2018 Medicare Advantage Plans in Sterling County Texas

2018 Medicare Advantage Plans in Sterling County Texas

There are 15 Medicare Advantage Plans available in Sterling County TX from 3 different health insurance providers. 3 of these Medicare 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 Sterling County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Sterling County Texas residents can also pick from 3 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
Care Improvement Plus Medicare Advantage (Regional PPO)
$37.00 $290.00 Regional PPO No $6,700 Enroll
HumanaChoice R4182-001 (Regional PPO)
$0.00 Regional PPO * $5,400 Enroll
HumanaChoice R4182-003 (Regional PPO)
$89.00 $175.00 Regional PPO No $6,700 Enroll
HumanaChoice R4182-004 (Regional PPO)
$45.00 $175.00 Regional PPO No $6,700 Enroll
SeniorCare Preferred (Cost)
$90.00 Cost * $3,400
SeniorCare Preferred - Basic Rx (Cost)
$166.50 $100.00 Cost No $3,400 Enroll
SeniorCare Preferred - Enhanced Rx (Cost)
$213.20 $50.00 Cost Yes $3,400 Enroll
SeniorCare Premium (Cost)
$183.00 Cost * $3,400
SeniorCare Premium - Basic Rx (Cost)
$259.50 $100.00 Cost No $3,400 Enroll
SeniorCare Premium - Enhanced Rx (Cost)
$306.20 $50.00 Cost Yes $3,400 Enroll
SeniorCare Select (Cost)
$0.00 Cost * $6,700
SeniorCare Select - Value Rx (Cost)
$57.60 $285.00 Cost No $6,700 Enroll
SeniorCare VIP (Cost)
$130.00 Cost * $3,400
SeniorCare VIP - Basic Rx (Cost)
$206.50 $100.00 Cost No $3,400 Enroll
SeniorCare VIP - Enhanced Rx (Cost)
$253.20 $50.00 Cost Yes $3,400 Enroll
Return to 2018 Medicare Advantage Plans in Texas

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



2018 Medicare Special Needs Plans in Sterling county Texas

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Care Improvement Plus Dual Advantage (Regional PPO SNP)
(R6801- 011)
   15.7 405  No Dual-Eligible
Care Improvement Plus Gold Rx (Regional PPO SNP)
(R6801- 009)
   15 295  No Chronic or Disabling Condition
Care Improvement Plus Silver Rx (Regional PPO SNP)
(R6801- 008)
   0 340  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.

    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!