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The 2020 Medicare Advantage Plans in Cumberland County ME.

2018 Medicare Advantage Plans in Cumberland County Maine

There are 21 Medicare Advantage Plans available in Cumberland County ME from 8 different health insurance providers. 4 of these Medicare 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 Cumberland County received a Not enough data available overall star rating from CMS and the lowest rated plan is 3.5 stars. Cumberland County Maine residents can also pick from 4 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete Choice (Regional PPO)
$81.00 $0.00 No $3,500 FormularyEnroll
AARP MedicareComplete Choice Plan 1 (PPO)
$0.00 $250.00 No $5,500 FormularyEnroll
AARP MedicareComplete Choice Plan 2 (PPO)
$49.00 $0.00 No $3,900 FormularyEnroll
Aetna Medicare Freedom Plan (PPO)
$19.00 $0.00 Yes $6,700 FormularyEnroll
Aetna Medicare Value Plan (HMO)
$0.00 $0.00 Yes $6,700 FormularyEnroll
Anthem MediBlue Access (PPO)
$93.00 $400.00 No $6,000 FormularyEnroll
Anthem MediBlue Choice (HMO-POS)
$22.00 $325.00 No $5,500 Formulary
Anthem MediBlue Plus (HMO)
$0.00 $405.00 Yes $6,000 FormularyEnroll
Harvard Pilgrim Stride Value Rx (HMO)
$12.00 $300.00 No $6,700 FormularyEnroll
Harvard Pilgrim Stride Value Rx Plus (HMO)
$74.00 $0.00 Yes $4,900 FormularyEnroll
Humana Gold Plus H5619-001 (HMO)
$0.00 $300.00 No $6,700 FormularyEnroll
Humana Gold Plus H5619-066 (HMO)
$0.00 $355.00 No $6,700 FormularyEnroll
Martin's Point Generations Advantage Prime (HMO-POS)
$0.00 $0.00 No $5,500 Formulary
Martin's Point Generations Advantage Select (PPO)
$99.00 $0.00 No $6,700 Formulary
Martin's Point Generations Advantage Value (HMO)
$0.00 $5,500
Today's Options Advantage Plus 150A (PPO)
$105.00 $0.00 No $3,400 FormularyEnroll
Today's Options Advantage Plus 550B (PPO)
$19.00 $0.00 No $6,700 FormularyEnroll
Today's Options Premier 200 (PFFS)
$62.00 N/A Enroll
Today's Options Premier 300 (PFFS)
$0.00 N/A Enroll
Today's Options Premier Plus 250A (PFFS)
$123.00 $0.00 No N/A FormularyEnroll
Today's Options Premier Plus 650B (PFFS)
$24.00 $0.00 No N/A FormularyEnroll
Return to 2018 Medicare Advantage Plans in Maine

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

2018 Medicare Special Needs Plans in Cumberland county Maine

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Anthem MediBlue Dual Advantage (HMO SNP)
(H8432- 002)
   $34.30 $405.00  Yes Dual-Eligible
Humana Gold Plus SNP-DE H5619-003 (HMO SNP)
(H5619- 003)
   $11.60 $265.00  No Dual-Eligible
Martin's Point Generations Advantage Focus DC (HMO SNP)
(H5591- 007)
   $0.00 $0.00  Yes Chronic or Disabling Condition
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 015)
   $34.30 $405.00  No Institutional

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


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.

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