2020 Ramsey County Minnesota
Medicare Advantage Plans

There are 38 Medicare Advantage Plans available in Ramsey County MN from 9 different health insurance providers. 6 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. Ramsey County Minnesota residents can also pick from 10 Medicare Special Needs Plans. The highest rated plan available in Ramsey County received a 4.5 overall star rating from CMS and the lowest rated plan is 4 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 Headwaters (PPO)
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$19.00 $395.00 $5,900 NoToo NewEnroll
AARP Medicare Advantage Lakeshore (PPO)
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$49.00 $295.00 $4,900 NoToo NewEnroll
AARP Medicare Advantage Riverbank (PPO)
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$99.00 $250.00 $4,500 NoToo NewEnroll
Allina Health Aetna Medicare Discover Elite (PPO)
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$146.00 $0 $2,800 YesToo NewEnroll
Allina Health Aetna Medicare Discover Grand (PPO)
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$96.00 $0 $3,500 YesToo NewEnroll
Allina Health Aetna Medicare Discover Plus (PPO)
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$0 $250.00 $5,900 YesToo NewEnroll
Allina Health Aetna Medicare Discover Premier (PPO)
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$46.00 $150.00 $3,800 YesToo NewEnroll
Blue Cross Medicare Advantage Choice (PPO)
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$84.30 $435.00 $3,900 NoEnroll
Blue Cross Medicare Advantage Complete (PPO)
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$175.40 $350.00 $3,200 NoEnroll
Blue Cross Medicare Advantage Core (PPO)
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$0 $435.00 $5,900 NoEnroll
Blue Cross Strive Medicare Advantage Choice (HMO-POS)
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$68.50 $390.00 $4,900 NoToo NewEnroll
Blue Cross Strive Medicare Advantage Complete (HMO-POS)
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$152.60 $390.00 $3,700 NoToo NewEnroll
Care Advantage: M Health Fairview & North Memorial (HMO-P
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$139.00 $0 $3,000 NoToo NewEnroll
Care Core: M Health Fairview & North Memorial (HMO-POS)
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$44.00 $400.00 $5,000 NoToo NewEnroll
HealthPartners Journey Dash (PPO)
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$85.00 $300.00 $3,600 NoEnroll
HealthPartners Journey Pace (PPO)
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$0 $300.00 $5,700 NoEnroll
HealthPartners Journey Steady (PPO)
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$130.90 $300.00 $3,000 NoEnroll
HealthPartners Journey Stride (PPO)
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$45.70 $300.00 $4,100 NoEnroll
Humana Gold Plus H6622-062 (HMO-POS)
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$168.00 $100.00 $2,500 NoEnroll
Humana Value Plus H5216-176 (PPO)
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$27.90 $435.00 $6,700 NoEnroll
HumanaChoice H5216-063 (PPO)
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$106.00 $250.00 $3,000 NoEnroll
HumanaChoice H5216-080 (PPO)
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$58.00 $350.00 $5,900 NoEnroll
HumanaChoice H5216-092 (PPO)
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$38.00 $350.00 $6,700 NoEnroll
HumanaChoice H5216-167 (PPO)
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$88.00 $350.00 $4,500 NoEnroll
Medica Advantage Solution H6154-001 (HMO-POS)
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$0 $380.00 $5,900 NoEnroll
Medica Advantage Solution H8889-001 (PPO)
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$105.00 $275.00 $3,000 NoEnroll
Medica Advantage Solution H8889-003 (PPO)
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$194.50 $170.00 $3,000 NoEnroll
UCare Classic (HMO-POS)
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$185.00 $225.00 $3,400 YesEnroll
UCare Complete (HMO-POS)
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$99.00 $250.00 $3,000 NoEnroll
UCare Essentials Rx (HMO-POS)
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$56.00 $400.00 $3,400 NoEnroll
UCare Prime (HMO-POS)
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$0 $435.00 $5,000 NoEnroll
UCare Total (HMO-POS)
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$284.00 $100.00 $3,400 YesEnroll
UnitedHealthcare Sync (PPO)
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$39.00 $295.00 $5,900 NoToo NewEnroll


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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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Allina Health Aetna Medicare Discover Value (PPO)
$0 Local PPO * $5,900 Too New
Blue Cross Medicare Advantage Choice MA Only (PPO)
$35.00 Local PPO * $4,900
HumanaChoice H5216-086 (PPO)
$0 Local PPO * $6,700 Enroll
Lasso Healthcare (MSA)
MSA * $- NA
UCare Value (HMO-POS)
$39.00 Local HMO * $3,400





2020 Medicare Special Needs Plans in Ramsey county Minnesota

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
HealthPartners Minnesota Senior Health Options (HMO D-SNP     $35.40 $435.0  No Dual-Eligible
Medica AccessAbility Solution Enhanced (HMO D-SNP)     $35.40 $435.0  No Dual-EligibleToo New
Medica Advantage Solution PartnerCare Focus (HMO I-SNP)     $68.40 $435.0  No Institutional
Medica Advantage Solution PartnerCare Premier (HMO I-SNP)     $154.0 $435.0  No Institutional
Medica DUAL Solution (HMO D-SNP)     $35.40 $435.0  No Dual-Eligible
SecureBlue (HMO D-SNP)     $31.40 $435.0  No Dual-Eligible
UCare Connect + Medicare (HMO D-SNP)     $35.40 $435.0  No Dual-Eligible
UCare's Minnesota Senior Health Options (HMO D-SNP)     $35.40 $435.0  No Dual-Eligible
UnitedHealthcare Assisted Living Plan (PPO I-SNP)     $15.10 $200.0  No Institutional
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $35.40 $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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