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The 2021 Medicare Advantage Plans in Clay County AL.
2020 Clay County Alabama
Medicare Advantage Plans
There are 10 Medicare Advantage Plans available in Clay County AL from 4 different health insurance providers. 3 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. Clay County Alabama residents can also pick from 3 Medicare Special Needs Plans. The highest rated plan available in Clay County received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars
(Click the Plan Name for More Details)
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|AARP Medicare Advantage Plan 1 (HMO)
|AARP Medicare Advantage Plan 2 (HMO)
|Aetna Medicare Freedom Plan (PPO)
|Blue Advantage Complete (PPO)
|Blue Advantage Premier (PPO)
|Humana Gold Choice H8145-075 (PFFS)
|Humana Value Plus H5216-179 (PPO)
|HumanaChoice R7315-002 (Regional PPO)
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Medicare Advantage Health Plans Without Drug Coverage
|Plan Name ⇅||Premium||Type||MOOP||Overall
|Aetna Medicare Basics Plan (PPO)
||$0||Local PPO *||$6,400||Enroll|
|Humana Honor (Regional PPO)
||$0||Regional PPO *||$3,400||Enroll|
2020 Medicare Special Needs Plans in Clay county Alabama
|Plan Name ⇅||Monthly
|Simpra Advantage (PPO D-SNP)||$28.70||$435.0||No||Dual-Eligible||NA|
|Simpra Advantage (PPO I-SNP)||$28.70||$435.0||No||Institutional||NA|
|UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP)||$15.30||$435.0||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
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
In 2020 once you and your plan provider have spent $4020 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 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage.
Data as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, 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.