H5521-322-000 Local PPO
Exact segment geography Aetna Medicare Eagle Giveback (PPO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Not reported
H5521-322-000 — Open exact plan page → H5521-084-000 Local PPO
Exact segment geography Aetna Medicare Enhanced (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $41 / month
- MOOP
- $6,900 in-network
- Drug coverage
- Reported
H5521-084-000 — Open exact plan page → H1610-001-000 HMO
Exact segment geography Aetna Medicare FIDE (HMO D-SNP)
Aetna Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H1610-001-000 — Open exact plan page → H5521-652-000 Local PPO
Exact segment geography Aetna Medicare Premier (PPO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $79 / month
- MOOP
- $6,750 in-network
- Drug coverage
- Reported
H5521-652-000 — Open exact plan page → H3931-101-000 HMOPOS
Exact segment geography Aetna Medicare Signature (HMO-POS)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,500 in-network
- Drug coverage
- Reported
H3931-101-000 — Open exact plan page → H2441-001-000 Local PPO
Exact segment geography Anthem Dual Advantage Plus (PPO D-SNP)
Anthem Blue Cross and Blue Shield
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2441-001-000 — Open exact plan page → H4909-014-000 Local PPO
Exact segment geography Anthem Medicare Advantage (PPO)
Anthem Blue Cross and Blue Shield
Prescription-drug coverage reported
- Premium
- $30 / month
- MOOP
- $8,950 in-network
- Drug coverage
- Reported
H4909-014-000 — Open exact plan page → H4909-020-000 Local PPO
Exact segment geography Anthem Veteran (PPO)
Anthem Blue Cross and Blue Shield
- Premium
- $0 / month
- MOOP
- $6,800 in-network
- Drug coverage
- Not reported
H4909-020-000 — Open exact plan page → H4694-002-000 HMO
Exact segment geography Anthem Dual Advantage Plus (HMO D-SNP)
Anthem HealthKeepers
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4694-002-000 — Open exact plan page → H4694-004-000 HMO
Exact segment geography Anthem Full Dual Advantage (HMO D-SNP)
Anthem HealthKeepers
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4694-004-000 — Open exact plan page → H4694-003-000 HMO
Exact segment geography Anthem Full Dual Advantage Support (HMO D-SNP)
Anthem HealthKeepers
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4694-003-000 — Open exact plan page → H3447-033-000 HMOPOS
Exact segment geography Anthem Kidney Care (HMO-POS C-SNP)
Anthem HealthKeepers
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,100 in-network
- Drug coverage
- Reported
H3447-033-000 — Open exact plan page → H3447-052-000 HMOPOS
Exact segment geography Anthem Medicare Advantage 3 (HMO-POS)
Anthem HealthKeepers
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,975 in-network
- Drug coverage
- Reported
H3447-052-000 — Open exact plan page → H6994-003-000 HMO
Exact segment geography DEVOTED C-SNP ENHANCED 003 VA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,200 in-network
- Drug coverage
- Reported
H6994-003-000 — Open exact plan page → H6994-026-000 HMO
Exact segment geography DEVOTED C-SNP GIVEBACK EXTRAS 026 VA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,800 in-network
- Drug coverage
- Reported
H6994-026-000 — Open exact plan page → H6994-004-000 HMO
Exact segment geography DEVOTED C-SNP PLUS 004 VA (HMO C-SNP)
Devoted Health
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H6994-004-000 — Open exact plan page → H6994-001-000 HMO
Exact segment geography DEVOTED CORE 001 VA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H6994-001-000 — Open exact plan page → H6994-002-000 HMO
Exact segment geography DEVOTED GIVEBACK 002 VA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $8,200 in-network
- Drug coverage
- Reported
H6994-002-000 — Open exact plan page → H6994-029-000 HMO
Exact segment geography DEVOTED GIVEBACK EXTRAS 029 VA (HMO)
Devoted Health
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $6,800 in-network
- Drug coverage
- Reported
H6994-029-000 — Open exact plan page → H2875-003-000 HMO
Exact segment geography Humana Dual Fully Integrated H2875-003 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2875-003-000 — Open exact plan page → H2875-004-000 HMO
Exact segment geography Humana Dual QMB Only (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2875-004-000 — Open exact plan page → H2875-005-000 HMO
Exact segment geography Humana Dual Select H2875-005 (HMO D-SNP)
Humana
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2875-005-000 — Open exact plan page → R0110-005-000 Regional PPO
Exact segment geography Humana Full Access (Regional PPO)
Humana
Prescription-drug coverage reported
- Premium
- $158 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
R0110-005-000 — Open exact plan page → H5619-090-000 HMO
Exact segment geography Humana Gold Plus H5619-090 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $106 / month
- MOOP
- $2,250 in-network
- Drug coverage
