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The 2020 Medicare Advantage Plans in Ashland County OH.



2017 Medicare Advantage Plans in Ashland County Ohio

There are 25 Medicare Advantage Plans available in Ashland County OH from 7 health insurance providers and 3 Special Needs Plans available. 17 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 Ashland County received a 4 overall star rating from CMS and the lowest rated plan is 3 stars.

(Click the Plan Name for More Details)

Name Monthly
Premium
C+D
Part D
Deductible
Type  Gap  Max Out
of
Pocket
Overall Rating Formulary
Aetna Medicare Choice Plan (PPO)
(H5521-134)
$90.00 $0.00 Local PPO Yes $5,000 Browse
Formulary
Aetna Medicare OH Connect Gold (Regional PPO)
(R6694-003)
$179.00 $0.00 Regional PPO Yes $3,500 Too NewBrowse
Formulary
Aetna Medicare OH Connect Gold 2 (Regional PPO)
(R6694-005)
$165.00 $245.00 Regional PPO No $3,500 Too NewBrowse
Formulary
Aetna Medicare Standard Plan (PPO)
(H5521-020)
$125.00 $200.00 Local PPO Yes $5,000 Browse
Formulary
Aetna Medicare Value Plan (HMO)
(H3931-107)
$0.00 $175.00 Local HMO Yes $5,700 Browse
Formulary
Anthem MediBlue Access (PPO)
(H4036-010)
$73.00 $50.00 Local PPO Yes $5,800 Browse
Formulary
Anthem MediBlue Access (Regional PPO)
(R5941-014)
$69.00 $20.00 Regional PPO Yes $6,000 Browse
Formulary
Anthem MediBlue Access Core (Regional PPO)
(R5941-013)
$17.00 Regional PPO * $5,400
Anthem MediBlue Essential (HMO)
(H3655-032)
$0.00 $60.00 Local HMO Yes $4,900 Browse
Formulary
Humana Gold Choice H8145-032 (PFFS)
(H8145-032)
$97.00 $200.00 PFFS Yes N/A Browse
Formulary
HumanaChoice H5525-030 (PPO)
(H5525-030)
$161.00 $100.00 Local PPO Yes $3,400 Browse
Formulary
HumanaChoice H6609-085 (PPO)
(H6609-085)
$42.00 $175.00 Local PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-007 (Regional PPO)
(R5826-007)
$94.00 $340.00 Regional PPO No $6,700 Browse
Formulary
HumanaChoice R5826-021 (Regional PPO)
(R5826-021)
$0.00 Regional PPO * $6,700
MedMutual Advantage Choice (HMO)
(H6723-002)
$29.00 $0.00 Local HMO Yes $3,700 Too NewBrowse
Formulary
MedMutual Advantage Classic (HMO)
(H6723-001)
$0.00 $195.00 Local HMO Yes $3,950 Too NewBrowse
Formulary
MedMutual Advantage Preferred (PPO)
(H4497-002)
$69.00 $0.00 Local PPO Yes $4,900 Too NewBrowse
Formulary
MedMutual Advantage Premium (PPO)
(H4497-003)
$109.00 $0.00 Local PPO Yes $3,600 Too NewBrowse
Formulary
MedMutual Advantage Select (PPO)
(H4497-001)
$39.00 $195.00 Local PPO Yes $6,350 Too NewBrowse
Formulary
SummaCare Medicare Ruby (HMO)
(H3660-044)
$40.00 $0.00 Local HMO Yes $3,600 Browse
Formulary
SummaCare Medicare Sapphire (HMO-POS)
(H3660-029)
$76.00 $0.00 Local HMO Yes $3,600 Browse
Formulary
The Health Plan SecureCare - Option I, MA Only (HMO)
(H3672-014)
$0.00 Local HMO * $4,500
The Health Plan SecureCare - Option II (HMO)
(H3672-013)
$40.00 $100.00 Local HMO No $4,500 Browse
Formulary
The Health Plan SecureCare - Option IV (HMO)
(H3672-018)
$0.00 $200.00 Local HMO No $4,500 Browse
Formulary
The Health Plan SecureChoice - Option II (PPO)
(H8604-010)
$60.00 $100.00 Local PPO No $6,700 NABrowse
Formulary
Return to 2017 Medicare Advantage Plans in Ohio

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



Medicare Special Needs Plans in Ashland county Ohio

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Anthem MediBlue Dual Advantage (HMO SNP)
(H3655- 033)
   $32.30 $400.00  Yes Dual-EligibleBrowse
Formulary
The Health Plan SecureCare SNP (HMO SNP)
(H3672- 017)
   $32.30 $400.00  No Dual-EligibleBrowse
Formulary
UnitedHealthcare Dual Complete (HMO-POS SNP)
(H5322- 028)
   $32.30 $400.00  No Dual-EligibleBrowse
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 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 2017 once you and your plan provider have spent $3700 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 40% of the plans cost for covered brand-name prescription drugs and 51% 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 6, 2016.

    Plans are subject to change as contracts are finalized.

    Includes 2017 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2017, 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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