H5793-018-000 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
H5793-018-000 — 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 → H1280-001-000 HMO
Exact segment geography eternalHealth Forever (HMO)
eternalHealth
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H1280-001-000 — Open exact plan page → H2694-001-000 Local PPO
Exact segment geography eternalHealth Freedom (PPO)
eternalHealth
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H2694-001-000 — Open exact plan page → H2694-002-000 Local PPO
Exact segment geography eternalHealth Give Back (PPO)
eternalHealth
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H2694-002-000 — Open exact plan page → H9001-031-019 HMO
Exact segment geography Fallon Medicare Plus Blue (HMO)
Fallon Health
Prescription-drug coverage reported
- Premium
- $185 / month
- MOOP
- $3,400 in-network
- Drug coverage
- Reported
H9001-031-019 — Open exact plan page → H9001-030-019 HMO
Exact segment geography Fallon Medicare Plus Green (HMO)
Fallon Health
Prescription-drug coverage reported
- Premium
- $83 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H9001-030-019 — Open exact plan page → H9001-041-019 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
H9001-041-019 — 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 → 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 → H7617-046-000 Local PPO
Exact segment geography HumanaChoice Giveback H7617-046 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H7617-046-000 — Open exact plan page → H6847-002-000 HMOPOS
Exact segment geography Mass General Brigham Advantage Core (HMO-POS)
Mass General Brigham Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H6847-002-000 — Open exact plan page → H6847-003-000 HMOPOS
Exact segment geography Mass General Brigham Advantage Plus (HMO-POS)
Mass General Brigham Health Plan
Prescription-drug coverage reported
- Premium
- $180 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H6847-003-000 — Open exact plan page → H6847-001-000 HMOPOS
Exact segment geography Mass General Brigham Advantage Secure (HMO-POS)
Mass General Brigham Health Plan
Prescription-drug coverage reported
- Premium
- $60 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H6847-001-000 — Open exact plan page → H1611-001-000 HMO
Exact segment geography Mass General Brigham One Care (HMO D-SNP)
Mass General Brigham Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $34.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1611-001-000 — Open exact plan page → H0777-001-000 HMO
Exact segment geography Mass General Brigham SCO (HMO D-SNP)
Mass General Brigham Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0777-001-000 — 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 → 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 → H2256-042-000 HMO
Exact segment geography Tufts Medicare Preferred HMO Basic No Rx (HMO)
Tufts Health Plan
- Premium
- $58 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Not reported
H2256-042-000 — Open exact plan page → H2256-026-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Basic Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $88 / month
- MOOP
- $4,500 in-network
- Drug coverage
- Reported
H2256-026-001 — Open exact plan page → H2256-016-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Prime No Rx (HMO)
Tufts Health Plan
- Premium
- $186 / month
- MOOP
- $3,850 in-network
- Drug coverage
- Not reported
H2256-016-001 — Open exact plan page → H2256-015-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Prime Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $244 / month
- MOOP
- $3,850 in-network
- Drug coverage
- Reported
H2256-015-001 — Open exact plan page → H2256-001-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $280 / month
- MOOP
- $3,850 in-network
- Drug coverage
- Reported
H2256-001-001 — Open exact plan page → H2256-047-002 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
H2256-047-002 — Open exact plan page → H2256-019-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Value No Rx (HMO)
Tufts Health Plan
- Premium
- $153 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Not reported
H2256-019-001 — Open exact plan page → H2256-018-001 HMO
Exact segment geography Tufts Medicare Preferred HMO Value Rx (HMO)
Tufts Health Plan
Prescription-drug coverage reported
- Premium
- $207 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Reported
H2256-018-001 — 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 → H5253-157-002 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
H5253-157-002 — Open exact plan page → H8768-055-002 Local PPO
Exact segment geography AARP Medicare Advantage from UHC MA-0006 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $75 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H8768-055-002 — 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 → 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 →