anthem Medicare Advantage (PPO)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $41 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H4036-036-000 — Open exact plan page → R5941-016-000 Regional PPO
Exact segment geography Anthem Medicare Advantage (Regional PPO)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $123 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
R5941-016-000 — Open exact plan page → H9525-021-004 HMOPOS
Exact segment geography Anthem Medicare Advantage 2 (HMO-POS)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $31 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H9525-021-004 — Open exact plan page → H4036-034-000 Local PPO
Exact segment geography Anthem Medicare Advantage 3 (PPO)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $70 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H4036-034-000 — Open exact plan page → H4909-023-000 Local PPO
Exact segment geography Anthem Veteran (PPO)
Anthem Blue Cross and Blue Shield
- Premium
- $0 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Not reported
H4909-023-000 — Open exact plan page → H5718-005-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE ENHANCED 005 KY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,300 in-network
- Drug coverage
- Reported
H5718-005-000 — Open exact plan page → H5718-009-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 009 KY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,850 in-network
- Drug coverage
- Reported
H5718-009-000 — Open exact plan page → H5718-004-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE PLUS 004 KY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5718-004-000 — Open exact plan page → H5718-003-000 Local PPO
Exact segment geography DEVOTED CHOICE 003 KY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,050 in-network
- Drug coverage
- Reported
H5718-003-000 — Open exact plan page → H5718-002-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 002 KY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5718-002-000 — Open exact plan page → H5718-010-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK EXTRAS 010 KY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,850 in-network
- Drug coverage
- Reported
H5718-010-000 — Open exact plan page → H0672-013-000 HMO
Exact segment geography HealthSpring Preferred (HMO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,875 in-network
- Drug coverage
- Reported
H0672-013-000 — Open exact plan page → H0672-017-000 HMO
Exact segment geography HealthSpring Preferred Savings (HMO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,950 in-network
- Drug coverage
- Reported
H0672-017-000 — Open exact plan page → H7849-088-000 Local PPO
Exact segment geography HealthSpring True Choice (PPO)
HealthSpring
Prescription-drug coverage reported
- Premium
- $9 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H7849-088-000 — Open exact plan page → H0292-001-000 HMO
Exact segment geography Humana Community (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,350 in-network
- Drug coverage
- Reported
H0292-001-000 — Open exact plan page → H6622-105-000 HMO
Exact segment geography Humana Dual QMB Only (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6622-105-000 — Open exact plan page → H7617-049-000 Local PPO
Exact segment geography Humana Essentials Plus Giveback (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-049-000 — Open exact plan page → H7617-144-002 Local PPO
Exact segment geography Humana Essentials Plus Giveback (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-144-002 — Open exact plan page → H8145-052-000 PFFS
Exact segment geography Humana Gold Choice H8145-052 (PFFS)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- Not reported
- Drug coverage
- Reported
H8145-052-000 — Open exact plan page → H6622-017-000 HMO
Exact segment geography Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,500 in-network
- Drug coverage
- Reported
H6622-017-000 — Open exact plan page → H0292-002-000 HMO
Exact segment geography Humana Gold Plus H0292-002 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $26 / month
- MOOP
- $4,300 in-network
- Drug coverage
- Reported
H0292-002-000 — Open exact plan page → H0292-003-000 HMO
Exact segment geography Humana Gold Plus H0292-003 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H0292-003-000 — Open exact plan page → H6622-021-001 HMOPOS
Exact segment geography Humana Gold Plus H6622-021 (HMO-POS)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,100 in-network
- Drug coverage
- Reported
H6622-021-001 — Open exact plan page → H6622-055-000 HMO
Exact segment geography Humana Gold Plus H6622-055 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $27 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Reported
H6622-055-000 — Open exact plan page → H6622-018-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6622-018-000 — Open exact plan page → H7617-142-000 Local PPO
Exact segment geography Humana Senior Living Plan (PPO I-SNP)
Humana
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,180 in-network
- Drug coverage
- Reported
H7617-142-000 — Open exact plan page → H5216-446-000 Local PPO
Exact segment geography Humana Together in Health (PPO I-SNP)
Humana
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-446-000 — Open exact plan page → H7617-143-000 Local PPO
Exact segment geography Humana Together in Health (PPO I-SNP)
Humana
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-143-000 — Open exact plan page → H5216-225-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Not reported
