2016 Medicare Advantage Plans in Yavapai County Arizona


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2016 Medicare Advantage Plans in Yavapai County Arizona

There are 8 Medicare Advantage Plans available in Yavapai County AZ from 4 health insurance providers and 5 Special Needs Plans available. 5 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $4750 and the highest out of pocket is $6700. The highest rated plan available in Yavapai County received a 4.5 overall star rating from CMS and the lowest rated plan is 2.5 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 Arizona
AARP MedicareComplete (HMO)
(H5253-036)
$49.00 $220.00 Local HMO No $6,700 Browse
Formulary
Humana Gold Choice H8145-103 (PFFS)
(H8145-103)
$185.00 $225.00 PFFS Yes N/A Browse
Formulary
Humana Gold Plus H2649-034 (HMO)
(H2649-034)
$59.00 $220.00 Local HMO Yes $6,700 Browse
Formulary
HumanaChoice H6609-135 (PPO)
(H6609-135)
$97.00 $225.00 Local PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-014 (Regional PPO)
(R5826-014)
$159.00 $280.00 Regional PPO No $6,700 Browse
Formulary
HumanaChoice R5826-070 (Regional PPO)
(R5826-070)
$0.00 Regional PPO * $6,700
Phoenix Advantage (HMO)
(H5985-001)
$0.00 $0.00 Local HMO Yes $5,250 Browse
Formulary
Phoenix Advantage Select (HMO)
(H5985-005)
$39.00 $0.00 Local HMO Yes $4,750 Browse
Formulary

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



Medicare Special Needs Plans in Yavapai county Arizona

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating Formulary
UnitedHealthcare Assisted Living Plan (PPO SNP)
(H0710- 006)
   $22.90 $75.00  No InstitutionalBrowse
Formulary
UnitedHealthcare Dual Complete (HMO SNP)
(H0321- 002)
   $16.00 $360.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete ONE (HMO SNP)
(H0321- 004)
   $17.50 $360.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 005)
   $33.20 $360.00  No InstitutionalBrowse
Formulary
University Care Advantage (HMO SNP)
(H4931- 009)
   $33.20 $360.00  No Dual-EligibleToo NewBrowse
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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    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 10:00am-2:00pm (ET)

  • 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!