H5521-296-000 Local PPO
Exact segment geography Aetna Medicare Eagle Giveback (PPO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H5521-296-000 — Open exact plan page → H5521-160-000 Local PPO
Exact segment geography Aetna Medicare Elite (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5521-160-000 — Open exact plan page → H5521-760-000 Local PPO
Exact segment geography Aetna Medicare Enhanced (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $60 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5521-760-000 — Open exact plan page → H5793-014-000 HMOPOS
Exact segment geography Aetna Medicare Signature (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5793-014-000 — Open exact plan page → H5521-450-000 Local PPO
Exact segment geography Aetna Medicare Signature Extra (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5521-450-000 — Open exact plan page → H2261-025-000 HMOPOS
Exact segment geography Medicare HMO Blue FlexRx (HMO-POS)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $119 / month
- MOOP
- $4,100 in-network
- Drug coverage
- Reported
H2261-025-000 — Open exact plan page → H2261-005-000 HMO
Exact segment geography Medicare HMO Blue PlusRx (HMO)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $245 / month
- MOOP
- $3,800 in-network
- Drug coverage
- Reported
H2261-005-000 — Open exact plan page → H2261-024-000 HMOPOS
Exact segment geography Medicare HMO Blue SaverRx (HMO-POS)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,200 in-network
- Drug coverage
- Reported
H2261-024-000 — Open exact plan page → H2261-026-000 HMO
Exact segment geography Medicare HMO Blue ValueRx (HMO)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $68 / month
- MOOP
- $3,750 in-network
- Drug coverage
- Reported
H2261-026-000 — Open exact plan page → H2230-019-000 Local PPO
Exact segment geography Medicare PPO Blue EssentialRx (PPO)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $69 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2230-019-000 — Open exact plan page → H2230-002-000 Local PPO
Exact segment geography Medicare PPO Blue PlusRx (PPO)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $300 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Reported
H2230-002-000 — Open exact plan page → H2230-020-000 Local PPO
Exact segment geography Medicare PPO Blue ValueRx (PPO)
Blue Cross Blue Shield of Massachusetts
Prescription-drug coverage reported
- Premium
- $108 / month
- MOOP
- $6,600 in-network
- Drug coverage
- Reported
H2230-020-000 — Open exact plan page → H2225-001-000 HMO
Exact segment geography CCA Senior Care Options (HMO D-SNP)
Commonwealth Care Alliance Massachusetts
Dual-EligiblePrescription-drug coverage reported
- Premium
- $33.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2225-001-000 — Open exact plan page → H1486-001-000 HMO
Exact segment geography CCA One Care (HMO D-SNP)
Commonwealth Care Alliance, Inc.
Dual-EligiblePrescription-drug coverage reported
- Premium
- $33.80 / month
- MOOP
- $8,390 in-network
- Drug coverage
- Reported
H1486-001-000 — Open exact plan page → H9001-031-016 HMO
Exact segment geography Fallon Medicare Plus Blue (HMO)
Fallon Health
Prescription-drug coverage reported
- Premium
- $117 / month
- MOOP
- $3,400 in-network
- Drug coverage
- Reported
H9001-031-016 — Open exact plan page → H9001-030-016 HMO
Exact segment geography Fallon Medicare Plus Green (HMO)
Fallon Health
Prescription-drug coverage reported
- Premium
- $72 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H9001-030-016 — Open exact plan page → H9001-041-016 HMO
Exact segment geography Fallon Medicare Plus Orange (HMO)
Fallon Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9001-041-016 — Open exact plan page → H9001-039-000 HMO
Exact segment geography Fallon Medicare Plus Saver No Rx (HMO)
Fallon Health
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Not reported
H9001-039-000 — Open exact plan page → H8928-002-000 HMO
Exact segment geography NaviCare (HMO D-SNP)
Fallon Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $22.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8928-002-000 — Open exact plan page → H8928-001-000 HMO
Exact segment geography NaviCare NHC (HMO D-SNP)
Fallon Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $25.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8928-001-000 — Open exact plan page → H2219-001-000 National Pace
Exact segment geography Summit ElderCare (PACE)
Fallon Health
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H2219-001-000 — Open exact plan page → H2219-002-000 National Pace
Exact segment geography Summit ElderCare (PACE)
Fallon Health
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H2219-002-000 — Open exact plan page → H8578-009-000 HMO
Exact segment geography Health New England Medicare Basic No Rx (HMO)
Health New England Medicare Advantage Plans
- Premium
- $0 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Not reported
H8578-009-000 — Open exact plan page → H2737-001-000 Local PPO
Exact segment geography Health New England Medicare Compass (PPO)
Health New England Medicare Advantage Plans
Prescription-drug coverage reported
- Premium
- $64 / month
- MOOP
- $8,150 in-network
- Drug coverage
- Reported
H2737-001-000 — Open exact plan page → H8578-004-000 HMO
Exact segment geography Health New England Medicare Plus (HMO)
Health New England Medicare Advantage Plans
Prescription-drug coverage reported
- Premium
- $138 / month
- MOOP
- $5,500 in-network
- Drug coverage
- Reported
H8578-004-000 — Open exact plan page → H8578-001-000 HMO
Exact segment geography Health New England Medicare Premium (HMO)
Health New England Medicare Advantage Plans
Prescription-drug coverage reported
- Premium
- $188 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H8578-001-000 — Open exact plan page → H8578-003-000 HMO
Exact segment geography Health New England Medicare Premium No Rx (HMO)
Health New England Medicare Advantage Plans
- Premium
- $44 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Not reported
H8578-003-000 — Open exact plan page → H8578-019-000 HMO
Exact segment geography Health New England Medicare Select (HMO)
Health New England Medicare Advantage Plans
Prescription-drug coverage reported
- Premium
- $80 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H8578-019-000 — Open exact plan page → H8578-012-000 HMO
