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 → H5521-461-000 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 → H3312-097-000 HMO
Exact segment geography Aetna Medicare Signature (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $177 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3312-097-000 — Open exact plan page → H3347-003-000 HMOPOS
Exact segment geography Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)
Elderplan
InstitutionalPrescription-drug coverage reported
- Premium
- $33.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3347-003-000 — Open exact plan page → H3347-018-000 HMOPOS
Exact segment geography Elderplan Select (HMO-POS I-SNP)
Elderplan
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3347-018-000 — Open exact plan page → H7524-003-000 HMO
Exact segment geography Medicare Blue Dual (HMO D-SNP)
Excellus Health Plan Community Care LLC
Dual-EligiblePrescription-drug coverage reported
- Premium
- $23.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7524-003-000 — Open exact plan page → H7524-004-000 HMO
Exact segment geography Medicare Blue Dual Secure (HMO D-SNP)
Excellus Health Plan Community Care LLC
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7524-004-000 — Open exact plan page → H3351-022-000 HMO
Exact segment geography Medicare Blue Choice Core (HMO)
Excellus Health Plan, Inc
Prescription-drug coverage reported
- Premium
- $19 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3351-022-000 — Open exact plan page → H3351-007-000 HMOPOS
Exact segment geography Medicare Blue Choice Freedom (HMO-POS)
Excellus Health Plan, Inc
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Not reported
H3351-007-000 — Open exact plan page → H3351-006-000 HMOPOS
Exact segment geography Medicare Blue Choice Optimum (HMO-POS)
Excellus Health Plan, Inc
Prescription-drug coverage reported
- Premium
- $263 / month
- MOOP
- $6,700 in-network
- Drug coverage
- Reported
H3351-006-000 — Open exact plan page → H3351-023-000 HMOPOS
Exact segment geography Medicare Blue Choice Prime (HMO-POS)
Excellus Health Plan, Inc
Prescription-drug coverage reported
- Premium
- $89.80 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H3351-023-000 — 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 → H3305-015-000 HMOPOS
Exact segment geography MVP Medicare Preferred Gold with Part D (HMO-POS)
MVP HEALTH CARE
Prescription-drug coverage reported
- Premium
- $277 / month
- MOOP
- $6,800 in-network
- Drug coverage
- Reported
H3305-015-000 — Open exact plan page → H3305-007-000 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
H3305-007-000 — Open exact plan page → H3305-039-000 HMOPOS
Exact segment geography MVP Medicare WellValue with Part D (HMO-POS)
MVP HEALTH CARE
Prescription-drug coverage reported
- Premium
- $217 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3305-039-000 — 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 → H3387-014-003 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
H3387-014-003 — 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 → 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 →