2020 Harrison County West Virginia
Medicare Advantage Plans

There are 22 Medicare Advantage Plans available in Harrison County WV from 5 different health insurance providers. 4 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $4500 and the highest out of pocket is $6700. Harrison County West Virginia residents can also pick from 4 Medicare Special Needs Plans. The highest rated plan available in Harrison County received a 4 overall star rating from CMS and the lowest rated plan is 3.5 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 Choice Plan 1 (PPO)
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$35.00 $200.00 $6,700 NoEnroll
AARP Medicare Advantage Choice Plan 2 (PPO)
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$82.00 $100.00 $5,900 NoEnroll
Aetna Medicare Advantra Credit Value (PPO)
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$0 $195.00 $6,700 YesEnroll
Aetna Medicare Advantra Elite (HMO)
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$0 $0 $6,700 YesEnroll
Aetna Medicare Advantra Gold (PPO)
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$63.00 $0 $6,700 YesEnroll
Aetna Medicare Advantra Value (PPO)
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$0 $0 $6,700 YesEnroll
Freedom Blue PPO Distinct (PPO)
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$35.00 $0 $6,700 NoEnroll
Freedom Blue PPO Standard (PPO)
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$167.00 $0 $5,900 NoEnroll
Humana Gold Choice H8145-021 (PFFS)
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$97.00 $360.00 $- NoEnroll
Humana Gold Choice H8145-051 (PFFS)
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$78.00 $320.00 $- NoEnroll
Humana Value Plus H5216-125 (PPO)
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$22.30 $400.00 $6,700 NoEnroll
HumanaChoice H5216-052 (PPO)
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$46.00 $195.00 $6,700 NoEnroll
HumanaChoice H5216-124 (PPO)
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$135.00 $0 $6,700 NoEnroll
HumanaChoice H5216-182 (PPO)
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$15.00 $195.00 $6,700 NoEnroll
HumanaChoice R0923-002 (Regional PPO)
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$71.00 $0 $6,700 NoEnroll
The Health Plan SecureCare - Option II (HMO)
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$64.00 $100.00 $6,700 NoEnroll
The Health Plan SecureChoice - Option II (PPO)
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$94.00 $100.00 $6,700 NoEnroll
WVU Medicine - The Health Plan SecureCare (HMO)
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$47.00 $100.00 $6,700 NoEnroll


Return to 2020 Medicare Advantage Plans in West Virginia





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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Humana Gold Choice H8145-050 (PFFS)
$54.00 PFFS * $- Enroll
HumanaChoice H5216-123 (PPO)
$0 Local PPO * $4,500 Enroll
HumanaChoice R0923-001 (Regional PPO)
$0 Regional PPO * $4,900 Enroll
The Health Plan SecureCare - Option I, MA Only (HMO)
$0 Local HMO * $6,700





2020 Medicare Special Needs Plans in Harrison county West Virginia

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Advantra Cares (HMO D-SNP)     $19.00 $275.0  No Dual-Eligible
The Health Plan SecureCare SNP (HMO D-SNP)     $35.20 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete (PPO D-SNP)     $22.50 $435.0  No Dual-EligibleToo New
WV Senior Advantage (HMO I-SNP)     $35.60 $435.0  No InstitutionalNA



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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