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The 2023 Medicare Advantage Plans in Fairfield County CT.



2022 Fairfield County Connecticut
Medicare Advantage Plans

There are 29 Medicare Advantage Plans available in Fairfield County CT from 5 different health insurance providers. 19 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. Fairfield County Connecticut residents can also pick from 14 Medicare Special Needs Plans. The best Medicare Advantage plan in Fairfield County Connecticut received a 4.5 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 Choice (Regional PPO)
(R7444-001)

$55.00$295.00$7,550YesBrowse
Formulary
AARP Medicare Advantage Walgreens (PPO)
(H3442-001)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Elite Plan (HMO)
(H5793-010)

$0$0$7,550YesBrowse
Formulary
Aetna Medicare Elite Plan (PPO)
(H5521-157)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Essential Elite Plan (PPO)
(H5521-352)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Explorer Premier Plan (PPO)
(H5521-013)

$99.00$250.00$7,550YesBrowse
Formulary
Aetna Medicare Value Plan (HMO)
(H5793-001)

$49.00$0$6,700YesBrowse
Formulary
Anthem MediBlue Access Select (PPO)
(H2836-005)

$0$95.00$7,550YesNABrowse
Formulary
Anthem MediBlue Extra (HMO)
(H5854-011)

$31.90$480.00$6,700YesBrowse
Formulary
Anthem MediBlue Plus (HMO)
(H5854-009)

$36.00$380.00$6,700YesBrowse
Formulary
Anthem MediBlue Select (HMO)
(H5854-010)

$0$275.00$7,300YesBrowse
Formulary
ConnectiCare Choice Part B Saver (HMO)
(H3528-017)

$0$445.00$7,550NoBrowse
Formulary
ConnectiCare Choice Plan 1 (HMO)
(H3528-016)

$184.00$300.00$3,400YesBrowse
Formulary
ConnectiCare Choice Plan 3 (HMO)
(H3528-014)

$0$445.00$7,550NoBrowse
Formulary
ConnectiCare Flex Plan 1 (HMO-POS)
(H3528-006)

$242.00$300.00$5,300YesBrowse
Formulary
ConnectiCare Flex Plan 2 (HMO-POS)
(H3528-015)

$135.00$300.00$6,000NoBrowse
Formulary
ConnectiCare Flex Plan 3 (HMO-POS)
(H3528-011)

$70.00$300.00$5,500NoBrowse
Formulary
ConnectiCare Passage Plan 1 (HMO)
(H3528-010)

$0$275.00$7,550NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Plan 1 (HMO)
(H0755-030)

$91.00$0$4,700YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Plan 2 (HMO)
(H0755-031)

$29.00$150.00$6,000YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Plan 3 (HMO)
(H0755-033)

$0$175.00$6,700YesBrowse
Formulary
Wellcare Assist (HMO)
(H0712-020)

$24.10$480.00$5,500NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H1914-004)

$27.20$480.00$6,700NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H1914-002)

$0$395.00$7,550YesBrowse
Formulary
Wellcare No Premium (HMO)
(H0712-019)

$0$0$7,550YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H1914-001)

$0$200.00$5,500YesBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Connecticut

Hartford County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Aetna Medicare Eagle Plan (PPO)
(H5521-350)

$0Local PPO *$6,700
ConnectiCare Choice Plan 2 (HMO)
(H3528-003)

$0Local HMO *$6,000
UnitedHealthcare Medicare Advantage Patriot (HMO)
(H0755-032)

$0Local HMO *$6,000





2022 Medicare Special Needs Plans in Fairfield county Connecticut

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Plan (HMO-POS D-SNP) $25.30$480.0No Gap CoverageDual-Eligible
Anthem MediBlue Care To You (HMO I-SNP) $36.30$0ManyInstitutional
Anthem MediBlue Dual Access (PPO D-SNP) $32.40$480.0No Gap CoverageDual-EligibleNA
Anthem MediBlue Dual Advantage (HMO D-SNP) $30.50$480.0Some GenericsDual-Eligible
Anthem MediBlue Dual Advantage Select (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
Anthem MediBlue ESRD Care (HMO-POS C-SNP) $29.70$310.0No Gap CoverageChronic or Disabling Condition
ConnectiCare Choice Dual (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
ConnectiCare Choice Dual Basic (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
ConnectiCare Choice Dual Vista (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Assisted Living Plan (PPO I-SNP) $34.10$200.0No Gap CoverageInstitutional
UnitedHealthcare Dual Complete (PPO D-SNP) $34.40$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $36.70$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $26.50$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty (HMO D-SNP) $31.90$480.0No Gap CoverageDual-Eligible



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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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.