Exact segment geography Health New England Medicare Value (HMO)
Health New England Medicare Advantage Plans
Prescription-drug coverage reported
- Premium
- $15 / month
- MOOP
- $9,000 in-network
- Drug coverage
- Reported
H8578-012-000 — Open exact plan page → H5216-059-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $4,950 in-network
- Drug coverage
- Not reported
H5216-059-000 — Open exact plan page → H5216-138-000 Local PPO
Exact segment geography HumanaChoice Giveback H5216-138 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5216-138-000 — Open exact plan page → H5216-477-000 Local PPO
Exact segment geography HumanaChoice Giveback H5216-477 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5216-477-000 — Open exact plan page → H5216-249-000 Local PPO
Exact segment geography HumanaChoice H5216-249 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5216-249-000 — Open exact plan page → H0809-001-000 National Pace
Exact segment geography Mercy LIFE, Inc. (PACE)
Mercy LIFE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H0809-001-000 — Open exact plan page → H0809-002-000 National Pace
Exact segment geography Mercy LIFE, Inc. (PACE)
Mercy LIFE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H0809-002-000 — Open exact plan page → H4371-001-000 HMO
Exact segment geography Molina One Care (HMO D-SNP)
Molina Healthcare of Massachusetts
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,500 in-network
- Drug coverage
- Reported
H4371-001-000 — Open exact plan page → H2224-001-000 HMO
Exact segment geography Senior Whole Health SCO (HMO D-SNP)
Molina Healthcare of Massachusetts
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2224-001-000 — Open exact plan page → H2224-003-000 HMO
Exact segment geography Senior Whole Health SCO NHC (HMO D-SNP)
Molina Healthcare of Massachusetts
Dual-EligiblePrescription-drug coverage reported
- Premium
- $33.80 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2224-003-000 — Open exact plan page → H0477-001-000 National Pace
Exact segment geography Serenity PACE Dual (PACE)
Serenity Care PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H0477-001-000 — Open exact plan page → H0477-002-000 National Pace
Exact segment geography Serenity PACE Medicare only (PACE)
Serenity Care PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H0477-002-000 — Open exact plan page → H5314-001-000 HMO
Exact segment geography Tufts Health One Care (HMO D-SNP)
Tufts Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $18.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5314-001-000 — Open exact plan page → H5314-002-000 HMO
Exact segment geography Tufts Health One Care CW (HMO D-SNP)
Tufts Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $25.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5314-002-000 — Open exact plan page → H8330-001-000 HMO
Exact segment geography Tufts Health Plan Senior Care Options (HMO D-SNP)
Tufts Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $30.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8330-001-000 — Open exact plan page → H8330-002-000 HMO
Exact segment geography Tufts Health Plan Senior Care Options CW (HMO D-SNP)
Tufts Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $22.10 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8330-002-000 — Open exact plan page → H2256-026-003 HMO
Exact segment geography Tufts Medicare Preferred HMO Basic Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $65 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H2256-026-003 — Open exact plan page → H2256-015-006 HMO
Exact segment geography Tufts Medicare Preferred HMO Prime Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $138 / month
- MOOP
- $3,850 in-network
- Drug coverage
- Reported
H2256-015-006 — Open exact plan page → H2256-001-006 HMO
Exact segment geography Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $158 / month
- MOOP
- $3,850 in-network
- Drug coverage
- Reported
H2256-001-006 — Open exact plan page → H2256-047-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Smart Saver Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2256-047-001 — Open exact plan page → H2256-018-008 HMO
Exact segment geography Tufts Medicare Preferred HMO Value Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $108 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Reported
H2256-018-008 — Open exact plan page → H9907-003-000 Local PPO
Exact segment geography Tufts Medicare Preferred PPO RX (PPO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $220 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H9907-003-000 — Open exact plan page → H5253-157-001 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC MA-0003 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-157-001 — Open exact plan page → H8768-055-001 Local PPO
Exact segment geography AARP Medicare Advantage from UHC MA-0006 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $67 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H8768-055-001 — Open exact plan page → H8768-045-000 Local PPO
Exact segment geography AARP Medicare Advantage Patriot No Rx MA-MA01 (PPO)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H8768-045-000 — Open exact plan page → H5253-225-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx MA-MA2 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H5253-225-000 — Open exact plan page → H5253-155-000 HMOPOS
Exact segment geography UHC Complete Care MA-7 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H5253-155-000 — Open exact plan page → H4610-001-000 HMO
Exact segment geography UHC One Care MA-Y3 (HMO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $20.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4610-001-000 — Open exact plan page → H4610-002-000 HMO
Exact segment geography UHC One Care MA-YL (HMO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4610-002-000 — Open exact plan page → H2226-001-000 HMO
Exact segment geography UHC Senior Care Options MA-Y001 (HMO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2226-001-000 — Open exact plan page → H2226-003-000 HMO
Exact segment geography UHC Senior Care Options MA-YL (HMO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $17.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2226-003-000 — Open exact plan page →