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The 2023 Medicare Advantage Plans in Jefferson County AR.



2022 Jefferson County Arkansas
Medicare Advantage Plans

There are 31 Medicare Advantage Plans available in Jefferson County AR from 8 different health insurance providers. 8 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3450 and the highest out of pocket is $7550. Jefferson County Arkansas residents can also pick from 13 Medicare Special Needs Plans. The best Medicare Advantage plan in Jefferson County Arkansas received a 4 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 (PPO)
(H6528-031)

$0$250.00$5,900YesBrowse
Formulary
BlueMedicare Preferred (PFFS)
(H4213-017)

$100.00$480.00$-NoBrowse
Formulary
BlueMedicare Premier (HMO)
(H6158-002)

$0$195.00$5,500YesToo NewBrowse
Formulary
BlueMedicare Premier Choice (PPO)
(H3554-008)

$49.00$0$5,700YesToo NewBrowse
Formulary
Health Advantage Blue Classic (HMO)
(H9699-004)

$0$250.00$6,000YesBrowse
Formulary
Humana Gold Choice H8145-122 (PFFS)
(H8145-122)

$132.00$195.00$-NoBrowse
Formulary
Humana Gold Plus H5619-111 (HMO)
(H5619-111)

$0$0$4,400NoBrowse
Formulary
Humana Value Plus H5619-109 (HMO)
(H5619-109)

$21.30$480.00$7,550NoBrowse
Formulary
HumanaChoice H5216-083 (PPO)
(H5216-083)

$77.00$195.00$6,700NoBrowse
Formulary
HumanaChoice H5216-163 (PPO)
(H5216-163)

$46.00$195.00$7,550NoBrowse
Formulary
HumanaChoice H5216-231 (PPO)
(H5216-231)

$0$0$4,200NoBrowse
Formulary
HumanaChoice R1532-002 (Regional PPO)
(R1532-002)

$63.00$480.00$6,700NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 2 (Region
(R3444-012)

$54.00$295.00$6,700YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region
(R3444-023)

$19.00$245.00$6,700YesBrowse
Formulary
Vantage BASIC (HMO-POS)
(H2722-002)

$0$480.00$5,900YesNABrowse
Formulary
Vantage STANDARD (HMO-POS)
(H2722-004)

$26.70$480.00$4,900YesNABrowse
Formulary
Wellcare Assist (HMO)
(H9630-006)

$25.80$480.00$3,450NoBrowse
Formulary
Wellcare Assist Compass (HMO)
(H1416-041)

$22.60$480.00$3,450NoBrowse
Formulary
Wellcare Giveback (HMO)
(H9630-008)

$0$445.00$7,550NoBrowse
Formulary
Wellcare Giveback Dividend (HMO)
(H1416-064)

$0$0$6,700NoBrowse
Formulary
Wellcare No Premium Medicare (HMO)
(H9630-001)

$0$250.00$4,900NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H0270-001)

$0$0$5,500NoNABrowse
Formulary
Wellcare No Premium Preferred (HMO)
(H1416-055)

$0$0$6,000NoBrowse
Formulary


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Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Jefferson county Arkansas

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Humana Gold Plus SNP-DE H5619-123 (HMO D-SNP) $20.50$300.0No Gap CoverageDual-Eligible
Tribute Advantage (HMO-POS D-SNP) $18.20$480.0No Gap CoverageDual-EligibleNA
Tribute Select (HMO-POS I-SNP) $25.30$480.0No Gap CoverageInstitutionalNA
UnitedHealthcare Dual Complete Choice (PPO D-SNP) $26.70$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete Choice Select (PPO D-SNP) $26.70$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Medicare Gold (Regional PPO C-SNP) $17.00$295.0Some GenericsChronic or Disabling Condition
UnitedHealthcare Medicare Silver (Regional PPO C-SNP) $4.60$480.0No Gap CoverageChronic or Disabling Condition
Vantage DUAL PLUS (HMO-POS D-SNP) $26.70$480.0No Gap CoverageDual-EligibleNA
Wellcare Dual Access (HMO D-SNP) $22.30$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access (HMO-POS D-SNP) $26.70$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access Open (PPO D-SNP) $26.70$480.0No Gap CoverageDual-EligibleNA
Wellcare Dual Liberty (HMO D-SNP) $22.80$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty (HMO-POS D-SNP) $26.70$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.