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 → H5521-119-000 Local PPO
Exact segment geography Aetna Medicare Elite (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5521-119-000 — Open exact plan page → H5521-669-000 Local PPO
Exact segment geography Aetna Medicare Enhanced (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $149 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5521-669-000 — 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 → H3312-108-000 HMO
Exact segment geography Aetna Medicare Signature (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $109 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3312-108-000 — Open exact plan page → H8432-043-000 HMO
Exact segment geography Anthem HealthPlus Full Dual Advantage (HMO D-SNP)
Anthem Blue Cross and Blue Shield HP
Dual-EligiblePrescription-drug coverage reported
- Premium
- $40.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8432-043-000 — Open exact plan page → H3388-014-000 HMO
Exact segment geography CDPHP $0 Medicare Rx (HMO)
CDPHP Medicare Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3388-014-000 — Open exact plan page → H3388-002-000 HMO
Exact segment geography CDPHP Choice Rx (HMO)
CDPHP Medicare Advantage
Prescription-drug coverage reported
- Premium
- $139 / month
- MOOP
- $6,400 in-network
- Drug coverage
- Reported
H3388-002-000 — Open exact plan page → H3388-020-000 HMO
Exact segment geography CDPHP Clear Rx (HMO)
CDPHP Medicare Advantage
Prescription-drug coverage reported
- Premium
- $100 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H3388-020-000 — Open exact plan page → H3388-001-000 HMO
Exact segment geography CDPHP Core (HMO)
CDPHP Medicare Advantage
- Premium
- $15 / month
- MOOP
- $6,400 in-network
- Drug coverage
- Not reported
H3388-001-000 — Open exact plan page → H5334-017-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE ENHANCED 017 NY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5334-017-000 — Open exact plan page → H5334-023-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 023 NY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,750 in-network
- Drug coverage
- Reported
H5334-023-000 — Open exact plan page → H5334-015-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE PLUS 015 NY (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5334-015-000 — Open exact plan page → H5334-003-000 Local PPO
Exact segment geography DEVOTED CHOICE 003 NY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,500 in-network
- Drug coverage
- Reported
H5334-003-000 — Open exact plan page → H5334-004-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 004 NY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5334-004-000 — Open exact plan page → H5334-029-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK EXTRAS 029 NY (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,750 in-network
- Drug coverage
- Reported
H5334-029-000 — Open exact plan page → H0034-001-000 HMO
Exact segment geography Hamaspik Medicare Select (HMO D-SNP)
Hamaspik, Inc.
Dual-EligiblePrescription-drug coverage reported
- Premium
- $40.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0034-001-000 — Open exact plan page → H3384-013-000 HMO
Exact segment geography Senior Blue 652 (HMO)
Highmark Blue Cross Blue Shield or Highmark Blue Shield
Prescription-drug coverage reported
- Premium
- $122 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3384-013-000 — Open exact plan page → H3533-036-001 HMO
Exact segment geography Humana Gold Plus SNP-DE H3533-036 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3533-036-001 — Open exact plan page → H5970-016-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $4,950 in-network
- Drug coverage
- Not reported
H5970-016-000 — Open exact plan page → H5970-029-000 Local PPO
Exact segment geography HumanaChoice H5970-029 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $65 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H5970-029-000 — Open exact plan page → H3305-033-000 HMO
Exact segment geography MVP DualAccess (HMO D-SNP)
MVP HEALTH CARE
Dual-EligiblePrescription-drug coverage reported
- Premium
- $13.10 / month
- MOOP
- $9,820 in-network
- Drug coverage
- Reported
H3305-033-000 — Open exact plan page → H3305-034-000 HMO
Exact segment geography MVP DualAccess Complete (HMO D-SNP)
MVP HEALTH CARE
Dual-EligiblePrescription-drug coverage reported
- Premium
- $22.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3305-034-000 — 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 → H9615-025-000 Local PPO
Exact segment geography MVP Medicare Secure Plus Choice with Part D (PPO)
MVP HEALTH CARE
Prescription-drug coverage reported
- Premium
- $256 / month
- MOOP
- $7,500 in-network
- Drug coverage
- Reported
H9615-025-000 — Open exact plan page → H3305-022-000 HMOPOS
Exact segment geography MVP Medicare Secure Plus with Part D (HMO-POS)
MVP HEALTH CARE
Prescription-drug coverage reported
- Premium
- $165 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H3305-022-000 — Open exact plan page → H3305-038-000 HMOPOS
Exact segment geography MVP Medicare WellValue with Part D (HMO-POS)
MVP HEALTH CARE
Prescription-drug coverage reported
- Premium
- $71 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3305-038-000 — Open exact plan page → H9066-003-000 HMO
Exact segment geography Nascentia Dual Advantage (HMO D-SNP)
Nascentia Health Plus
Dual-EligiblePrescription-drug coverage reported
- Premium
- $27 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9066-003-000 — Open exact plan page → H9066-001-000 HMO
Exact segment geography Nascentia Medicaid Advantage Plus (HMO D-SNP)
Nascentia Health Plus
Dual-EligiblePrescription-drug coverage reported
- Premium
- $30.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9066-001-000 — Open exact plan page → H9066-002-000 HMO
Exact segment geography Nascentia Skilled Nursing Facility (HMO I-SNP)
Nascentia Health Plus
InstitutionalPrescription-drug coverage reported
- Premium
- $25.40 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H9066-002-000 — Open exact plan page → H9827-004-000 HMO
Exact segment geography Trinity Health Plan New York Cash Back (HMO)
Trinity Health Plan New York
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H9827-004-000 — Open exact plan page → H9827-003-000 HMO
Exact segment geography Trinity Health Plan New York Glory No RX (HMO)
Trinity Health Plan New York
- Premium
- $0 / month
- MOOP
- $6,300 in-network
- Drug coverage
- Not reported
H9827-003-000 — Open exact plan page → H9827-001-000 HMO
Exact segment geography Trinity Health Plan New York No Premium (HMO)
Trinity Health Plan New York
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,900 in-network
- Drug coverage
- Reported
H9827-001-000 — Open exact plan page → H3418-004-000 Local PPO
Exact segment geography AARP Medicare Advantage from UHC NY-0015 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $44 / month
- MOOP
- $8,900 in-network
- Drug coverage
- Reported
H3418-004-000 — Open exact plan page → H3379-052-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC NY-29 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $39 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3379-052-000 — Open exact plan page → H3379-060-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Not reported
H3379-060-000 — Open exact plan page → H3379-056-000 HMOPOS
Exact segment geography UHC Complete Care NY-33 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H3379-056-000 — 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 → H3387-014-005 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
H3387-014-005 — 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 → H2292-001-000 Local PPO
Exact segment geography UHC Nursing Home Plan NY-F001 (PPO I-SNP)
UnitedHealthcare
InstitutionalPrescription-drug coverage reported
- Premium
- $4.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2292-001-000 — Open exact plan page → H5549-012-000 HMO
Exact segment geography VNS Health EasyCare (HMO)
VNS Health Medicare
Prescription-drug coverage reported
- Premium
- $25 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5549-012-000 — Open exact plan page → H5549-011-000 HMO
Exact segment geography VNS Health EasyCare Plus (HMO D-SNP)
VNS Health Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $23.60 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5549-011-000 — Open exact plan page → H5549-003-000 HMO
Exact segment geography VNS Health Total (HMO D-SNP)
VNS Health Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $40.50 / month
- MOOP
- $0 in-network
- Drug coverage
- Reported
H5549-003-000 — 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 →