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The 2019 Medicare Advantage Plans in Fulton County GA.



2018 Medicare Advantage Plans in Fulton County Georgia

There are 24 Medicare Advantage Plans available in Fulton County GA from 11 different health insurance providers. 9 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $4000 and the highest out of pocket is $6700. The highest rated plan available in Fulton County received a Not enough data available overall star rating from CMS and the lowest rated plan is 3 stars. Fulton County Georgia residents can also pick from 14 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete Plan 1 (HMO)
$0.00 $240.00 No $6,700 FormularyEnroll
AARP MedicareComplete Plan 2 (HMO)
$53.00 $100.00 No $4,900 FormularyEnroll
Advantra Platinum (HMO)
$62.00 $0.00 Yes $4,900 Formulary
Advantra Preferred (PPO)
$46.00 $0.00 Yes $6,700 FormularyEnroll
Aetna Medicare Basics Plan (PPO)
$0.00 $5,900
Aetna Medicare Essential Plan (PPO)
$0.00 $75.00 Yes $5,900 FormularyEnroll
Aetna Medicare Select Plan (HMO)
$0.00 $0.00 Yes $5,650 FormularyEnroll
Allwell Medicare (HMO)
$0.00 $280.00 No $5,900 Formulary
BCBSGa MediBlue Access (PPO)
$57.00 $0.00 Yes $5,900 Formulary
BCBSHP MediBlue Essential (HMO)
$42.00 $95.00 Yes $6,000 FormularyEnroll
BCBSHP MediBlue Plus (HMO)
$0.00 $0.00 Yes $4,900 FormularyEnroll
Care Improvement Plus Medicare Advantage (PPO)
$37.00 $225.00 No $6,700 FormularyEnroll
Care Improvement Plus Medicare Advantage (Regional PPO)
$39.00 $195.00 No $6,700 FormularyEnroll
Cigna-HealthSpring Preferred (HMO)
$0.00 $300.00 No $6,700 Formulary
Humana Gold Choice H8145-069 (PFFS)
$85.00 $340.00 No N/A FormularyEnroll
Humana Gold Plus H4141-015 (HMO)
$0.00 $175.00 No $5,900 FormularyEnroll
Humana Gold Plus H4141-017 (HMO)
$17.00 $295.00 No $6,700 FormularyEnroll
HumanaChoice H5216-073 (PPO)
$55.00 $360.00 No $6,700 FormularyEnroll
HumanaChoice R3392-001 (Regional PPO)
$0.00 $5,900 Enroll
HumanaChoice R3392-002 (Regional PPO)
$77.00 $340.00 No $6,700 FormularyEnroll
Kaiser Permanente Senior Advantage Basic (HMO)
$0.00 $0.00 Yes $5,900 Formulary
Kaiser Permanente Senior Advantage Enhanced (HMO)
$71.00 $0.00 Yes $4,000 Formulary
WellCare Advance (HMO-POS)
$0.00 $4,500 Enroll
WellCare Value (HMO)
$0.00 $0.00 No $6,700 FormularyEnroll
Return to 2018 Medicare Advantage Plans in Georgia

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



2018 Medicare Special Needs Plans in Fulton county Georgia

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Allwell Dual Medicare (HMO SNP)
(H7173- 001)
   $24.50 $250.00  No Dual-Eligible
BCBSHP MediBlue Dual Advantage (HMO SNP)
(H5422- 007)
   $24.50 $405.00  Yes 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
Cigna-HealthSpring TotalCare (HMO SNP)
(H0439- 002)
   $23.90 $405.00  No Dual-Eligible
Humana Gold Plus SNP-DE H4141-003 (HMO SNP)
(H4141- 003)
   $24.30 $405.00  No Dual-Eligible
PHP (HMO SNP)
(H3572- 001)
   $0.00 $405.00  No Chronic or Disabling Condition
PruittHealth Premier (HMO SNP)
(H3291- 001)
   $24.50 $405.00  No Institutional
Senior Advantage Medicare Medicaid Plan (HMO SNP)
(H1170- 008)
   $24.50 $0.00  No Dual-Eligible
UnitedHealthcare Dual Complete (PPO SNP)
(H2228- 044)
   $14.70 $405.00  No Dual-Eligible
UnitedHealthcare Nursing Home Plan 1 (PPO SNP)
(H2228- 013)
   $24.50 $405.00  No Institutional
WellCare Access (HMO SNP)
(H1112- 006)
   $24.50 $405.00  No Dual-Eligible
WellCare Liberty (HMO SNP)
(H1112- 033)
   $24.50 $405.00  No Dual-Eligible


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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1-855-492-4169

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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!