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The 2023 Medicare Advantage Plans in Boulder County CO.



2022 Boulder County Colorado
Medicare Advantage Plans

There are 34 Medicare Advantage Plans available in Boulder County CO from 8 different health insurance providers. 16 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $7550. Boulder County Colorado residents can also pick from 19 Medicare Special Needs Plans. The best Medicare Advantage plan in Boulder County Colorado 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
Click
for
Formulary
AARP Medicare Advantage Plan 1 (HMO)
(H0609-048)

$0$0$4,400YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H6706-001)

$0$0$3,900YesToo NewBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 1 (HMO)
(H0609-007)

$44.00$0$3,000YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 2 (HMO)
(H0609-012)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Walgreens (PPO)
(H2577-002)

$0$0$5,500YesBrowse
Formulary
Aetna Medicare Elite Prime (HMO-POS)
(H4711-006)

$0$0$4,900YesBrowse
Formulary
Aetna Medicare Prime (HMO)
(H3931-093)

$0$0$6,800YesBrowse
Formulary
Aetna Medicare Prime (PPO)
(H5521-057)

$47.00$0$5,000YesBrowse
Formulary
Aetna Medicare Prime 1 (HMO-POS)
(H4711-008)

$0$0$4,500YesBrowse
Formulary
Aetna Medicare Prime 1 (PPO)
(H5521-250)

$0$0$5,300YesBrowse
Formulary
Anthem MediBlue Access (PPO)
(H4909-022)

$0$0$6,700YesBrowse
Formulary
Anthem MediBlue Plus (HMO)
(H4346-012)

$0$0$6,700YesBrowse
Formulary
Bright Advantage Classic Care Plan (HMO)
(H7853-001)

$0$0$3,500YesBrowse
Formulary
Bright Advantage Classic Plus Plan (HMO)
(H7853-002)

$30.00$0$3,250YesBrowse
Formulary
Bright Advantage Part B Savings Plan (HMO)
(H7853-010)

$0$125.00$5,400YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H0672-002)

$0$0$4,200NoNABrowse
Formulary
Cigna True Choice Medicare (PPO)
(H7849-001)

$0$0$5,900NoBrowse
Formulary
Clear Spring Health Essential (HMO)
(H6379-001)

$0$0$3,400NoNABrowse
Formulary
Clear Spring Health Essential (PPO)
(H2020-001)

$0$0$5,500YesNABrowse
Formulary
Humana Gold Choice H8145-123 (PFFS)
(H8145-123)

$90.00$300.00$-NoBrowse
Formulary
Humana Gold Plus H0028-025 (HMO)
(H0028-025)

$0$0$4,900NoBrowse
Formulary
Humana Gold Plus H0028-047 (HMO)
(H0028-047)

$35.00$0$5,500NoBrowse
Formulary
Humana Value Plus H5216-195 (PPO)
(H5216-195)

$33.90$435.00$7,550NoBrowse
Formulary
HumanaChoice H5216-078 (PPO)
(H5216-078)

$57.00$195.00$6,700NoBrowse
Formulary
HumanaChoice H5216-137 (PPO)
(H5216-137)

$0$445.00$7,550NoBrowse
Formulary
HumanaChoice H5216-223 (PPO)
(H5216-223)

$28.00$0$5,500NoBrowse
Formulary
HumanaChoice H5216-261 (PPO)
(H5216-261)

$0$195.00$6,700NoBrowse
Formulary
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-013)

$0$0$4,200NoBrowse
Formulary
Kaiser Permanente Senior Advantage Gold (HMO)
(H0630-016)

$186.00$0$3,000NoBrowse
Formulary
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-015)

$38.00$0$3,400NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Colorado

Broomfield County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (HMO)
(H0609-018)

$0Local HMO *$3,400
Aetna Medicare Eagle Prime (HMO-POS)
(H4711-010)

$0Local HMO *$5,000
Humana Honor (PPO)
(H5216-213)

$0Local PPO *$4,400
HumanaChoice H5216-077 (PPO)
(H5216-077)

$0Local PPO *$4,000





2022 Medicare Special Needs Plans in Boulder county Colorado

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Premier Prime (HMO D-SNP) $22.00$450.0No Gap CoverageDual-Eligible
Anthem MediBlue Care On Site (HMO I-SNP) $0$0ManyInstitutional
Anthem MediBlue Diabetes Care (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Anthem MediBlue Dual Advantage (HMO D-SNP) $39.80$480.0Some GenericsDual-Eligible
Anthem MediBlue ESRD Care (HMO C-SNP) $0$0Few GenericsChronic or Disabling Condition
Bright Advantage Dual Access Plan (HMO D-SNP) $38.80$480.0Some GenericsDual-Eligible
Bright Advantage Embrace Assist Plan (HMO C-SNP) $39.80$480.0Some GenericsChronic or Disabling Condition
Bright Advantage Embrace Care Plan (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
Bright Advantage Embrace Choice Plan (HMO C-SNP) $39.80$480.0Some GenericsChronic or Disabling Condition
Cigna TotalCare (HMO D-SNP) $16.00$480.0No Gap CoverageDual-EligibleNA
HumanaChoice SNP-DE H5216-267 (PPO D-SNP) $24.30$480.0No Gap CoverageDual-Eligible
Longevity Health Plan (HMO I-SNP) $39.80$480.0No Gap CoverageInstitutionalToo New
Perennial Advantage Concierge (HMO C-SNP) $35.90$480.0No Gap CoverageChronic or Disabling ConditionToo New
Perennial Advantage Strive (HMO I-SNP) $25.70$480.0No Gap CoverageInstitutionalToo New
Senior Advantage Medicare Medicaid (HMO D-SNP) $33.90$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Assisted Living Plan (PPO I-SNP) $39.80$200.0No Gap CoverageInstitutional
UnitedHealthcare Chronic Complete (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO D-SNP) $39.80$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $39.80$480.0No Gap CoverageInstitutional



Plan Type Is the type of organization offering the Medicare Plan.

  • 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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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*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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