H5216-225-000 — Open exact plan page → H5216-442-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,150 in-network
- Drug coverage
- Not reported
H5216-442-000 — Open exact plan page → H5216-481-002 Local PPO
Exact segment geography HumanaChoice Giveback H5216-481 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-481-002 — Open exact plan page → H5216-023-000 Local PPO
Exact segment geography HumanaChoice H5216-023 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $44 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H5216-023-000 — Open exact plan page → H5216-285-000 Local PPO
Exact segment geography HumanaChoice H5216-285 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5216-285-000 — Open exact plan page → H5525-030-000 Local PPO
Exact segment geography HumanaChoice H5525-030 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $86 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H5525-030-000 — Open exact plan page → H7617-004-000 Local PPO
Exact segment geography HumanaChoice H7617-004 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H7617-004-000 — Open exact plan page → R0110-011-000 Regional PPO
Exact segment geography HumanaChoice R0110-011 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $5,400 in-network
- Drug coverage
- Not reported
R0110-011-000 — Open exact plan page → R0110-012-000 Regional PPO
Exact segment geography HumanaChoice R0110-012 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $68 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
R0110-012-000 — Open exact plan page → H8099-001-000 National Pace
Exact segment geography VOANS Senior Community Care of Northern Kentucky (PACE)
Senior CommUnity Care of Northern Kentucky
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H8099-001-000 — Open exact plan page → H8099-002-000 National Pace
Exact segment geography VOANS Senior Community Care of Northern Kentucky (PACE)
Senior CommUnity Care of Northern Kentucky
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H8099-002-000 — Open exact plan page → H5253-125-001 HMOPOS
Exact segment geography AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5253-125-001 — Open exact plan page → H5253-134-000 HMOPOS
Exact segment geography AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-134-000 — Open exact plan page → H5253-051-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC OH-0001 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $85 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Reported
H5253-051-000 — Open exact plan page → H5253-260-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC OH-19 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $35 / month
- MOOP
- $3,900 in-network
- Drug coverage
- Reported
H5253-260-000 — Open exact plan page → H8768-064-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC OH-23 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $50 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H8768-064-000 — Open exact plan page → H5253-127-000 HMOPOS
Exact segment geography AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-127-000 — Open exact plan page → H8768-021-000 Local PPO
Exact segment geography AARP Medicare Advantage Patriot No Rx OH-MA01 (PPO)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $8,900 in-network
- Drug coverage
- Not reported
H8768-021-000 — Open exact plan page → H5253-190-000 HMOPOS
Exact segment geography UHC Complete Care OH-18 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H5253-190-000 — Open exact plan page → H6595-003-000 HMOPOS
Exact segment geography UHC Dual Advantage KY-V1 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H6595-003-000 — Open exact plan page → H1889-008-000 Local PPO
Exact segment geography UHC Dual Complete KY-Q1 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-008-000 — Open exact plan page → H6595-007-001 HMOPOS
Exact segment geography UHC Dual Complete KY-Q2 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6595-007-001 — Open exact plan page → H1889-030-000 Local PPO
Exact segment geography UHC Dual Complete KY-S3 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1889-030-000 — Open exact plan page → H6595-006-001 HMOPOS
Exact segment geography UHC Dual Complete KY-S4 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0.90 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6595-006-001 — Open exact plan page → H9730-003-000 HMOPOS
Exact segment geography Wellcare Dual Access (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9730-003-000 — Open exact plan page → H3975-004-000 Local PPO
Exact segment geography Wellcare Dual Access Sync Open (PPO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3975-004-000 — Open exact plan page → H9730-004-000 HMOPOS
Exact segment geography Wellcare Dual Liberty Sync (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9730-004-000 — Open exact plan page → H9730-011-000 HMOPOS
Exact segment geography Wellcare Dual Reserve (HMO-POS D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H9730-011-000 — Open exact plan page → H9730-007-000 HMOPOS
Exact segment geography Wellcare Giveback (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9730-007-000 — Open exact plan page → H9730-009-000 HMOPOS
Exact segment geography Wellcare Simple (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,000 in-network
- Drug coverage
- Reported
H9730-009-000 — Open exact plan page → H3975-001-000 Local PPO
Exact segment geography Wellcare Simple Open (PPO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,500 in-network
- Drug coverage
- Reported
H3975-001-000 — Open exact plan page →