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The 2020 Medicare Advantage Plans in Preble County OH.

2018 Medicare Advantage Plans in Preble County Ohio

There are 32 Medicare Advantage Plans available in Preble County OH from 10 different health insurance providers. 14 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2900 and the highest out of pocket is $6700. The highest rated plan available in Preble County received a 4 overall star rating from CMS and the lowest rated plan is 2.5 stars. Preble County Ohio residents can also pick from 6 Medicare Special Needs Plans.

(Click the Plan Name for More Details)

Name Premium
Part D
 Gap  MOOP Overall Rating Formulary Sign Up
AARP MedicareComplete Plan 2 (HMO)
$34.00 $170.00 No $4,900 FormularyEnroll
AARP MedicareComplete Plan 3 (HMO)
$115.00 $0.00 No $2,900 FormularyEnroll
AARP MedicareComplete Plan 6 (HMO)
$0.00 $255.00 No $6,000 FormularyEnroll
Aetna Medicare OH Connect Gold (Regional PPO)
$187.00 $0.00 Yes $3,500 Formulary
Aetna Medicare OH Connect Gold 2 (Regional PPO)
$177.00 $150.00 No $3,500 Formulary
Anthem MediBlue Access (PPO)
$70.00 $50.00 Yes $6,200 FormularyEnroll
Anthem MediBlue Access Basic (Regional PPO)
$75.00 $200.00 Yes $6,000 FormularyEnroll
Anthem MediBlue Access Core (Regional PPO)
$18.00 $5,400 Enroll
Anthem MediBlue Access Plus (PPO)
$89.00 $40.00 Yes $4,300 FormularyEnroll
Anthem MediBlue Essential (HMO)
$0.00 $60.00 Yes $4,900 FormularyEnroll
Anthem MediBlue Plus (HMO)
$62.00 $60.00 Yes $4,100 FormularyEnroll
Gateway Health Medicare Assured Prime (HMO)
$107.00 $250.00 No $6,700 Formulary
Gateway Health Medicare Assured Select (HMO)
$0.00 $200.00 No $6,700 Formulary
Humana Gold Choice H8145-032 (PFFS)
$103.00 $225.00 No N/A FormularyEnroll
Humana Gold Plus H6622-012 (HMO)
$0.00 $195.00 No $6,700 FormularyEnroll
Humana Gold Plus H6622-020 (HMO)
$103.00 $125.00 No $5,900 FormularyEnroll
HumanaChoice H5216-023 (PPO)
$57.00 $175.00 No $6,700 FormularyEnroll
HumanaChoice H5216-109 (PPO)
$25.00 $195.00 No $6,700 FormularyEnroll
HumanaChoice H5525-030 (PPO)
$163.00 $100.00 No $3,400 Formulary
HumanaChoice R5495-001 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R5495-002 (Regional PPO)
$96.00 $320.00 No $6,700 FormularyEnroll
MedMutual Advantage Choice (HMO)
$80.00 $95.00 Yes $3,950 FormularyEnroll
MedMutual Advantage Classic (HMO)
$48.00 $195.00 Yes $4,300 FormularyEnroll
MedMutual Advantage Plus (HMO)
$109.00 $95.00 Yes $3,400 Formulary
MedMutual Advantage Preferred (PPO)
$132.00 $95.00 Yes $5,700 FormularyEnroll
MedMutual Advantage Premium (PPO)
$175.00 $95.00 Yes $3,400 FormularyEnroll
MedMutual Advantage Select (PPO)
$95.00 $195.00 Yes $6,500 FormularyEnroll
Premier Health Advantage (HMO)
$0.00 $125.00 Yes $5,500 Formulary
Premier Health Advantage Choice (HMO-POS)
$19.00 $125.00 Yes $6,700 Formulary
Reid Health Alliance Medicare HMO (HMO)
$0.00 $6,700
Reid Health Alliance Medicare HMO Rx (HMO)
$52.00 $0.00 No $6,700 Formulary
Reid Health Alliance Medicare HMO Rx Plus (HMO)
$92.00 $0.00 No $6,000 Formulary
Return to 2018 Medicare Advantage Plans in Ohio

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

2018 Medicare Special Needs Plans in Preble county Ohio

Plan Name Monthly
Premium C+D
Part D
 Gap  Special Needs
Overall Rating
Anthem MediBlue Dual Advantage (HMO SNP)
(H3655- 033)
   $32.00 $405.00  Yes Dual-Eligible
Gateway Health Medicare Assured Diamond (HMO SNP)
(H9190- 001)
   $31.90 $405.00  No Dual-Eligible
Gateway Health Medicare Assured Ruby (HMO SNP)
(H9190- 002)
   $31.90 $405.00  No Dual-Eligible
Molina Medicare Options Plus (HMO SNP)
(H0490- 004)
   $32.00 $405.00  No Dual-Eligible
Premier Health Advantage VIP (HMO SNP)
(H3233- 002)
   $32.00 $405.00  No Dual-Eligible
UnitedHealthcare Dual Complete (HMO-POS SNP)
(H5322- 028)
   $22.30 $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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