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The 2019 Medicare Advantage Plans in Maricopa County AZ.



2018 Medicare Advantage Plans in Maricopa County Arizona

There are 22 Medicare Advantage Plans available in Maricopa County AZ 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 $3000 and the highest out of pocket is $6700. The highest rated plan available in Maricopa County received a 4 overall star rating from CMS and the lowest rated plan is 3 stars. Maricopa County Arizona residents can also pick from 16 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
AARP MedicareComplete Plan 1 (HMO)
$0.00 $230.00 No $4,900 FormularyEnroll
AARP MedicareComplete Plan 2 (HMO)
$0.00 $0.00 No $4,000 FormularyEnroll
Aetna Medicare Platinum Plan (HMO)
$26.00 $95.00 Yes $6,000 Formulary
Aetna Medicare Platinum Plan (PPO)
$106.00 $250.00 Yes $5,000 Formulary
Aetna Medicare Prime Plan (HMO)
$0.00 $0.00 Yes $3,000 FormularyEnroll
Aetna Medicare Prime Plan (PPO)
$66.00 $150.00 Yes $6,700 FormularyEnroll
Allwell Medicare Complement (HMO)
$0.00 $6,700
Allwell Medicare Essentials I (HMO)
$0.00 $0.00 No $3,950 Formulary
Allwell Medicare Essentials II (HMO)
$0.00 $0.00 No $4,000 Formulary
Allwell Medicare Premier (HMO)
$59.00 $0.00 No $3,800 FormularyEnroll
Blue Medicare Advantage Classic (HMO)
$0.00 $195.00 No $3,400 FormularyEnroll
Blue Medicare Advantage Plus (HMO)
$35.00 $100.00 No $3,200 FormularyEnroll
Bright Advantage (HMO)
$0.00 $0.00 No $3,750 Formulary
Bright Advantage Plus (HMO)
$28.00 $0.00 No $3,500 Formulary
Cigna-HealthSpring Preferred (HMO)
$0.00 $200.00 No $3,950 FormularyEnroll
Humana Gold Choice H8145-103 (PFFS)
$190.00 $225.00 No N/A FormularyEnroll
Humana Gold Plus H2649-030 (HMO)
$83.00 $205.00 No $4,900 FormularyEnroll
Humana Gold Plus H2649-032 (HMO)
$0.00 $225.00 No $5,500 FormularyEnroll
Humana Gold Plus H2649-063 (HMO)
$0.00 $0.00 No $3,200 FormularyEnroll
HumanaChoice H5216-034 (PPO)
$123.00 $225.00 No $6,700 FormularyEnroll
HumanaChoice R7220-001 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R7220-002 (Regional PPO)
$164.00 $340.00 No $6,700 FormularyEnroll
Return to 2018 Medicare Advantage Plans in Arizona

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



2018 Medicare Special Needs Plans in Maricopa county Arizona

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Allwell Cardio Medicare (HMO SNP)
(H0351- 042)
   $0.00 $0.00  No Chronic or Disabling Condition
Allwell CHF/Diabetes Medicare (HMO SNP)
(H0351- 038)
   $0.00 $0.00  No Chronic or Disabling Condition
Allwell Dual Medicare (HMO SNP)
(H5590- 003)
   $32.80 $405.00  No Dual-Eligible
Care1st+ (HMO SNP)
(H5430- 001)
   $11.30 $405.00  No Dual-Eligible
CareMore Care To You (HMO SNP)
(H2593- 019)
   $0.00 $0.00  Yes Institutional
Cigna-HealthSpring Achieve Plus (HMO SNP)
(H0354- 027)
   $0.00 $200.00  No Chronic or Disabling Condition
Fresenius Total Health (PPO SNP)
(H9312- 001)
   $32.90 $405.00  No Chronic or Disabling Condition
Health Choice Generations (HMO SNP)
(H5587- 002)
   $32.90 $405.00  No Dual-Eligible
Mercy Care Advantage (HMO SNP)
(H5580- 005)
   $32.90 $405.00  No Dual-Eligible
Mercy Care Advantage (HMO SNP)
(H5580- 004)
   $32.90 $405.00  No Dual-Eligible
Mercy Care Advantage (HMO SNP)
(H5580- 001)
   $32.90 $405.00  No Dual-Eligible
UnitedHealthcare Assisted Living Plan (PPO SNP)
(H0710- 006)
   $27.40 $200.00  No Institutional
UnitedHealthcare Dual Complete (HMO SNP)
(H0321- 002)
   $20.80 $405.00  No Dual-Eligible
UnitedHealthcare Dual Complete ONE (HMO SNP)
(H0321- 004)
   $20.10 $405.00  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO SNP)
(H0710- 005)
   $32.90 $405.00  No Institutional
University Care Advantage (HMO SNP)
(H4931- 015)
   $32.90 $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.

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