2020 Collin County Texas
Medicare Advantage Plans

There are 41 Medicare Advantage Plans available in Collin County TX from 14 different health insurance providers. 12 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2500 and the highest out of pocket is $6700. Collin County Texas residents can also pick from 18 Medicare Special Needs Plans. The highest rated plan available in Collin County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
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AARP Medicare Advantage (HMO-POS)
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$0 $255.00 $3,400 NoEnroll
AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
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$0 $225.00 $3,900 NoEnroll
AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)
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$73.00 $75.00 $3,200 NoEnroll
Aetna Medicare Choice II Plan (PPO)
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$15.00 $300.00 $6,700 YesToo NewEnroll
Aetna Medicare Choice Plan (PPO)
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$0 $350.00 $6,000 YesToo NewEnroll
Aetna Medicare Prime Plan (HMO)
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$0 $250.00 $3,400 YesEnroll
Allwell Medicare (HMO)
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$0 $0 $3,700 NoEnroll
Amerivantage Classic (HMO)
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$0 $0 $2,500 YesEnroll
Blue Cross Medicare Advantage Choice Plus (PPO)
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$0 $435.00 $6,700 YesEnroll
Blue Cross Medicare Advantage Choice Premier (PPO)
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$62.00 $435.00 $5,900 YesEnroll
Blue Cross Medicare Advantage Value (HMO)
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$0 $200.00 $3,400 YesToo NewEnroll
Care N Care Choice (PPO)
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$0 $0 $3,900 YesEnroll
Care N Care Choice Plus (PPO)
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$55.00 $0 $3,400 YesEnroll
Care N Care Choice Premium (PPO)
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$200.00 $0 $3,100 YesEnroll
Care N Care Classic (HMO)
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$0 $0 $2,900 YesEnroll
Cigna-HealthSpring Preferred (HMO)
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$0 $0 $3,900 NoEnroll
Cigna-HealthSpring Preferred (PPO)
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$0 $0 $4,900 NoEnroll
Erickson Advantage Freedom (HMO-POS)
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$60.00 $200.00 $4,200 NoEnroll
Erickson Advantage Liberty with Drugs (HMO)
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$25.00 $250.00 $6,700 NoEnroll
Erickson Advantage Signature with Drugs (HMO-POS)
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$195.00 $0 $2,900 NoEnroll
Humana Gold Choice H8145-084 (PFFS)
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$134.00 $250.00 $- NoEnroll
Humana Gold Plus H0028-043 (HMO)
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$0 $200.00 $5,200 NoEnroll
HumanaChoice H5216-042 (PPO)
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$92.00 $175.00 $6,700 NoEnroll
HumanaChoice H5216-043 (PPO)
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$18.00 $295.00 $6,700 NoEnroll
HumanaChoice R4182-003 (Regional PPO)
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$95.00 $175.00 $6,700 NoEnroll
HumanaChoice R4182-004 (Regional PPO)
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$54.00 $175.00 $6,700 NoEnroll
Imperial Health Insurance Traditional (HMO)
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$0 $0 $4,000 YesToo NewEnroll
Mutual of Omaha CareAdvantage Complete (HMO)
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$0 $0 $3,900 NoToo NewEnroll
Mutual of Omaha CareAdvantage Rewards (HMO)
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$0 $0 $5,900 NoToo NewEnroll
SeniorCare Advantage (PPO)
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$36.00 $300.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Choice (Regional PPO)
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$42.00 $395.00 $6,700 NoEnroll
WellCare Premier (PPO)
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$0 $200.00 $5,900 NoToo NewEnroll
WellCare TexanPlus Classic (HMO)
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$0 $0 $4,900 NoEnroll


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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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AARP Medicare Advantage SecureHorizons Essential (HMO-POS
$0 Local HMO * $3,900 Enroll
Care N Care Choice MA-Only (PPO)
$0 Local PPO * $3,000
Cigna-HealthSpring Advantage (PPO)
$0 Local PPO * $3,400 Enroll
Erickson Advantage Liberty without Drugs (HMO)
$0 Local HMO * $6,700
Humana Gold Choice H8145-126 (PFFS)
$69.00 PFFS * $- Enroll
HumanaChoice H5216-128 (PPO)
$0 Local PPO * $5,400 Enroll
HumanaChoice R4182-001 (Regional PPO)
$0 Regional PPO * $5,700 Enroll
Lasso Healthcare (MSA)
MSA * $- NA





2020 Medicare Special Needs Plans in Collin county Texas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Dual Complete Plan (HMO D-SNP)     $15.20 $275.0  No Dual-EligibleToo New
Allwell Dual Medicare (HMO D-SNP)     $20.80 $200.0  No Dual-Eligible
Amerivantage Dual Coordination (HMO D-SNP)     $20.30 $435.0  Yes Dual-Eligible
Amerivantage Dual Secure (HMO D-SNP)     $20.70 $435.0  Yes Dual-Eligible
Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)     $20.80 $435.0  No Dual-EligibleToo New
Cigna-HealthSpring TotalCare (HMO D-SNP)     $17.50 $435.0  No Dual-Eligible
Erickson Advantage Champion (HMO-POS C-SNP)     $195.0 $0  No Chronic or Disabling Condition
Erickson Advantage Guardian (HMO-POS I-SNP)     $29.30 $0  No Institutional
Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)     $20.70 $430.0  No Dual-Eligible
Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)     $19.50 $425.0  No Dual-Eligible
Imperial Health Insurance Value (HMO C-SNP)     $0 $0  Yes Chronic or Disabling ConditionToo New
Molina Medicare Complete Care (HMO D-SNP)     $20.80 $435.0  Yes Dual-Eligible
ProCare Advantage (HMO I-SNP)     $20.80 $435.0  No InstitutionalToo New
UnitedHealthcare Dual Complete (HMO D-SNP)     $9.10 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP     $20.40 $435.0  No Dual-Eligible
UnitedHealthcare Medicare Gold (Regional PPO C-SNP)     $29.00 $295.0  No Chronic or Disabling Condition
UnitedHealthcare Medicare Silver (Regional PPO C-SNP)     $0 $403.0  No Chronic or Disabling Condition
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $20.80 $435.0  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

GAP

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.

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 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.


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