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The 2023 Medicare Advantage Plans in Jackson County OH.



2022 Jackson County Ohio
Medicare Advantage Plans

There are 37 Medicare Advantage Plans available in Jackson County OH from 10 different health insurance providers. 15 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. Jackson County Ohio residents can also pick from 9 Medicare Special Needs Plans. The best Medicare Advantage plan in Jackson County Ohio received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
Aetna Medicare Premier Plus 1 (Regional PPO)
(R6694-003)

$217.00$0$4,900YesBrowse
Formulary
Aetna Medicare Premier Plus 2 (Regional PPO)
(R6694-005)

$179.00$260.00$5,100NoBrowse
Formulary
Anthem MediBlue Access Basic (Regional PPO)
(R5941-014)

$83.00$200.00$6,000YesBrowse
Formulary
Anthem MediBlue Extra (HMO)
(H3655-041)

$22.00$480.00$7,550YesBrowse
Formulary
Anthem MediBlue Preferred (HMO)
(H3655-045)

$0$0$4,200YesBrowse
Formulary
CareSource Advantage (HMO)
(H6396-012)

$45.00$100.00$7,550NoBrowse
Formulary
Humana Value Plus H5525-041 (PPO)
(H5525-041)

$21.30$260.00$7,550NoBrowse
Formulary
HumanaChoice H5216-023 (PPO)
(H5216-023)

$58.00$100.00$6,200NoBrowse
Formulary
HumanaChoice H5216-109 (PPO)
(H5216-109)

$19.00$150.00$5,700NoBrowse
Formulary
HumanaChoice H5216-285 (PPO)
(H5216-285)

$0$200.00$5,300NoBrowse
Formulary
HumanaChoice H5525-030 (PPO)
(H5525-030)

$151.00$100.00$3,400NoBrowse
Formulary
HumanaChoice H5525-042 (PPO)
(H5525-042)

$0$250.00$7,550NoBrowse
Formulary
HumanaChoice R5495-002 (Regional PPO)
(R5495-002)

$114.00$480.00$6,700NoBrowse
Formulary
MedMutual Advantage Choice (HMO)
(H6723-002)

$100.00$55.00$4,800YesBrowse
Formulary
MedMutual Advantage Classic (HMO)
(H6723-001)

$0$95.00$5,850YesBrowse
Formulary
MedMutual Advantage Plus (HMO)
(H6723-003)

$134.00$55.00$3,450YesBrowse
Formulary
MedMutual Advantage Preferred (PPO)
(H4497-002)

$150.00$55.00$6,400YesBrowse
Formulary
MedMutual Advantage Premium (PPO)
(H4497-003)

$200.00$55.00$3,450YesBrowse
Formulary
MedMutual Advantage Select (PPO)
(H4497-001)

$100.00$95.00$6,900YesBrowse
Formulary
Molina Medicare Choice Care (HMO)
(H9955-002)

$0$125.00$7,550NoToo NewBrowse
Formulary
The Health Plan SecureCare - Option II (HMO)
(H3672-013)

$0$100.00$3,900NoBrowse
Formulary
The Health Plan SecureChoice - Option II (PPO)
(H8604-010)

$100.00$100.00$6,700NoBrowse
Formulary
Wellcare Assist (HMO)
(H0908-004)

$16.80$480.00$4,700YesBrowse
Formulary
Wellcare Assist Complement (HMO)
(H0724-006)

$17.60$480.00$3,450YesBrowse
Formulary
Wellcare Giveback (HMO)
(H0908-005)

$0$480.00$5,500NoBrowse
Formulary
Wellcare Giveback Boost (HMO)
(H0724-007)

$0$75.00$7,550YesBrowse
Formulary
Wellcare No Premium (HMO)
(H0908-003)

$0$75.00$3,450YesBrowse
Formulary
Wellcare No Premium Medicare (HMO)
(H0724-001)

$0$75.00$3,450YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H7169-001)

$0$160.00$5,900NoToo NewBrowse
Formulary


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Jefferson County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Jackson county Ohio

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Anthem MediBlue Dual Advantage (HMO D-SNP) $33.50$480.0No Gap CoverageDual-Eligible
CareSource Dual Advantage (HMO D-SNP) $33.50$480.0No Gap CoverageDual-Eligible
HumanaChoice SNP-DE H5525-046 (PPO D-SNP) $27.40$480.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care (HMO D-SNP) $33.50$480.0No Gap CoverageDual-EligibleToo New
The Health Plan SecureCare SNP (HMO D-SNP) $40.40$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete (HMO-POS D-SNP) $33.00$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete LP1 (HMO D-SNP) $33.50$480.0No Gap CoverageDual-Eligible
Valor Health Plan (HMO I-SNP) $33.50$480.0No Gap CoverageInstitutionalNA
Wellcare Dual Access (HMO D-SNP) $32.00$480.0Some GenericsDual-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.