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 → H0628-010-000 HMOPOS
Exact segment geography Aetna Medicare Signature (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H0628-010-000 — 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 → H9525-013-001 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
H9525-013-001 — 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 → H9525-021-001 HMOPOS
Exact segment geography Anthem Medicare Advantage 2 (HMO-POS)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $35 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H9525-021-001 — 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 → H5718-006-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE ENHANCED 006 KY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Reported
H5718-006-000 — Open exact plan page → H5718-008-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 008 KY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,850 in-network
- Drug coverage
- Reported
H5718-008-000 — 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 → H5718-001-000 Local PPO
Exact segment geography DEVOTED CHOICE 001 KY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,050 in-network
- Drug coverage
- Reported
H5718-001-000 — 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 → H5718-011-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK EXTRAS 011 KY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,850 in-network
- Drug coverage
- Reported
H5718-011-000 — Open exact plan page → H5619-190-000 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
H5619-190-000 — Open exact plan page → H5619-075-000 HMO
Exact segment geography Humana Dual Select H5619-075 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5619-075-000 — 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 → H5619-188-002 HMO
Exact segment geography Humana Gold Plus H5619-188 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5619-188-002 — Open exact plan page → H5619-163-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5619-163-000 — 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 → H5216-322-000 Local PPO
Exact segment geography HumanaChoice Giveback H5216-322 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-322-000 — Open exact plan page → H5216-188-000 Local PPO
Exact segment geography HumanaChoice H5216-188 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $45 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5216-188-000 — Open exact plan page → H5525-008-000 Local PPO
Exact segment geography HumanaChoice H5525-008 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5525-008-000 — 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 → H9468-001-000 National Pace
Exact segment geography One Senior Care Kentucky LLC - Dual Eligible (PACE)
Mountain View PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H9468-001-000 — Open exact plan page → H9468-002-000 National Pace
Exact segment geography One Senior Care Kentucky LLC - Medicare Only (PACE)
Mountain View PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H9468-002-000 — Open exact plan page → H5253-100-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC KY-0002 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $64 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5253-100-000 — Open exact plan page → H8768-013-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC KY-0003 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $57 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H8768-013-000 — Open exact plan page → H5253-099-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC KY-1 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-099-000 — Open exact plan page → H5253-128-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC KY-5 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $19 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-128-000 — 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 → H8768-020-000 Local PPO
Exact segment geography AARP Medicare Advantage Patriot No Rx KY-MA01 (PPO)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H8768-020-000 — Open exact plan page → H5253-235-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx KY-MA2 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H5253-235-000 — Open exact plan page → H5253-182-000 HMOPOS
Exact segment geography UHC Complete Care KY-6 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-182-000 — 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 →