H3288-007-000 Local PPO
Exact segment geography Aetna Medicare Enhanced (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $55 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H3288-007-000 — Open exact plan page → H8597-001-000 HMO
Exact segment geography Aetna Medicare Full Dual Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8597-001-000 — Open exact plan page → H4523-034-000 HMO
Exact segment geography Aetna Medicare Full Dual Extra Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4523-034-000 — Open exact plan page → H8597-004-000 HMO
Exact segment geography Aetna Medicare QMB Only Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8597-004-000 — Open exact plan page → H4523-041-000 HMO
Exact segment geography Aetna Medicare QMB Only Extra Care (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4523-041-000 — Open exact plan page → H4523-042-000 HMO
Exact segment geography Aetna Medicare Signature (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H4523-042-000 — Open exact plan page → H5472-007-000 HMOPOS
Exact segment geography Alignment Health Duals+ 007 (HMO-POS D-SNP)
Alignment Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $2,900 in-network
- Drug coverage
- Reported
H5472-007-000 — Open exact plan page → H5472-009-000 HMOPOS
Exact segment geography Alignment Health Duals+ 009 (HMO-POS D-SNP)
Alignment Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5472-009-000 — Open exact plan page → H5472-002-000 HMOPOS
Exact segment geography Alignment Health Heart & Diabetes 002 (HMO-POS C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,190 in-network
- Drug coverage
- Reported
H5472-002-000 — Open exact plan page → H5472-004-000 HMOPOS
Exact segment geography Alignment Health Heart & Diabetes Plus 004 (HMO-POS C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5472-004-000 — Open exact plan page → H5472-001-000 HMOPOS
Exact segment geography Alignment Health ONE + Walgreens 001 (HMO-POS)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $2,950 in-network
- Drug coverage
- Reported
H5472-001-000 — Open exact plan page → H5472-003-000 HMOPOS
Exact segment geography Alignment Health Smart 003 (HMO-POS)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,450 in-network
- Drug coverage
- Reported
H5472-003-000 — Open exact plan page → H5472-010-000 HMOPOS
Exact segment geography Alignment Health Smart 010 (HMO-POS)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,450 in-network
- Drug coverage
- Reported
H5472-010-000 — Open exact plan page → H7993-027-000 HMO
Exact segment geography DEVOTED C-SNP 027 TX (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,750 in-network
- Drug coverage
- Reported
H7993-027-000 — Open exact plan page → H7993-028-000 HMO
Exact segment geography DEVOTED C-SNP ENHANCED 028 TX (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,250 in-network
- Drug coverage
- Reported
H7993-028-000 — Open exact plan page → H7993-086-000 HMO
Exact segment geography DEVOTED C-SNP GIVEBACK EXTRAS 086 TX (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,650 in-network
- Drug coverage
- Reported
H7993-086-000 — Open exact plan page → H7993-029-000 HMO
Exact segment geography DEVOTED C-SNP PLUS 029 TX (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7993-029-000 — Open exact plan page → H7993-007-000 HMO
Exact segment geography DEVOTED CORE 007 TX (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,450 in-network
- Drug coverage
- Reported
H7993-007-000 — Open exact plan page → H7993-017-000 HMO
Exact segment geography DEVOTED DUAL 017 TX (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7993-017-000 — Open exact plan page → H7993-038-000 HMO
Exact segment geography DEVOTED DUAL FULL 038 TX (HMO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7993-038-000 — Open exact plan page → H7993-008-000 HMO
Exact segment geography DEVOTED GIVEBACK 008 TX (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,650 in-network
- Drug coverage
- Reported
H7993-008-000 — Open exact plan page → H7993-113-000 HMO
Exact segment geography DEVOTED GIVEBACK EXTRAS 113 TX (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,700 in-network
- Drug coverage
- Reported
H7993-113-000 — Open exact plan page → H3407-003-000 HMO
Exact segment geography El Paso Health Giveback (HMO)
El Paso Health Medicare Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3407-003-000 — Open exact plan page → H3407-001-000 HMO
Exact segment geography El Paso Health Medicare Advantage Dual (HMO D-SNP)
El Paso Health Medicare Advantage
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,550 in-network
- Drug coverage
- Reported
H3407-001-000 — Open exact plan page → H3407-002-000 HMO
Exact segment geography El Paso Health Total (HMO)
El Paso Health Medicare Advantage
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,600 in-network
- Drug coverage
- Reported
H3407-002-000 — Open exact plan page → H0028-039-000 HMO
