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The 2023 Medicare Advantage Plans in Franklin County MA.



2022 Franklin County Massachusetts
Medicare Advantage Plans

There are 29 Medicare Advantage Plans available in Franklin County MA from 6 different health insurance providers. 5 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. Franklin County Massachusetts residents can also pick from 4 Medicare Special Needs Plans. The best Medicare Advantage plan in Franklin County Massachusetts 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
Click
for
Formulary
AARP Medicare Advantage Choice (Regional PPO)
(R7444-001)

$55.00$295.00$7,550YesBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO)
(H1944-005)

$0$250.00$5,700YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H1944-006)

$49.00$225.00$4,900YesBrowse
Formulary
AARP Medicare Advantage Walgreens (PPO)
(H3442-004)

$0$0$6,700YesBrowse
Formulary
CCA Medicare Preferred (PPO)
(H9414-001)

$0$195.00$6,500NoToo NewBrowse
Formulary
CCA Medicare Value (PPO)
(H9414-002)

$36.30$480.00$6,500NoToo NewBrowse
Formulary
Fallon Medicare Plus Blue HMO (HMO)
(H9001-031)

$117.00$0$3,400NoBrowse
Formulary
Fallon Medicare Plus Green HMO (HMO)
(H9001-030)

$68.00$300.00$5,200NoBrowse
Formulary
Fallon Medicare Plus Orange HMO (HMO)
(H9001-034)

$0$200.00$7,550NoBrowse
Formulary
Fallon Medicare Plus Super Saver HMO (HMO)
(H9001-032)

$42.00$480.00$7,550NoBrowse
Formulary
Health New England Medicare Choice (HMO)
(H8578-017)

$46.00$350.00$5,900NoBrowse
Formulary
Health New England Medicare Compass (PPO)
(H2737-001)

$0$380.00$6,700NoToo NewBrowse
Formulary
Health New England Medicare Compass Premier (PPO)
(H2737-002)

$99.00$250.00$4,900NoToo NewBrowse
Formulary
Health New England Medicare Plus (HMO)
(H8578-004)

$113.00$250.00$4,900NoBrowse
Formulary
Health New England Medicare Premium (HMO)
(H8578-001)

$170.00$250.00$4,400YesBrowse
Formulary
Health New England Medicare Value (HMO)
(H8578-012)

$0$380.00$6,700NoBrowse
Formulary
Medicare HMO Blue FlexRx (HMO-POS)
(H2261-023)

$96.00$260.00$3,900NoBrowse
Formulary
Medicare HMO Blue PlusRx (HMO)
(H2261-005)

$268.00$200.00$3,400NoBrowse
Formulary
Medicare HMO Blue SaverRx (HMO)
(H2261-024)

$0$300.00$7,550NoBrowse
Formulary
Medicare HMO Blue ValueRx (HMO)
(H2261-022)

$36.00$320.00$3,450NoBrowse
Formulary
Medicare PPO Blue PlusRx (PPO)
(H2230-002)

$264.00$200.00$3,400NoBrowse
Formulary
Medicare PPO Blue SaverRx (PPO)
(H2230-017)

$0$175.00$6,700NoBrowse
Formulary
Medicare PPO Blue ValueRx (PPO)
(H2230-018)

$76.00$290.00$4,900NoBrowse
Formulary


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Hampden County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Franklin county Massachusetts

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
CCA Senior Care Options (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
NaviCare (HMO D-SNP) $36.30$480.0No Gap CoverageDual-EligibleToo New
UnitedHealthcare Senior Care Options (HMO D-SNP) $28.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Senior Care Options NHC (HMO D-SNP) $30.80$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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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.