x

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



2022 Jefferson County Colorado
Medicare Advantage Plans

There are 34 Medicare Advantage Plans available in Jefferson County CO from 9 different health insurance providers. 15 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $7550. Jefferson County Colorado residents can also pick from 20 Medicare Special Needs Plans. The best Medicare Advantage plan in Jefferson County Colorado received a 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 Plan 1 (HMO)
(H0609-048)

$0$0$4,400YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 1 (HMO)
(H0609-007)

$44.00$0$3,000YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 2 (HMO)
(H0609-012)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Walgreens (PPO)
(H2577-002)

$0$0$5,500YesBrowse
Formulary
Aetna Medicare Elite Prime (HMO-POS)
(H4711-006)

$0$0$4,900YesBrowse
Formulary
Aetna Medicare Prime (HMO)
(H3931-093)

$0$0$6,800YesBrowse
Formulary
Aetna Medicare Prime (PPO)
(H5521-057)

$47.00$0$5,000YesBrowse
Formulary
Aetna Medicare Prime 1 (HMO-POS)
(H4711-008)

$0$0$4,500YesBrowse
Formulary
Aetna Medicare Prime 1 (PPO)
(H5521-250)

$0$0$5,300YesBrowse
Formulary
Anthem MediBlue Access (PPO)
(H4909-022)

$0$0$6,700YesBrowse
Formulary
Anthem MediBlue Plus (HMO)
(H4346-012)

$0$0$6,700YesBrowse
Formulary
Bright Advantage Classic Care Plan (HMO)
(H7853-001)

$0$0$3,500YesBrowse
Formulary
Bright Advantage Classic Plus Plan (HMO)
(H7853-002)

$30.00$0$3,250YesBrowse
Formulary
Bright Advantage Part B Savings Plan (HMO)
(H7853-010)

$0$125.00$5,400YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H0672-001)

$0$0$4,200NoNABrowse
Formulary
Cigna True Choice Medicare (PPO)
(H7849-001)

$0$0$5,900NoBrowse
Formulary
Clear Spring Health Essential (HMO)
(H6379-001)

$0$0$3,400NoNABrowse
Formulary
Clear Spring Health Essential (PPO)
(H2020-001)

$0$0$5,500YesNABrowse
Formulary
Elevate Medicare Select (HMO)
(H5608-002)

$39.80$0$4,400NoBrowse
Formulary
Humana Gold Choice H8145-123 (PFFS)
(H8145-123)

$90.00$300.00$-NoBrowse
Formulary
Humana Gold Plus H0028-025 (HMO)
(H0028-025)

$0$0$4,500NoBrowse
Formulary
Humana Gold Plus H0028-047 (HMO)
(H0028-047)

$35.00$0$5,500NoBrowse
Formulary
Humana Value Plus H5216-195 (PPO)
(H5216-195)

$33.90$435.00$7,550NoBrowse
Formulary
HumanaChoice H5216-078 (PPO)
(H5216-078)

$57.00$195.00$6,700NoBrowse
Formulary
HumanaChoice H5216-137 (PPO)
(H5216-137)

$0$445.00$7,550NoBrowse
Formulary
HumanaChoice H5216-223 (PPO)
(H5216-223)

$28.00$0$5,500NoBrowse
Formulary
HumanaChoice H5216-261 (PPO)
(H5216-261)

$0$195.00$6,700NoBrowse
Formulary
Kaiser Permanente Senior Advantage Core (HMO)
(H0630-013)

$0$0$4,200NoBrowse
Formulary
Kaiser Permanente Senior Advantage Gold (HMO)
(H0630-016)

$186.00$0$3,000NoBrowse
Formulary
Kaiser Permanente Senior Advantage Silver (HMO)
(H0630-015)

$38.00$0$3,400NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Colorado

La Plata County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (HMO)
(H0609-018)

$0Local HMO *$3,400
Aetna Medicare Eagle Prime (HMO-POS)
(H4711-010)

$0Local HMO *$5,000
Humana Honor (PPO)
(H5216-213)

$0Local PPO *$4,400
HumanaChoice H5216-077 (PPO)
(H5216-077)

$0Local PPO *$4,000





2022 Medicare Special Needs Plans in Jefferson county Colorado

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Premier Prime (HMO D-SNP) $22.00$450.0No Gap CoverageDual-Eligible
Anthem MediBlue Care On Site (HMO I-SNP) $0$0ManyInstitutional
Anthem MediBlue Diabetes Care (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Anthem MediBlue Dual Advantage (HMO D-SNP) $39.80$480.0Some GenericsDual-Eligible
Anthem MediBlue ESRD Care (HMO C-SNP) $0$0Few GenericsChronic or Disabling Condition
Bright Advantage Dual Access Plan (HMO D-SNP) $38.80$480.0Some GenericsDual-Eligible
Bright Advantage Embrace Assist Plan (HMO C-SNP) $39.80$480.0Some GenericsChronic or Disabling Condition
Bright Advantage Embrace Care Plan (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
Bright Advantage Embrace Choice Plan (HMO C-SNP) $39.80$480.0Some GenericsChronic or Disabling Condition
Cigna TotalCare (HMO D-SNP) $16.00$480.0No Gap CoverageDual-EligibleNA
Elevate Medicare Choice (HMO D-SNP) $39.80$480.0No Gap CoverageDual-Eligible
HumanaChoice SNP-DE H5216-267 (PPO D-SNP) $24.30$480.0No Gap CoverageDual-Eligible
Longevity Health Plan (HMO I-SNP) $39.80$480.0No Gap CoverageInstitutionalToo New
Perennial Advantage Concierge (HMO C-SNP) $35.90$480.0No Gap CoverageChronic or Disabling ConditionToo New
Perennial Advantage Strive (HMO I-SNP) $25.70$480.0No Gap CoverageInstitutionalToo New
Senior Advantage Medicare Medicaid (HMO D-SNP) $33.90$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Assisted Living Plan (PPO I-SNP) $39.80$200.0No Gap CoverageInstitutional
UnitedHealthcare Chronic Complete (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
UnitedHealthcare Dual Complete (HMO D-SNP) $39.80$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $39.80$480.0No Gap CoverageInstitutional



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.