2020 Tolland County Connecticut
Medicare Advantage Plans

There are 25 Medicare Advantage Plans available in Tolland County CT from 6 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. Tolland County Connecticut residents can also pick from 9 Medicare Special Needs Plans. The highest rated plan available in Tolland 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)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
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AARP Medicare Advantage Choice (Regional PPO)
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$47.00 $295.00 $5,500 NoEnroll
AARP Medicare Advantage Walgreens (PPO)
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$0 $0 $6,700 YesToo NewEnroll
Aetna Medicare Elite Plan (HMO)
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$0 $0 $6,700 YesEnroll
Aetna Medicare Elite Plan (PPO)
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$0 $0 $6,700 YesEnroll
Aetna Medicare Explorer Premier Plan (PPO)
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$88.00 $250.00 $6,700 YesEnroll
Aetna Medicare Prime PCP Elite Plan (HMO)
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$0 $0 $6,700 YesEnroll
Aetna Medicare Value Plan (HMO)
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$78.00 $0 $6,700 YesEnroll
Anthem MediBlue Extra (HMO)
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$21.20 $435.00 $6,700 YesEnroll
CarePartners of CT CareAdvantage Preferred (HMO)
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$0 $0 $6,700 NoToo NewEnroll
CarePartners of CT CareAdvantage Premier (HMO)
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$89.00 $0 $3,700 NoToo NewEnroll
CarePartners of CT CareAdvantage Prime (HMO)
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$29.00 $0 $4,900 NoToo NewEnroll
ConnectiCare Choice Plan 1 (HMO)
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$182.00 $300.00 $3,400 YesEnroll
ConnectiCare Choice Plan 3 (HMO)
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$0 $435.00 $6,700 NoEnroll
ConnectiCare Flex Plan 1 (HMO-POS)
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$240.00 $300.00 $5,300 YesEnroll
ConnectiCare Flex Plan 2 (HMO-POS)
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$133.00 $300.00 $6,000 NoEnroll
ConnectiCare Flex Plan 3 (HMO-POS)
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$49.00 $300.00 $5,500 NoEnroll
ConnectiCare Passage Plan 1 (HMO)
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$0 $275.00 $6,700 NoEnroll
UnitedHealthcare Medicare Advantage Plan 1 (HMO)
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$99.00 $100.00 $4,700 NoEnroll
UnitedHealthcare Medicare Advantage Plan 2 (HMO)
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$29.00 $150.00 $6,000 NoEnroll
UnitedHealthcare Medicare Advantage Plan 3 (HMO)
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$0 $175.00 $6,700 NoEnroll
WellCare Compass (HMO-POS)
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$10.50 $435.00 $5,000 NoEnroll
WellCare Premier (PPO)
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$0 $0 $5,000 YesToo NewEnroll
WellCare Value (HMO)
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$0 $0 $5,000 NoEnroll


Return to 2020 Medicare Advantage Plans in Connecticut





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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ConnectiCare Choice Plan 2 (HMO)
$0 Local HMO * $6,000 Enroll
UnitedHealthcare Medicare Advantage Essential (HMO)
$0 Local HMO * $6,000 Enroll





2020 Medicare Special Needs Plans in Tolland county Connecticut

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Anthem MediBlue Care on Site (HMO I-SNP)     $5.60 $0  Yes Institutional
Anthem MediBlue Dual Advantage (HMO D-SNP)     $32.10 $435.0  Yes Dual-Eligible
Anthem MediBlue Dual Advantage Select (HMO D-SNP)     $30.00 $435.0  Yes Dual-Eligible
Anthem MediBlue ESRD (HMO-POS C-SNP)     $16.60 $310.0  No Chronic or Disabling Condition
ConnectiCare Choice Dual (HMO D-SNP)     $34.80 $435.0  No Dual-EligibleToo New
UnitedHealthcare Dual Complete (PPO D-SNP)     $27.90 $435.0  No Dual-EligibleToo New
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $35.10 $435.0  No Institutional
WellCare Access (HMO D-SNP)     $16.10 $435.0  No Dual-Eligible
WellCare Freedom (HMO D-SNP)     $23.60 $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

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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