2018 Medicare Advantage Plans in Fairfield County South Carolina

2018 Medicare Advantage Plans in Fairfield County South Carolina

There are 8 Medicare Advantage Plans available in Fairfield County SC from 6 different health insurance providers. 1 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $5900 and the highest out of pocket is $6700. The highest rated plan available in Fairfield County received a 4 overall star rating from CMS and the lowest rated plan is 3.5 stars. Fairfield County South Carolina residents can also pick from 8 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
Type  Gap  MOOP Overall Rating Sign Up
Allwell Medicare (HMO)
$0.00 $0.00 Local HMO No $5,900
BlueCross Total (PPO)
$45.00 $200.00 Local PPO Yes $6,700
Care Improvement Plus Medicare Advantage (Regional PPO)
$39.00 $195.00 Regional PPO No $6,700 Enroll
$15.00 $250.00 Local PPO No $6,700
$0.00 $250.00 Local HMO No $6,700
HumanaChoice H5525-025 (PPO)
$57.00 $295.00 Local PPO No $6,700 Enroll
HumanaChoice R3392-001 (Regional PPO)
$0.00 Regional PPO * $5,900 Enroll
HumanaChoice R3392-002 (Regional PPO)
$77.00 $340.00 Regional PPO No $6,700 Enroll
Return to 2018 Medicare Advantage Plans in South Carolina

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

2018 Medicare Special Needs Plans in Fairfield county South Carolina

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Allwell Dual Medicare (HMO SNP)
(H1436- 005)
   $23.00 $405.00  No Dual-Eligible
Allwell Dual Medicare Essentials (HMO SNP)
(H1436- 006)
   $0.00 $140.00  No Dual-Eligible
Care Improvement Plus Dual Advantage (Regional PPO SNP)
(R7444- 011)
   $22.90 $405.00  No Dual-Eligible
Care Improvement Plus Gold Rx (Regional PPO SNP)
(R7444- 010)
   $19.00 $210.00  No Chronic or Disabling Condition
Care Improvement Plus Silver Rx (Regional PPO SNP)
(R7444- 009)
   $0.00 $385.00  No Chronic or Disabling Condition
(H9403- 001)
   $23.00 $405.00  No Dual-Eligible
(H2334- 001)
   $15.00 $250.00  No Chronic or Disabling Condition
(H9403- 003)
   $0.00 $250.00  No Chronic or Disabling Condition

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 provider 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; 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 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 2018 once you and your plan provider have spent $3750 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 35% of the plans cost for covered brand-name prescription drugs and 44% 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.

    Data as of September 5, 2017.

    Plans are subject to change as contracts are finalized.

    Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, enhanced alternative 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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