2020 Kenton County Kentucky
Medicare Advantage Plans

There are 29 Medicare Advantage Plans available in Kenton County KY from 7 different health insurance providers. 10 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. Kenton County Kentucky residents can also pick from 6 Medicare Special Needs Plans. The highest rated plan available in Kenton 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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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage Plan 2 (HMO)
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$20.00 $150.00 $4,200 YesEnroll
AARP Medicare Advantage Plan 3 (HMO)
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$111.00 $0 $3,400 YesEnroll
AARP Medicare Advantage Plan 6 (HMO)
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$0 $195.00 $4,900 NoEnroll
AARP Medicare Advantage Walgreens (PPO)
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$0 $250.00 $5,100 NoEnroll
Aetna Medicare Premier 2 (PPO)
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$124.00 $0 $4,800 YesEnroll
Aetna Medicare Value Plan (PPO)
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$0 $150.00 $5,675 YesEnroll
Anthem MediBlue Access (PPO)
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$37.00 $0 $5,900 YesEnroll
Anthem MediBlue Access Basic (Regional PPO)
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$69.00 $100.00 $6,400 YesEnroll
Anthem MediBlue Plus (HMO)
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$0 $0 $5,300 YesEnroll
Humana Community (HMO)
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$0 $0 $4,500 NoToo NewEnroll
Humana Gold Choice H8145-021 (PFFS)
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$97.00 $360.00 $- NoEnroll
Humana Gold Plus H0292-002 (HMO)
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$15.00 $0 $3,400 NoToo NewEnroll
Humana Gold Plus H6622-019 (HMO)
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$89.00 $125.00 $3,900 NoEnroll
Humana Gold Plus H6622-021 (HMO)
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$0 $0 $5,900 NoEnroll
HumanaChoice H5216-023 (PPO)
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$56.00 $175.00 $6,700 NoEnroll
HumanaChoice H5216-107 (PPO)
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$138.00 $0 $6,700 NoEnroll
HumanaChoice H5216-109 (PPO)
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$19.00 $150.00 $5,500 NoEnroll
HumanaChoice H5525-030 (PPO)
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$154.00 $100.00 $3,400 NoEnroll
HumanaChoice R0865-003 (Regional PPO)
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$63.00 $195.00 $6,700 NoEnroll
Mutual of Omaha CareAdvantage Complete (HMO)
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$0 $0 $4,700 NoToo NewEnroll
Mutual of Omaha CareAdvantage Plus (HMO)
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$28.00 $0 $4,250 NoToo NewEnroll
WellCare Dividend (HMO)
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$0 $0 $6,700 NoEnroll
WellCare Elite (HMO)
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$0 $0 $5,000 YesEnroll
WellCare Essential (HMO-POS)
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$0 $0 $5,000 YesEnroll
WellCare Value (HMO)
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$6.00 $0 $6,000 YesEnroll

Return to 2020 Medicare Advantage Plans in Kentucky

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Sign Up
HumanaChoice H5216-105 (PPO)
$0 Local PPO * $4,500 Enroll
HumanaChoice R0865-001 (Regional PPO)
$0 Regional PPO * $6,700 Enroll
Lasso Healthcare (MSA)
MSA * $- NA
WellCare Advance (HMO-POS)
$0 Local HMO * $5,000

2020 Medicare Special Needs Plans in Kenton county Kentucky

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Anthem MediBlue Dual Advantage (HMO D-SNP)     $29.50 $435.0  Yes Dual-Eligible
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)     $14.00 $200.0  No Chronic or Disabling Condition
Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)     $20.30 $435.0  No Dual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP)     $29.50 $435.0  No Dual-EligibleToo New
WellCare Access (HMO D-SNP)     $16.40 $435.0  No Dual-Eligible
WellCare Liberty (HMO D-SNP)     $18.60 $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

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 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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