H9572-007-002 Local PPO
Exact segment geography Medicare Plus Blue + Meijer (PPO)
Blue Cross Blue Shield of Michigan
Prescription-drug coverage reported
- Premium
- $45 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H9572-007-002 — Open exact plan page → H9572-003-003 Local PPO
Exact segment geography Medicare Plus Blue Assure (PPO)
Blue Cross Blue Shield of Michigan
Prescription-drug coverage reported
- Premium
- $299.30 / month
- MOOP
- $4,000 in-network
- Drug coverage
- Reported
H9572-003-003 — Open exact plan page → H9572-001-003 Local PPO
Exact segment geography Medicare Plus Blue Signature (PPO)
Blue Cross Blue Shield of Michigan
Prescription-drug coverage reported
- Premium
- $168 / month
- MOOP
- $4,300 in-network
- Drug coverage
- Reported
H9572-001-003 — Open exact plan page → H9572-010-000 Local PPO
Exact segment geography Medicare Plus Blue Value (PPO)
Blue Cross Blue Shield of Michigan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H9572-010-000 — Open exact plan page → H9572-002-003 Local PPO
Exact segment geography Medicare Plus Blue Vitality (PPO)
Blue Cross Blue Shield of Michigan
Prescription-drug coverage reported
- Premium
- $100 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H9572-002-003 — Open exact plan page → H5216-011-000 Local PPO
Exact segment geography Humana Full Access (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $41 / month
- MOOP
- $4,800 in-network
- Drug coverage
- Reported
H5216-011-000 — Open exact plan page → H5216-384-000 Local PPO
Exact segment geography Humana Full Access (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,200 in-network
- Drug coverage
- Reported
H5216-384-000 — Open exact plan page → R0110-014-000 Regional PPO
Exact segment geography Humana Full Access R0110-014 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $89 / month
- MOOP
- $7,050 in-network
- Drug coverage
- Reported
R0110-014-000 — Open exact plan page → H5216-190-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Not reported
H5216-190-000 — Open exact plan page → H5216-382-000 Local PPO
Exact segment geography Humana Value Plus H5216-382 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-382-000 — Open exact plan page → R0110-013-000 Regional PPO
Exact segment geography HumanaChoice R0110-013 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,550 in-network
- Drug coverage
- Not reported
R0110-013-000 — Open exact plan page → H3127-001-000 HMO
Exact segment geography Upper Peninsula Health Plan MI Coordinated Health (HMO D-SNP)
Upper Peninsula Health Plan (UPHP) MI Coordinated Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3127-001-000 — Open exact plan page →