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The 2019 Medicare Advantage Plans in Fremont County CO.



2016 Medicare Advantage Plans in Fremont County Colorado

There are 25 Medicare Advantage Plans available in Fremont County CO from 6 health insurance providers and 3 Special Needs Plans available. 8 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 Fremont County received a 5 overall star rating from CMS and the lowest rated plan is 4 stars.

(Click the Plan Name for More Details)


Plan Name Monthly
Premium
C+D
Part D
Deductible
Type  Gap  Max Out
of
Pocket
Overall Rating Formulary
Return to Counties In Colorado
AARP MedicareComplete SecureHorizons Essential (HMO)
(H0609-015)
$0.00 Local HMO * $5,500
AARP MedicareComplete SecureHorizons Plan 1 (HMO)
(H0609-002)
$40.00 $190.00 Local HMO No $4,500 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 2 (HMO)
(H0609-020)
$0.00 $215.00 Local HMO No $5,550 Browse
Formulary
AB Basic Plan (Cost)
(H0602-026)
$5.00 Cost * N/A
Colorado Choice Gold Plan (Cost)
(H0657-009)
$45.00 Cost * $3,400 NA
Colorado Choice Platinum Plan (Cost)
(H0657-010)
$70.00 Cost * $3,400 NA
Colorado Choice Silver Plan (Cost)
(H0657-008)
$20.00 Cost * $3,400 NA
Humana Gold Choice H8145-120 (PFFS)
(H8145-120)
$22.00 PFFS * N/A
Humana Gold Choice H8145-123 (PFFS)
(H8145-123)
$98.00 $300.00 PFFS Yes N/A Browse
Formulary
Humana Gold Plus H2649-042 (HMO)
(H2649-042)
$47.00 $250.00 Local HMO Yes $6,000 Browse
Formulary
Humana Gold Plus H2649-043 (HMO)
(H2649-043)
$0.00 $295.00 Local HMO Yes $6,700 Browse
Formulary
HumanaChoice H6609-110 (PPO)
(H6609-110)
$87.00 $0.00 Local PPO Yes $5,900 Browse
Formulary
HumanaChoice H6609-111 (PPO)
(H6609-111)
$0.00 Local PPO * $4,900
HumanaChoice H6609-112 (PPO)
(H6609-112)
$56.00 $200.00 Local PPO Yes $6,700 Browse
Formulary
HumanaChoice H6609-113 (PPO)
(H6609-113)
$300.00 $360.00 Local PPO No $6,700 Browse
Formulary
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-017)
$0.00 $0.00 Local HMO Yes $4,900 Browse
Formulary
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-018)
$40.00 $0.00 Local HMO Yes $4,200 Browse
Formulary
Rocky Mountain Green Plan (Cost)
(H0602-042)
$20.00 Cost * $6,700
Rocky Mountain Green Plan + Rx (Cost)
(H0602-043)
$85.10 $345.00 Cost No $6,700 Browse
Formulary
Rocky Mountain Plus Plan (Cost)
(H0602-003)
$175.00 Cost * $4,500
Rocky Mountain Plus Plan + Rx (Cost)
(H0602-019)
$284.50 $0.00 Cost Yes $4,500 Browse
Formulary
Rocky Mountain Standard Plan (Cost)
(H0602-007)
$55.00 Cost * $4,500
Rocky Mountain Standard Plan + Rx (Cost)
(H0602-020)
$145.90 $100.00 Cost No $4,500 Browse
Formulary
Rocky Mountain Thrifty Plan (Cost)
(H0602-027)
$40.00 Cost * $6,000
Rocky Mountain Thrifty Plan + Rx (Cost)
(H0602-039)
$99.30 $200.00 Cost No $6,000 Browse
Formulary

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



Medicare Special Needs Plans in Fremont county Colorado

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating Formulary
UnitedHealthcare Assisted Living Plan (PPO SNP)
(H0710- 008)
   $22.90 $75.00  No InstitutionalBrowse
Formulary
UnitedHealthcare Dual Complete (HMO SNP)
(H0624- 001)
   $21.00 $360.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 007)
   $29.90 $360.00  No InstitutionalBrowse
Formulary


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 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
  • (EA) 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.

  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

  • GAP

    In 2016 once you and your plan provider have spent $3310 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 45% of the plans cost for covered brand-name prescription drugs and 58% 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.

    Plans as of September 9, 2015.

    Plans are subject to change as contracts are finalized.

    Includes 2016 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2016, enhanced alternative plans 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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