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The 2020 Medicare Advantage Plans in Fort Bend County TX.



2017 Medicare Advantage Plans in Fort Bend County Texas

There are 34 Medicare Advantage Plans available in Fort Bend County TX from 11 health insurance providers and 10 Special Needs Plans available. 22 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2700 and the highest out of pocket is $6700. The highest rated plan available in Fort Bend County received a 5 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
AARP MedicareComplete Plan 1 (HMO)
(H4527-037)
$0.00 $50.00 Local HMO No $3,400 Browse
Formulary
AARP MedicareComplete Plan 2 (HMO)
(H4514-007)
$0.00 $200.00 Local HMO No $6,700 Browse
Formulary
Aetna Medicare Choice Plan (PPO)
(H5521-060)
$19.00 $0.00 Local PPO Yes $6,000 Browse
Formulary
Aetna Medicare Premier Plan (HMO)
(H4523-015)
$0.00 $0.00 Local HMO Yes $6,700 Browse
Formulary
Aetna Medicare Prime Plan (HMO)
(H4523-024)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Aetna Medicare TX Connect Plus 2 (PPO)
(H5521-106)
$99.00 $0.00 Local PPO Yes $3,500 Browse
Formulary
Aetna Medicare Value Plan (PPO)
(H5521-094)
$124.00 $0.00 Local PPO Yes $6,700 Browse
Formulary
Amerivantage Classic (HMO)
(H5817-020)
$0.00 $0.00 Local HMO Yes $5,600 Browse
Formulary
Amerivantage Select (HMO)
(H5817-023)
$0.00 $0.00 Local HMO Yes $2,750 Browse
Formulary
Blue Cross Medicare Advantage Basic (HMO)
(H8133-001)
$0.00 $0.00 Local HMO Yes $2,900 NABrowse
Formulary
Blue Cross Medicare Advantage Basic Plus (HMO-POS)
(H8133-012)
$0.00 $0.00 Local HMO Yes $4,200 NABrowse
Formulary
Blue Cross Medicare Advantage Choice Plus (PPO)
(H1666-006)
$31.60 $0.00 Local PPO Yes $4,900 Browse
Formulary
Blue Cross Medicare Advantage Choice Premier (PPO)
(H1666-003)
$74.00 $0.00 Local PPO Yes $4,900 Browse
Formulary
Blue Cross Medicare Advantage Premier (HMO)
(H8133-011)
$48.00 $0.00 Local HMO Yes $2,700 NABrowse
Formulary
Care Improvement Plus Medicare Advantage (Regional PPO)
(R6801-012)
$36.00 $195.00 Regional PPO No $6,700 Browse
Formulary
Humana Gold Choice H8145-084 (PFFS)
(H8145-084)
$103.00 $250.00 PFFS Yes N/A Browse
Formulary
Humana Gold Plus H2649-052 (HMO)
(H2649-052)
$0.00 $360.00 Local HMO Yes $6,700 Browse
Formulary
HumanaChoice H6609-108 (PPO)
(H6609-108)
$77.00 $200.00 Local PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-012 (Regional PPO)
(R5826-012)
$80.00 $200.00 Regional PPO Yes $6,700 Browse
Formulary
HumanaChoice R5826-026 (Regional PPO)
(R5826-026)
$0.00 Regional PPO * $4,900
HumanaChoice R5826-091 (Regional PPO)
(R5826-091)
$42.00 $400.00 Regional PPO Yes $6,700 Browse
Formulary
HumanaChoice Texas H6609-151 (PPO)
(H6609-151)
$16.90 $360.00 Local PPO Yes $6,700 Browse
Formulary
KelseyCare Advantage Essential (HMO)
(H0332-001)
$0.00 Local HMO * $3,400
KelseyCare Advantage Essential+Choice (HMO-POS)
(H0332-003)
$0.00 Local HMO * $3,400
KelseyCare Advantage Rx (HMO)
(H0332-002)
$0.00 $50.00 Local HMO Yes $3,400 Browse
Formulary
KelseyCare Advantage Rx+Choice (HMO-POS)
(H0332-004)
$77.00 $50.00 Local HMO Yes $3,400 Browse
Formulary
Memorial Hermann Advantage (HMO)
(H7115-001)
$0.00 $300.00 Local HMO No $6,700 Browse
Formulary
Memorial Hermann Advantage (PPO)
(H2968-001)
$0.00 $300.00 Local PPO No $6,700 NABrowse
Formulary
TexanPlus Choice (HMO-POS)
(H4506-029)
$0.00 $0.00 Local HMO Yes $6,700 Browse
Formulary
TexanPlus Classic (HMO)
(H4506-003)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
TexanPlus Value (HMO)
(H4506-010)
$0.00 Local HMO * $3,000
WellCare Dividend (HMO)
(H1264-008)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
WellCare Dividend Prime (HMO)
(H1264-022)
$0.00 $200.00 Local HMO No $6,700 Browse
Formulary
WellCare Value (HMO-POS)
(H1264-004)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
Return to 2017 Medicare Advantage Plans in Texas

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



Medicare Special Needs Plans in Fort Bend county Texas

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Amerivantage Dual Coordination (HMO SNP)
(H5817- 024)
   $27.30 $400.00  Yes Dual-EligibleBrowse
Formulary
Care Improvement Plus Dual Advantage (Regional PPO SNP)
(R6801- 011)
   $23.50 $400.00  No Dual-EligibleBrowse
Formulary
Care Improvement Plus Gold Rx (Regional PPO SNP)
(R6801- 009)
   $15.00 $250.00  No Chronic or Disabling ConditionBrowse
Formulary
Care Improvement Plus Silver Rx (Regional PPO SNP)
(R6801- 008)
   $5.30 $400.00  No Chronic or Disabling ConditionBrowse
Formulary
Humana Gold Plus SNP-DE H2649-048 (HMO SNP)
(H2649- 048)
   $26.10 $250.00  No Dual-EligibleBrowse
Formulary
Humana Kidney Care (HMO-POS SNP)
(H2649- 056)
   $26.10 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
TexanPlus Star (HMO SNP)
(H0174- 001)
   $27.30 $400.00  No Dual-EligibleToo NewBrowse
Formulary
UnitedHealthcare Dual Complete (HMO SNP)
(H4514- 001)
   $27.30 $400.00  No Dual-EligibleBrowse
Formulary
WellCare Access (HMO SNP)
(H1264- 007)
   $12.80 $400.00  No Dual-EligibleBrowse
Formulary
WellCare Liberty (HMO SNP)
(H1264- 021)
   $12.30 $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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