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The 2019 Medicare Advantage Plans in Thurston County WA.



2017 Medicare Advantage Plans in Thurston County Washington

There are 22 Medicare Advantage Plans available in Thurston County WA from 7 health insurance providers and 1 Special Needs Plans available. 2 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2000 and the highest out of pocket is $6700. The highest rated plan available in Thurston County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 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)
(H3805-014)
$82.00 $160.00 Local HMO No $4,200 Browse
Formulary
AARP MedicareComplete Plan 2 (HMO)
(H3805-018)
$0.00 $175.00 Local HMO No $6,700 Browse
Formulary
AARP MedicareComplete Plan 3 (HMO)
(H3805-015)
$52.00 $200.00 Local HMO No $5,900 Browse
Formulary
Group Health Cooperative Basic (HMO)
(H5050-001)
$99.00 Local HMO * $2,000
Group Health Cooperative Essential (HMO)
(H5050-009)
$129.00 $0.00 Local HMO No $4,500 Browse
Formulary
Group Health Cooperative Optimal (HMO)
(H5050-004)
$270.00 $0.00 Local HMO No $2,000 Browse
Formulary
Group Health Cooperative Vital (HMO)
(H5050-013)
$28.00 $0.00 Local HMO No $5,900 Browse
Formulary
Health Alliance Medicare Pioneer Basic Rx (HMO)
(H3471-012)
$0.00 $400.00 Local HMO No $6,700 Browse
Formulary
Health Alliance Medicare Pioneer HMO (HMO)
(H3471-009)
$22.00 Local HMO * $5,550
Health Alliance Medicare Pioneer Rx (HMO)
(H3471-007)
$54.00 $400.00 Local HMO No $5,700 Browse
Formulary
Health Alliance Medicare Pioneer Rx Plus (HMO)
(H3471-008)
$98.00 $400.00 Local HMO No $4,200 Browse
Formulary
Humana Gold Plus H2012-090 (HMO)
(H2012-090)
$37.00 $160.00 Local HMO Yes $5,700 Browse
Formulary
Humana Gold Plus H2012-108 (HMO)
(H2012-108)
$0.00 $260.00 Local HMO Yes $6,700 Browse
Formulary
Premera Blue Cross Medicare Advantage (HMO)
(H7245-001)
$0.00 $320.00 Local HMO No $6,700 Browse
Formulary
Premera Blue Cross Medicare Advantage Classic (HMO)
(H7245-002)
$75.00 $275.00 Local HMO No $6,700 Browse
Formulary
Premera Blue Cross Medicare Advantage Classic Plus (HMO)
(H7245-003)
$128.00 $200.00 Local HMO No $5,000 Browse
Formulary
Regence MedAdvantage + Rx Classic (PPO)
(H5009-002)
$172.00 $215.00 Local PPO No $6,700 Browse
Formulary
Regence MedAdvantage Basic (PPO)
(H5009-001)
$145.00 Local PPO * $6,700
Soundpath Health Alpine (HMO)
(H9302-004)
$47.00 Local HMO * $5,700
Soundpath Health Charter + Rx (HMO)
(H9302-003)
$148.00 $0.00 Local HMO No $3,900 Browse
Formulary
Soundpath Health Peak + Rx (HMO)
(H9302-011)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
Soundpath Health Sound + Rx (HMO)
(H9302-007)
$47.00 $0.00 Local HMO No $5,700 Browse
Formulary
Return to 2017 Medicare Advantage Plans in Washington

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



Medicare Special Needs Plans in Thurston county Washington

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
UnitedHealthcare Dual Complete (HMO SNP)
(H5008- 002)
   $34.80 $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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