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The 2019 Medicare Advantage Plans in Grayson County TX.
2017 Medicare Advantage Plans in Grayson County Texas
There are 9 Medicare Advantage Plans available in Grayson County TX from 4 health insurance providers and 3 Special Needs Plans available. 5 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 Grayson County received a 4 overall star rating from CMS and the lowest rated plan is 3 stars.
(Click the Plan Name for More Details)
|Type||Gap|| Max Out
|Aetna Medicare TX Connect Plus 1 (PPO)
|$0.00||$0.00||Local PPO||Yes||$6,000||Browse |
|Care Improvement Plus Medicare Advantage (Regional PPO)
|$36.00||$195.00||Regional PPO||No||$6,700||Browse |
|HumanaChoice H6609-108 (PPO)
|$77.00||$200.00||Local PPO||Yes||$6,700||Browse |
|HumanaChoice R5826-012 (Regional PPO)
|$80.00||$200.00||Regional PPO||Yes||$6,700||Browse |
|HumanaChoice R5826-026 (Regional PPO)
|$0.00||Regional PPO *||$4,900|
|HumanaChoice R5826-091 (Regional PPO)
|$42.00||$400.00||Regional PPO||Yes||$6,700||Browse |
|HumanaChoice Texas H6609-151 (PPO)
|$16.90||$360.00||Local PPO||Yes||$6,700||Browse |
|Prominence Plus (HMO)
|$0.00||$200.00||Local HMO||No||$3,400||NA||Browse |
|Prominence Prime (HMO)
|$0.00||Local HMO *||$6,700||NA|
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* Plan Type does not offer Medicare Part D drug coverage.
Medicare Special Needs Plans in Grayson county Texas
|Care Improvement Plus Dual Advantage (Regional PPO SNP)
|Care Improvement Plus Gold Rx (Regional PPO SNP)
|$15.00||$250.00||No||Chronic or Disabling Condition||Browse |
|Care Improvement Plus Silver Rx (Regional PPO SNP)
|$5.30||$400.00||No||Chronic or Disabling Condition||Browse |
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.
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
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.