Exact segment geography Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,450 in-network
- Drug coverage
- Reported
H0028-039-000 — Open exact plan page → H4461-066-000 HMO
Exact segment geography Humana Gold Plus - Diabetes and Heart (HMO C-SNP)
Humana
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,450 in-network
- Drug coverage
- Reported
H4461-066-000 — Open exact plan page → H0028-035-000 HMO
Exact segment geography Humana Gold Plus H0028-035 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,350 in-network
- Drug coverage
- Reported
H0028-035-000 — Open exact plan page → H4461-053-000 HMO
Exact segment geography Humana Gold Plus H4461-053 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $24 / month
- MOOP
- $3,400 in-network
- Drug coverage
- Reported
H4461-053-000 — Open exact plan page → H4461-061-000 HMO
Exact segment geography Humana Gold Plus H4461-061 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,350 in-network
- Drug coverage
- Reported
H4461-061-000 — Open exact plan page → H0028-036-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0028-036-000 — Open exact plan page → H4461-069-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H4461-069 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4461-069-000 — Open exact plan page → H4461-070-000 HMO
Exact segment geography Humana Gold Plus SNP-DE H4461-070 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4461-070-000 — Open exact plan page → H5216-369-000 Local PPO
Exact segment geography Humana Together in Health (PPO I-SNP)
Humana
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-369-000 — Open exact plan page → H7617-138-000 Local PPO
Exact segment geography Humana Together in Health (PPO I-SNP)
Humana
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-138-000 — Open exact plan page → H5216-348-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $7,900 in-network
- Drug coverage
- Not reported
H5216-348-000 — Open exact plan page → H7617-062-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $7,900 in-network
- Drug coverage
- Not reported
H7617-062-000 — Open exact plan page → H0473-004-000 Local PPO
Exact segment geography HumanaChoice H0473-004 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $13 / month
- MOOP
- $7,050 in-network
- Drug coverage
- Reported
H0473-004-000 — Open exact plan page → H7617-027-000 Local PPO
Exact segment geography HumanaChoice H7617-027 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $48 / month
- MOOP
- $7,650 in-network
- Drug coverage
- Reported
H7617-027-000 — Open exact plan page → R4182-001-000 Regional PPO
Exact segment geography HumanaChoice R4182-001 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Not reported
R4182-001-000 — Open exact plan page → R4182-003-000 Regional PPO
Exact segment geography HumanaChoice R4182-003 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $100 / month
- MOOP
- $8,200 in-network
- Drug coverage
- Reported
R4182-003-000 — Open exact plan page → R4182-004-000 Regional PPO
Exact segment geography HumanaChoice R4182-004 (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $46 / month
- MOOP
- $8,200 in-network
- Drug coverage
- Reported
R4182-004-000 — Open exact plan page → H7678-006-001 HMO
Exact segment geography Molina Medicare Complete Care (HMO D-SNP)
Molina Healthcare of Texas, Inc.
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7678-006-001 — Open exact plan page → H3467-001-000 HMOPOS
Exact segment geography ProCare Advantage (HMO-POS I-SNP)
ProCare Advantage
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3467-001-000 — Open exact plan page → R6801-012-000 Regional PPO
Exact segment geography AARP Medicare Advantage from UHC TX-61 (Regional PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $138 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
R6801-012-000 — Open exact plan page → R6801-009-000 Regional PPO
Exact segment geography UHC Complete Care TX-29 (Regional PPO C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $100 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
R6801-009-000 — Open exact plan page → R6801-011-000 Regional PPO
Exact segment geography UHC Dual Complete TX-S001 (Regional PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
R6801-011-000 — Open exact plan page → H8849-030-000 HMO
Exact segment geography Wellpoint Dual Advantage (HMO D-SNP)
Wellpoint
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8849-030-000 — Open exact plan page → H8849-028-000 HMO
Exact segment geography Wellpoint Dual Advantage Plus (HMO D-SNP)
Wellpoint
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8849-028-000 — Open exact plan page → H8849-026-000 HMO
Exact segment geography Wellpoint Full Dual Advantage (HMO D-SNP)
Wellpoint
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8849-026-000 — Open exact plan page → H2593-029-000 HMOPOS
Exact segment geography Wellpoint Medicare Advantage 2 (HMO-POS)
Wellpoint
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2593-029-000 — Open exact plan page →