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The 2020 Medicare Advantage Plans in Franklin County MO.

2018 Medicare Advantage Plans in Franklin County Missouri

There are 14 Medicare Advantage Plans available in Franklin County MO from 5 different health insurance providers. 7 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2430 and the highest out of pocket is $6700. The highest rated plan available in Franklin County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars. Franklin County Missouri residents can also pick from 5 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete (HMO)
$0.00 $150.00 No $2,900 FormularyEnroll
AARP MedicareComplete Choice Plan 1 (PPO)
$30.00 $150.00 No $4,400 FormularyEnroll
AARP MedicareComplete Choice Plan 2 (PPO)
$70.00 $0.00 No $2,900 FormularyEnroll
Advantra (PPO)
$56.00 $0.00 Yes $6,000 FormularyEnroll
Advantra Option 1 (HMO-POS)
$41.00 $0.00 Yes $5,200 FormularyEnroll
Advantra Option 2 (HMO)
$86.00 $0.00 Yes $2,430 FormularyEnroll
Anthem MediBlue Access (PPO)
$47.00 $0.00 Yes $5,900 Formulary
Anthem MediBlue Plus (HMO)
$0.00 $40.00 Yes $3,400 FormularyEnroll
Care Improvement Plus Medicare Advantage (Regional PPO)
$39.00 $150.00 No $6,700 FormularyEnroll
Coventry Total Care (HMO-POS)
$0.00 $0.00 Yes $3,000 FormularyEnroll
Gold Advantage (HMO)
$0.00 $0.00 Yes $2,900 FormularyEnroll
Humana Gold Plus H2649-023 (HMO)
$0.00 $195.00 No $3,400 FormularyEnroll
HumanaChoice R1532-001 (Regional PPO)
$0.00 $4,500 Enroll
HumanaChoice R1532-002 (Regional PPO)
$132.00 $250.00 No $6,700 FormularyEnroll
Return to 2018 Medicare Advantage Plans in Missouri

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

2018 Medicare Special Needs Plans in Franklin county Missouri

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Anthem MediBlue Dual Advantage (HMO SNP)
(H9886- 003)
   $30.00 $405.00  Yes Dual-Eligible
Care Improvement Plus Dual Advantage (Regional PPO SNP)
(R3444- 011)
   $24.30 $405.00  No Dual-Eligible
Care Improvement Plus Gold Rx (Regional PPO SNP)
(R3444- 009)
   $29.00 $150.00  No Chronic or Disabling Condition
Care Improvement Plus Silver Rx (Regional PPO SNP)
(R3444- 008)
   $0.00 $370.00  No Chronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO SNP)
(H0169- 002)
   $26.10 $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


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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