2015 Medicare Advantage Plans in Broomfield County Colorado


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2015 Medicare Advantage Plans in Broomfield County Colorado

There are 29 Medicare Advantage Plans available in Broomfield County CO from 7 health insurance providers and 4 Special Needs Plans available. 10 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3300 and the highest out of pocket is $6700. The highest rated plan available in Broomfield County received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.

(Click the Plan Name for More Details)

Plan Name Type Premium
C+D
Part D
Deductible
 Gap  Max Out of
Pocket
Overall Rating Formulary
Return to Counties In Colorado
AARP MedicareComplete SecureHorizons Essential (HMO)
(H0609-018)
Local HMO * $0.00 $5,900
AARP MedicareComplete SecureHorizons Plan 1 (HMO)
(H0609-007)
Local HMO $45.00 $150.00 No $3,900 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 2 (HMO)
(H0609-012)
Local HMO $0.00 $200.00 No $5,900 Browse
Formulary
AB Basic Plan (Cost)
(H0602-026)
Cost * $5.00 N/A
Aetna Medicare Prime Plan (HMO)
(H6923-005)
Local HMO $0.00 $0.00 No $5,900 Browse
Formulary
Aetna Medicare Prime Plan (PPO)
(H5521-057)
Local PPO $48.00 $0.00 No $6,700 Browse
Formulary
Aetna Medicare Select Plan (HMO)
(H6923-001)
Local HMO $55.00 $0.00 No $6,000 Browse
Formulary
Aetna Medicare Select Plan (PPO)
(H5521-028)
Local PPO $122.00 $0.00 No $6,700 Browse
Formulary
Aetna Medicare Select Plus Plan (PPO)
(H5521-052)
Local PPO $139.00 $0.00 Yes $3,300 Browse
Formulary
Colorado Access Advantage Peak Plan (HMO)
(H0621-006)
Local HMO $28.90 $270.00 No $6,700 Browse
Formulary
Humana Gold Choice H8145-120 (PFFS)
(H8145-120)
PFFS * $15.00 N/A
Humana Gold Choice H8145-123 (PFFS)
(H8145-123)
PFFS $96.00 $0.00 Yes N/A Browse
Formulary
Humana Gold Plus H2649-042 (HMO)
(H2649-042)
Local HMO $27.00 $200.00 Yes $4,500 Browse
Formulary
Humana Gold Plus H2649-043 (HMO)
(H2649-043)
Local HMO $0.00 $200.00 Yes $5,500 Browse
Formulary
HumanaChoice H6609-110 (PPO)
(H6609-110)
Local PPO $79.00 $0.00 Yes $5,500 Browse
Formulary
HumanaChoice H6609-111 (PPO)
(H6609-111)
Local PPO * $0.00 $4,900
HumanaChoice H6609-112 (PPO)
(H6609-112)
Local PPO $47.00 $200.00 Yes $6,700 Browse
Formulary
HumanaChoice H6609-113 (PPO)
(H6609-113)
Local PPO $300.00 $225.00 No $6,700 Browse
Formulary
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-013)
Local HMO $0.00 $0.00 Yes $4,900 Browse
Formulary
Kaiser Permanente Senior Advantage Gold (HMO)
(H0630-016)
Local HMO $191.00 $0.00 Yes $3,400 Browse
Formulary
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-015)
Local HMO $46.00 $0.00 Yes $4,200 Browse
Formulary
Rocky Mountain Green Plan (Cost)
(H0602-042)
Cost * $15.00 $6,700
Rocky Mountain Green Plan + Rx (Cost)
(H0602-043)
Cost $78.50 $110.00 No $6,700 Browse
Formulary
Rocky Mountain Plus Plan (Cost)
(H0602-003)
Cost * $168.00 $4,500
Rocky Mountain Plus Plan + Rx (Cost)
(H0602-019)
Cost $280.70 $0.00 Yes $4,500 Browse
Formulary
Rocky Mountain Standard Plan (Cost)
(H0602-009)
Cost * $75.00 $4,500
Rocky Mountain Standard Plan + Rx (Cost)
(H0602-022)
Cost $168.00 $0.00 No $4,500 Browse
Formulary
Rocky Mountain Thrifty Plan (Cost)
(H0602-027)
Cost * $35.00 $6,000
Rocky Mountain Thrifty Plan + Rx (Cost)
(H0602-039)
Cost $89.40 $75.00 No $6,000 Browse
Formulary

* Plan Type Indicates plan does not offer Part D drug coverage.



Medicare Special Needs Plans in Broomfield county Colorado

Plan Name Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating Formulary
Colorado Access Advantage Summit Plan (HMO SNP)
(H0621- 010)
   $28.90 $320.00  No Dual-EligibleBrowse
Formulary
Senior Advantage Medicare Medicaid Plan (HMO SNP)
(H0630- 014)
   $26.60 $320.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete (HMO SNP)
(H0624- 001)
   $28.00 $320.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0620- 002)
   $23.20 $320.00  No InstitutionalBrowse
Formulary


Source: CMS.

Plans as of September 2, 2014.

Plans are subject to change as contracts are finalized.

Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type

Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.

GAP

In 2015 once you and your plan provider have spent $2,960 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

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  • Mon-Fri 8:30am-8:00pm
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