2014 Medicare Advantage Plans in Maricopa County Arizona

2014 Medicare Advantage Plans in Maricopa County Arizona

There are 23 Medicare Advantage Plans available in Maricopa County AZ from 11 health insurance providers and 23 Special Needs Plans available. 10 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 Maricopa 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 Type Premium C+D Part D
Deductible
Gap Max Out of Pocket Overall Rating
Return to Counties In Arizona
AARP MedicareComplete (HMO)
(H0303-015)
Local HMO $0 $0 No Gap Coverage $6,700
Aetna Medicare Select Plan (HMO)
(H0318-002)
Local HMO $0 $0 Few Generics $6,700
Blue Medicare Advantage Classic (HMO)
(H0302-006)
Local HMO $0 $0 Few Generics $6,700
Blue Medicare Advantage Plus (HMO)
(H0302-001)
Local HMO $17.00 $0 Few Generics $6,700
Blue Medicare Advantage Premier (HMO)
(H0302-007)
Local HMO $55.00 $0 Few Generics $6,700
CareMore StartSmart Plus (HMO)
(H2593-016)
Local HMO $0 $0 No Gap Coverage $6,700
CareMore Value Plus (HMO)
(H2593-007)
Local HMO $0 $0 Many Generics $3,400
Cigna Medicare Select Plus Rx-Standard (HMO)
(H0354-001)
Local HMO $0 $0 Many Generics $6,700
Health Net Green (HMO)
(H0351-030)
Local HMO * $0 $6,700
Health Net Ruby 1 (HMO)
(H0351-043)
Local HMO $49.00 $0 No Gap Coverage $5,300
Health Net Ruby 4 (HMO)
(H0351-036)
Local HMO $0 $0 No Gap Coverage $6,700
Health Net Ruby Select (HMO)
(H0351-040)
Local HMO $0 $0 No Gap Coverage $3,400
Humana Gold Choice H8145-103 (PFFS)
(H8145-103)
PFFS $180.00 $0 Few Generics, Few Brands N/A
Humana Gold Plus H2649-030 (HMO-POS)
(H2649-030)
Local HMO $79.00 $0 Few Generics, Few Brands $5,000
Humana Gold Plus H2649-032 (HMO)
(H2649-032)
Local HMO $0 $0 Few Generics, Few Brands $3,400
HumanaChoice H0317-001 (PPO)
(H0317-001)
Local PPO $122.00 $0 Few Generics, Few Brands $5,000
HumanaChoice R5826-014 P (Regional PPO)
(R5826-014)
Regional PPO $152.00 $175.00 No Gap Coverage $6,700
HumanaChoice R5826-070 P (Regional PPO)
(R5826-070)
Regional PPO * $0 $6,700
Phoenix Advantage (HMO)
(H5985-001)
Local HMO $0 $0 No Gap Coverage $5,000
Phoenix Advantage Select (HMO)
(H5985-005)
Local HMO $39.00 $0 No Gap Coverage $3,500
SCAN Classic (HMO)
(H9385-002)
Local HMO $0 $0 No Gap Coverage $5,000
WellCare Dividend (HMO)
(H0320-008)
Local HMO $0 $0 No Gap Coverage $6,700
WellCare Value (HMO)
(H0320-009)
Local HMO $0 $0 No Gap Coverage $6,700

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



Medicare Special Needs Plans in Maricopa county Arizona

Plan Name Type Consolidated Premium C+D Part D
Deductible
Gap Special Needs Type Overall Rating
Advantage by Bridgeway Health Solutions (HMO SNP)
(H5590- 002)
Local HMO $27.40 $310.00 No Gap Coverage Dual-Eligible
CareMore Breathe (HMO SNP)
(H2593- 015)
Local HMO $0 $0 Many Generics, Few Brands Chronic or Disabling Condition
CareMore Diabetes (HMO SNP)
(H2593- 011)
Local HMO $0 $0 Many Generics, Few Brands Chronic or Disabling Condition
CareMore Heart (HMO SNP)
(H2593- 014)
Local HMO $0 $0 Many Generics, Few Brands Chronic or Disabling Condition
Cigna Medicare Select Plus Rx-Diabetes Heart (HMO SNP)
(H0354- 021)
Local HMO $0 $0 Many Generics Chronic or Disabling Condition
Complete Care Advantage (HMO SNP)
(H9768- 001)
Local HMO $19.20 $310.00 No Gap Coverage Dual-EligibleToo New
Health Choice Generations (HMO SNP)
(H5587- 002)
Local HMO $27.40 $310.00 No Gap Coverage Dual-Eligible
Health Net Amber (HMO SNP)
(H0351- 029)
Local HMO $27.40 $310.00 No Gap Coverage Dual-Eligible
Health Net Jade (HMO SNP)
(H0351- 038)
Local HMO $0 $0 No Gap Coverage Chronic or Disabling Condition
Health Net Jade Cardiovascular (HMO SNP)
(H0351- 042)
Local HMO $0 $0 No Gap Coverage Chronic or Disabling Condition
Heart First (HMO SNP)
(H9385- 003)
Local HMO $0 $0 Some Generics, Few Brands Chronic or Disabling Condition
Humana Gold Plus SNP-CLD H2649-037 (HMO SNP)
(H2649- 037)
Local HMO $0 $0 Some Generics, Few Brands Chronic or Disabling Condition
Humana Gold Plus SNP-CVD/CHF/DM H2649-036 (HMO SNP)
(H2649- 036)
Local HMO $0 $0 Some Generics, Few Brands Chronic or Disabling Condition
Maricopa Care Advantage (HMO SNP)
(H6623- 001)
Local HMO $27.50 $310.00 No Gap Coverage Dual-EligibleToo New
Mercy Care Advantage (HMO SNP)
(H5580- 001)
Local HMO $27.50 $310.00 No Gap Coverage Dual-Eligible
Mercy Care Advantage (HMO SNP)
(H5580- 004)
Local HMO $27.50 $310.00 No Gap Coverage Dual-Eligible
Mercy Care Advantage (HMO SNP)
(H5580- 005)
Local HMO $27.50 $310.00 No Gap Coverage Dual-Eligible
Mercy Maricopa Advantage (HMO SNP)
(H9685- 001)
Local HMO $27.50 $310.00 No Gap Coverage Dual-EligibleToo New
ONECare by Care1st Health Plan Arizona, Inc. (HMO SNP)
(H5430- 001)
Local HMO $23.70 $310.00 No Gap Coverage Dual-Eligible
Phoenix Advantage Plus (HMO SNP)
(H5985- 002)
Local HMO $27.50 $310.00 No Gap Coverage Dual-Eligible
SCAN Balance (HMO SNP)
(H9385- 004)
Local HMO $0 $0 Some Generics, Few Brands Chronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO SNP)
(H0321- 002)
Local HMO $19.10 $310.00 No Gap Coverage Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0319- 001)
Local PPO $27.50 $310.00 No Gap Coverage Institutional


Source: CMS.

Plans as of September 3, 2013.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescrition 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

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.

GAP

Coverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.

Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:

  • All: 100% of formulary drugs are covered through the gap
  • Many: 65% to 100% of formulary drugs are covered through the gap
  • Some: 10% to 65 % of formulary drugs are covered through the gap
  • Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
  • No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
  • All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)

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

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