H4473-003-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE ENHANCED 003 UT (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,350 in-network
- Drug coverage
- Reported
H4473-003-000 — Open exact plan page → H4473-011-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 011 UT (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H4473-011-000 — Open exact plan page → H4473-007-000 Local PPO
Exact segment geography DEVOTED C-SNP CHOICE PLUS 007 UT (PPO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4473-007-000 — Open exact plan page → H4473-001-000 Local PPO
Exact segment geography DEVOTED CHOICE 001 UT (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,350 in-network
- Drug coverage
- Reported
H4473-001-000 — Open exact plan page → H4473-002-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK 002 UT (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4473-002-000 — Open exact plan page → H4473-014-000 Local PPO
Exact segment geography DEVOTED CHOICE GIVEBACK EXTRAS 014 UT (PPO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,000 in-network
- Drug coverage
- Reported
H4473-014-000 — Open exact plan page → H4473-004-000 Local PPO
Exact segment geography DEVOTED DUAL CHOICE FULL 004 UT (PPO D-SNP)
Devoted Health
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4473-004-000 — Open exact plan page → H7617-039-000 Local PPO
Exact segment geography Humana Dual Select H7617-039 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-039-000 — Open exact plan page → H5216-430-000 Local PPO
Exact segment geography Humana Essentials Plus Giveback (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,750 in-network
- Drug coverage
- Reported
H5216-430-000 — Open exact plan page → H5216-427-003 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,150 in-network
- Drug coverage
- Not reported
H5216-427-003 — Open exact plan page → H5216-455-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $5,100 in-network
- Drug coverage
- Not reported
H5216-455-000 — Open exact plan page → H7617-021-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,150 in-network
- Drug coverage
- Not reported
H7617-021-000 — Open exact plan page → H5216-471-000 Local PPO
Exact segment geography Humana Value Choice (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,000 in-network
- Drug coverage
- Reported
H5216-471-000 — Open exact plan page → H5216-048-000 Local PPO
Exact segment geography HumanaChoice H5216-048 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $97 / month
- MOOP
- $7,000 in-network
- Drug coverage
- Reported
H5216-048-000 — Open exact plan page → H7617-016-000 Local PPO
Exact segment geography HumanaChoice H7617-016 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $110 / month
- MOOP
- $7,000 in-network
- Drug coverage
- Reported
H7617-016-000 — Open exact plan page → H5216-296-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H5216-296 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5216-296-000 — Open exact plan page → H7617-038-000 Local PPO
Exact segment geography HumanaChoice SNP-DE H7617-038 (PPO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H7617-038-000 — Open exact plan page → H5628-001-000 HMO
Exact segment geography Molina Medicare Complete Care (HMO D-SNP)
Molina Healthcare of Utah & Idaho
Dual-EligiblePrescription-drug coverage reported
- Premium
- $45.50 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5628-001-000 — Open exact plan page → H2001-048-000 Local PPO
Exact segment geography UHC Dual Advantage UT-V1 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H2001-048-000 — Open exact plan page → H2001-047-000 Local PPO
Exact segment geography UHC Dual Complete UT-Q1 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $36.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2001-047-000 — Open exact plan page → H4604-026-000 HMOPOS
Exact segment geography UHC Dual Complete UT-S2 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $20.20 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4604-026-000 — Open exact plan page →