2016 Medicare Advantage Plans in Lawrence County Alabama


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2016 Medicare Advantage Plans in Lawrence County Alabama

There are 8 Medicare Advantage Plans available in Lawrence County AL from 4 health insurance providers and 1 Special Needs Plans available. 4 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $6700. The highest rated plan available in Lawrence County received a 4 overall star rating from CMS and the lowest rated plan is 3.5 stars.

(Click the Plan Name for More Details)


Plan Name Monthly
Premium
C+D
Part D
Deductible
Type  Gap  Max Out
of
Pocket
Overall Rating Formulary
Return to Counties In Alabama
Blue Advantage Complete (PPO)
(H0104-012)
$75.00 $360.00 Local PPO No $5,000 Browse
Formulary
Blue Advantage Premier (PPO)
(H0104-015)
$179.00 $0.00 Local PPO No $3,400 Browse
Formulary
Cigna-HealthSpring Advantage (HMO)
(H0150-012)
$0.00 Local HMO * $6,700
Cigna-HealthSpring Preferred (HMO)
(H0150-024)
$0.00 $150.00 Local HMO Yes $6,700 Browse
Formulary
Cigna-HealthSpring Premier (HMO-POS)
(H0150-025)
$135.00 $0.00 Local HMO Yes $3,600 Browse
Formulary
Humana Gold Plus H2012-097 (HMO)
(H2012-097)
$35.00 $320.00 Local HMO Yes $6,700 Browse
Formulary
HumanaChoice R5826-001 (Regional PPO)
(R5826-001)
$75.00 $360.00 Regional PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-065 (Regional PPO)
(R5826-065)
$0.00 Regional PPO * $3,400

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



Medicare Special Needs Plans in Lawrence county Alabama

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating Formulary
Cigna-HealthSpring TotalCare (HMO SNP)
(H0150- 007)
   $31.30 $360.00  No Dual-EligibleBrowse
Formulary


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
  • (EA) 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.

  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

  • GAP

    In 2016 once you and your plan provider have spent $3310 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 plans cost for covered brand-name prescription drugs and 58% on generic drugs unless your plan offers additional coverage.

    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



    Source: CMS.

    Plans as of September 9, 2015.

    Plans are subject to change as contracts are finalized.

    Includes 2016 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2016, 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.

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  • Call to Enroll!

    Call For A licensed Sales Agent

    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 9:00am-3:00pm (ET)

  • Call to Enroll!