2018 Medicare Advantage Plans in Jefferson County Georgia

2018 Medicare Advantage Plans in Jefferson County Georgia

There are 7 Medicare Advantage Plans available in Jefferson County GA from 4 different health insurance providers. 2 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 Jefferson County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars. Jefferson County Georgia residents can also pick from 6 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
Type  Gap  MOOP Overall Rating Sign Up
BCBSGa MediBlue Access (PPO)
$57.00 $0.00 Local PPO Yes $5,900
BCBSHP MediBlue Essential (HMO)
$42.00 $95.00 Local HMO Yes $6,000 Enroll
Care Improvement Plus Medicare Advantage (Regional PPO)
$39.00 $195.00 Regional PPO No $6,700 Enroll
Humana Gold Choice H8145-069 (PFFS)
$85.00 $340.00 PFFS No N/A Enroll
HumanaChoice H5216-056 (PPO)
$45.00 $250.00 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 Georgia

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



2018 Medicare Special Needs Plans in Jefferson county Georgia

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
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
PruittHealth Premier (HMO SNP)
(H3291- 001)
   $24.50 $405.00  No Institutional
UnitedHealthcare Dual Complete (HMO-POS SNP)
(H5322- 030)
   $15.10 $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.

    Call For A licensed Sales Agent

    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!