x

You are Currently Viewing the 2022 Medicare Plans.
Click here If you Would Like to See
The 2023 Medicare Advantage Plans in Calhoun County MI.



2022 Calhoun County Michigan
Medicare Advantage Plans

There are 42 Medicare Advantage Plans available in Calhoun County MI from 10 different health insurance providers. 16 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 $7550. Calhoun County Michigan residents can also pick from 9 Medicare Special Needs Plans. The best Medicare Advantage plan in Calhoun County Michigan received a 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
Click
for
Formulary
AARP Medicare Advantage Open Plan 1 (PPO)
(H0294-019)

$0$0$5,200YesBrowse
Formulary
AARP Medicare Advantage Open Plan 2 (PPO)
(H0294-020)

$28.00$0$4,200YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H5521-194)

$11.00$0$5,900YesBrowse
Formulary
Aetna Medicare Value (PPO)
(H5521-219)

$0$0$6,725YesBrowse
Formulary
BCN Advantage HMO-POS Classic (HMO-POS)
(H5883-002)

$112.00$0$3,800YesBrowse
Formulary
BCN Advantage HMO-POS Prestige (HMO-POS)
(H5883-003)

$245.00$0$3,400YesBrowse
Formulary
BCN Advantage HMO-POS Prime Value (HMO-POS)
(H5883-014)

$0$50.00$4,500YesBrowse
Formulary
HAP Senior Plus (HMO)
(H2354-015)

$0$0$4,500YesBrowse
Formulary
Humana Gold Choice H8145-006 (PFFS)
(H8145-006)

$78.00$480.00$-NoBrowse
Formulary
Humana Value Plus H8087-002 (PPO)
(H8087-002)

$20.60$260.00$7,550NoBrowse
Formulary
HumanaChoice H5216-009 (PPO)
(H5216-009)

$71.00$0$5,900NoBrowse
Formulary
HumanaChoice H8087-001 (PPO)
(H8087-001)

$20.00$0$5,900NoBrowse
Formulary
HumanaChoice H8087-004 (PPO)
(H8087-004)

$0$0$5,500NoBrowse
Formulary
HumanaChoice R3887-002 (Regional PPO)
(R3887-002)

$112.00$480.00$5,300NoBrowse
Formulary
McLaren Medicare Inspire (HMO)
(H6322-001)

$0$100.00$5,200YesToo NewBrowse
Formulary
McLaren Medicare Inspire Flex (HMO-POS)
(H6322-003)

$49.00$0$3,800YesToo NewBrowse
Formulary
McLaren Medicare Inspire Plus (HMO)
(H6322-002)

$25.00$0$3,800YesToo NewBrowse
Formulary
Medicare Plus Blue PPO Assure (PPO)
(H9572-003)

$258.00$0$3,425YesBrowse
Formulary
Medicare Plus Blue PPO Essential (PPO)
(H9572-004)

$0$0$6,000YesBrowse
Formulary
Medicare Plus Blue PPO Signature (PPO)
(H9572-001)

$147.00$0$4,700YesBrowse
Formulary
Medicare Plus Blue PPO Vitality (PPO)
(H9572-002)

$70.00$0$5,000YesBrowse
Formulary
PHP Advantage (HMO-POS)
(H7646-003)

$0$0$3,800NoBrowse
Formulary
PHP Advantage Plus (HMO-POS)
(H7646-006)

$25.00$0$3,800NoBrowse
Formulary
PriorityMedicare (HMO-POS)
(H2320-028)

$85.00$0$4,500NoBrowse
Formulary
PriorityMedicare Edge (PPO)
(H4875-020)

$0$0$5,300NoBrowse
Formulary
PriorityMedicare Ideal (PPO)
(H4875-018)

$24.00$125.00$5,800NoBrowse
Formulary
PriorityMedicare Key (HMO-POS)
(H2320-022)

$0$0$5,000NoBrowse
Formulary
PriorityMedicare Merit (PPO)
(H4875-016)

$76.00$0$4,100NoBrowse
Formulary
PriorityMedicare Select (PPO)
(H4875-017)

$149.00$0$3,500NoBrowse
Formulary
PriorityMedicare Value (HMO-POS)
(H2320-029)

$35.00$75.00$4,900NoBrowse
Formulary
PriorityMedicare Vital (PPO)
(H4875-022)

$0$350.00$4,700NoBrowse
Formulary
Wellcare Assist (HMO)
(H5475-038)

$20.60$480.00$3,450NoBrowse
Formulary
Wellcare Community Assist (PPO)
(H2117-004)

$31.50$480.00$5,000NoToo NewBrowse
Formulary
Wellcare Giveback (HMO)
(H5475-031)

$0$480.00$3,450NoBrowse
Formulary
Wellcare No Premium Essential (HMO-POS)
(H5475-005)

$0$0$3,450NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H2117-001)

$0$0$5,000YesToo NewBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Michigan

Cass County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (PPO)
(H0294-022)

$0Local PPO *$5,500
Aetna Medicare Eagle (PPO)
(H5521-286)

$0Local PPO *$5,500
BCN Advantage HMO-POS Elements (HMO-POS)
(H5883-001)

$16.50Local HMO *$4,500
Humana Honor (PPO)
(H5216-190)

$0Local PPO *$5,500
HumanaChoice R3887-001 (Regional PPO)
(R3887-001)

$0Regional PPO *$5,500
Wellcare Patriot Giveback Open (PPO)
(H2117-003)

$0Local PPO *$5,000Too New





2022 Medicare Special Needs Plans in Calhoun county Michigan

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
HumanaChoice SNP-DE H8087-003 (PPO D-SNP) $21.80$480.0No Gap CoverageDual-Eligible
Longevity Health Plan (HMO I-SNP) $31.50$480.0No Gap CoverageInstitutionalToo New
McLaren Medicare Inspire Duals (HMO D-SNP) $31.50$480.0No Gap CoverageDual-EligibleToo New
PriorityMedicare D-SNP (HMO D-SNP) $31.50$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP) $31.50$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete Choice (PPO D-SNP) $31.50$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access (HMO-POS D-SNP) $30.60$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access Open (PPO D-SNP) $30.80$480.0No Gap CoverageDual-EligibleToo New
Wellcare Specialty No Premium (HMO-POS C-SNP) $0$0ManyChronic or Disabling Condition



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.


      Site Search:

MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.