H3312-112-000 HMO
Exact segment geography Aetna Medicare Chronic Care Total (HMO C-SNP)
Aetna Medicare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3312-112-000 — Open exact plan page → H5521-323-000 Local PPO
Exact segment geography Aetna Medicare Eagle Giveback (PPO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H5521-323-000 — Open exact plan page → H5521-740-000 Local PPO
Exact segment geography Aetna Medicare Elite (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $54 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5521-740-000 — Open exact plan page → H3312-070-000 HMO
Exact segment geography Aetna Medicare Full Dual (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3312-070-000 — Open exact plan page → H5521-461-000 Local PPO
Exact segment geography Aetna Medicare Longevity (PPO I-SNP)
Aetna Medicare
InstitutionalPrescription-drug coverage reported
- Premium
- $10.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5521-461-000 — Open exact plan page → H5521-340-000 Local PPO
Exact segment geography Aetna Medicare Premier (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $60 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H5521-340-000 — Open exact plan page → H3312-048-000 HMO
Exact segment geography Aetna Medicare Signature (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3312-048-000 — Open exact plan page → H5521-077-000 Local PPO
Exact segment geography Aetna Medicare Signature (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5521-077-000 — Open exact plan page → H3351-032-000 HMOPOS
Exact segment geography Medicare Blue Choice 032 (HMO-POS)
Excellus Health Plan, Inc
Prescription-drug coverage reported
- Premium
- $155.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3351-032-000 — Open exact plan page → H3351-033-000 HMOPOS
Exact segment geography Medicare Blue Choice 033 (HMO-POS)
Excellus Health Plan, Inc
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Not reported
H3351-033-000 — Open exact plan page → H3305-020-000 HMOPOS
Exact segment geography MVP Medicare Preferred Gold without Part D (HMO-POS)
MVP HEALTH CARE
- Premium
- $0 / month
- MOOP
- $7,200 in-network
- Drug coverage
- Not reported
H3305-020-000 — Open exact plan page → H3387-015-001 HMOPOS
Exact segment geography UHC Dual Complete NY-Q001 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3387-015-001 — Open exact plan page → H2001-063-001 Local PPO
Exact segment geography UHC Dual Complete NY-S001 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $19.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2001-063-001 — Open exact plan page → H3387-014-006 HMOPOS
Exact segment geography UHC Dual Complete NY-S002 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $31.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3387-014-006 — Open exact plan page → H3387-013-000 HMOPOS
Exact segment geography UHC Dual Complete NY-YL (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $40.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3387-013-000 — Open exact plan page → H2775-113-000 Local PPO
Exact segment geography Wellcare Assist Open (PPO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2775-113-000 — Open exact plan page → H2775-112-000 Local PPO
Exact segment geography Wellcare Dual Access Open (PPO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2775-112-000 — Open exact plan page → H5599-002-000 HMOPOS
Exact segment geography Wellcare Fidelis Assist (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5599-002-000 — Open exact plan page → H5599-016-000 HMO
Exact segment geography Wellcare Fidelis Dual Access (HMO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5599-016-000 — Open exact plan page → H5599-003-000 HMO
Exact segment geography Wellcare Fidelis Dual Align Unity (HMO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $40.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5599-003-000 — Open exact plan page → H5599-014-000 HMO
Exact segment geography Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5599-014-000 — Open exact plan page → H5599-010-000 HMOPOS
Exact segment geography Wellcare Fidelis Patriot Simple (HMO-POS)
Wellcare
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
H5599-010-000 — Open exact plan page → H5599-004-000 HMOPOS
Exact segment geography Wellcare Fidelis Simple (HMO-POS)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5599-004-000 — Open exact plan page → H2775-111-000 Local PPO
Exact segment geography Wellcare Giveback Open (PPO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2775-111-000 — Open exact plan page → H2775-106-000 Local PPO
Exact segment geography Wellcare Simple Open (PPO)
Wellcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2775-106-000 — Open exact plan page →