x

You are Currently Viewing the 2018 Medicare Plans.
Click here If you Would Like to See
The 2019 Medicare Advantage Plans in Clay County MN.



2018 Medicare Advantage Plans in Clay County Minnesota

There are 39 Medicare Advantage Plans available in Clay County MN from 7 different health insurance providers. 5 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. The highest rated plan available in Clay County received a 5 overall star rating from CMS and the lowest rated plan is 4 stars. Clay County Minnesota residents can also pick from 3 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
 Gap  MOOP Overall Rating Formulary Sign Up
Blue Cross Medicare Advantage Choice (PPO)
$115.80 $405.00 No $6,700 Formulary
Blue Cross Medicare Advantage Core (PPO)
$52.10 $405.00 No $6,700 Formulary
EssentiaCare Grand (PPO)
$117.00 $250.00 No $3,500 Formulary
EssentiaCare Secure (PPO)
$41.00 $300.00 No $4,500 Formulary
HealthPartners Freedom Active (Cost)
$70.20 $3,000
HealthPartners Freedom Active with Rx (Cost)
$109.40 $180.00 Yes $3,000 Formulary
HealthPartners Freedom Balance (Cost)
$90.30 $3,000
HealthPartners Freedom Balance with Rx (Cost)
$138.80 $175.00 Yes $3,000 Formulary
HealthPartners Freedom Basic (Cost)
$32.90 N/A
HealthPartners Freedom Ultimate (Cost)
$164.80 $3,000
HealthPartners Freedom Ultimate with Enhanced Rx (Cost)
$375.90 $115.00 Yes $3,000 Formulary
HealthPartners Freedom Ultimate with Rx (Cost)
$232.90 $115.00 No $3,000 Formulary
HealthPartners Freedom Vital (Cost)
$38.90 $3,400
HealthPartners Freedom Vital with Rx (Cost)
$69.40 $195.00 Yes $3,400 Formulary
HumanaChoice H5216-063 (PPO)
$107.00 $250.00 No $3,000 FormularyEnroll
HumanaChoice H5216-080 (PPO)
$87.00 $280.00 No $6,700 FormularyEnroll
HumanaChoice H5216-086 (PPO)
$0.00 $6,700 Enroll
HumanaChoice H5216-092 (PPO)
$29.00 $385.00 No $6,700 FormularyEnroll
Medica Prime Solution Basic (Cost)
$79.00 $3,400
Medica Prime Solution Basic w/Rx (Cost)
$108.30 $260.00 No $3,400 Formulary
Medica Prime Solution Basic w/Rx 2 (Cost)
$131.70 $0.00 No $3,400 Formulary
Medica Prime Solution Enhanced (Cost)
$157.00 $3,000
Medica Prime Solution Enhanced w/Rx (Cost)
$192.70 $215.00 No $3,000 Formulary
Medica Prime Solution Enhanced w/Rx 2 (Cost)
$210.70 $0.00 No $3,000 Formulary
Medica Prime Solution Thrift (Cost)
$49.00 $6,700
Medica Prime Solution Thrift w/Rx (Cost)
$77.40 $260.00 No $6,700 Formulary
Medica Prime Solution Value (Cost)
$67.00 $4,000
Medica Prime Solution Value w/Rx (Cost)
$94.40 $260.00 No $4,000 Formulary
Medica Prime Solution Value w/Rx 2 (Cost)
$118.60 $0.00 No $4,000 Formulary
Platinum Blue Choice Plan (Cost)
$74.00 $4,000
Platinum Blue Choice Plan with Rx (Cost)
$108.30 $405.00 No $4,000 Formulary
Platinum Blue Complete Plan (Cost)
$145.00 $4,000
Platinum Blue Complete Plan with Rx (Cost)
$197.10 $405.00 No $4,000 Formulary
Platinum Blue Core Plan (Cost)
$29.00 $6,000
Platinum Blue Core Plan with Rx (Cost)
$49.40 $405.00 No $6,000 Formulary
UCare for Seniors Classic (HMO-POS)
$196.00 $200.00 Yes $3,400 Formulary
UCare for Seniors Essentials Rx (HMO-POS)
$66.00 $300.00 No $3,400 Formulary
UCare for Seniors Value (HMO-POS)
$39.00 $3,400
UCare for Seniors Value Plus (HMO-POS)
$150.00 $250.00 No $3,400 Formulary
Return to 2018 Medicare Advantage Plans in Minnesota

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



2018 Medicare Special Needs Plans in Clay county Minnesota

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Medica DUAL Solution (HMO SNP)
(H2458- 002)
   $33.00 $405.00  No Dual-Eligible
SecureBlue (HMO) SNP (HMO SNP)
(H2425- 001)
   $22.10 $405.00  No Dual-Eligible
UCare's Minnesota Senior Health Options (HMO SNP)
(H2456- 002)
   $30.10 $405.00  No Dual-Eligible


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 2018 once you and your plan provider have spent $3750 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 35% of the plans cost for covered brand-name prescription drugs and 44% 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 5, 2017.

Plans are subject to change as contracts are finalized.

Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, 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.

Call For A licensed Sales Agent

1-855-492-4169

  • Mon-Fri 8:30am-8:00pm


Call to Enroll!