- Reported
H5619-090-000 — Open exact plan page → H5619-091-000 HMO
Exact segment geography Humana Gold Plus H5619-091 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $42 / month
- MOOP
- $3,100 in-network
- Drug coverage
- Reported
H5619-091-000 — Open exact plan page → H5619-095-000 HMO
Exact segment geography Humana Gold Plus H5619-095 (HMO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Reported
H5619-095-000 — Open exact plan page → H5216-362-000 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
H5216-362-000 — Open exact plan page → H7617-131-000 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
H7617-131-000 — Open exact plan page → H5619-151-000 HMO
Exact segment geography Humana USAA Honor Giveback (HMO)
Humana
- Premium
- $0 / month
- MOOP
- $3,500 in-network
- Drug coverage
- Not reported
H5619-151-000 — Open exact plan page → R0110-006-000 Regional PPO
Exact segment geography Humana USAA Honor Giveback (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
R0110-006-000 — Open exact plan page → H5216-100-000 Local PPO
Exact segment geography HumanaChoice H5216-100 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $46 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Reported
H5216-100-000 — Open exact plan page → H5216-271-000 Local PPO
Exact segment geography HumanaChoice H5216-271 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H5216-271-000 — Open exact plan page → R0110-004-000 Regional PPO
Exact segment geography HumanaChoice R0110-004 (Regional PPO)
Humana
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Not reported
R0110-004-000 — Open exact plan page → H5037-002-000 National Pace
Exact segment geography Mountain Empire PACE - Medicare only (PACE)
Mountain Empire PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H5037-002-000 — Open exact plan page → H5037-001-000 National Pace
Exact segment geography Mountain Empire PACE - Dual (PACE)
Mountain Empire PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H5037-001-000 — Open exact plan page → H4499-001-000 HMO
Exact segment geography Sentara Community Complete (HMO D-SNP)
Sentara Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4499-001-000 — Open exact plan page → H2563-020-000 HMO
Exact segment geography Sentara Community Complete Select (HMO D-SNP)
Sentara Medicare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2563-020-000 — Open exact plan page → H5253-047-000 HMOPOS
Exact segment geography AARP Medicare Advantage Essentials from UHC TC-2 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,200 in-network
- Drug coverage
- Reported
H5253-047-000 — Open exact plan page → H5253-255-000 HMOPOS
Exact segment geography AARP Medicare Advantage Extras from UHC TC-7 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H5253-255-000 — Open exact plan page → H5253-048-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC TC-0003 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $55 / month
- MOOP
- $3,500 in-network
- Drug coverage
- Reported
H5253-048-000 — Open exact plan page → H5253-121-000 HMOPOS
Exact segment geography AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5253-121-000 — Open exact plan page → H5253-113-000 HMOPOS
Exact segment geography AARP Medicare Advantage Patriot No Rx TC-MA01 (HMO-POS)
UnitedHealthcare
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Not reported
H5253-113-000 — Open exact plan page → H5253-194-002 HMOPOS
Exact segment geography UHC Complete Care Support TC-6 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $4.90 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H5253-194-002 — Open exact plan page → H5253-193-002 HMOPOS
Exact segment geography UHC Complete Care TC-0005 (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H5253-193-002 — Open exact plan page → H2445-004-000 HMOPOS
Exact segment geography UHC Dual Advantage VA-V1 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,600 in-network
- Drug coverage
- Reported
H2445-004-000 — Open exact plan page → H2445-002-000 HMOPOS
Exact segment geography UHC Dual Complete VA-Q001 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2445-002-000 — Open exact plan page → H2445-003-000 HMOPOS
Exact segment geography UHC Dual Complete VA-Y002 (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2445-003-000 — Open exact plan page → H0421-001-000 Local PPO
Exact segment geography UHC Dual Complete VA-Y4 (PPO D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $6.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0421-001-000 — Open exact plan page → H2445-001-000 HMOPOS
Exact segment geography UHC Dual Complete VA-YL (HMO-POS D-SNP)
UnitedHealthcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H2445-001-000 — Open exact plan page → H2001-104-000 Local PPO
Exact segment geography UHC Medicare Advantage TC-0001 (PPO)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H2001-104-000 — Open exact plan page →