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The 2023 Medicare Advantage Plans in Jefferson County MO.
2022 Jefferson County Missouri
Medicare Advantage Plans
There are 39 Medicare Advantage Plans available in Jefferson County MO from 10 different health insurance providers. 17 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1700 and the highest out of pocket is $7550. Jefferson County Missouri residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in Jefferson County Missouri received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.
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Johnson County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (HMO-POS) (H2802-050) | $0 | Local HMO * | $3,700 | |
| Aetna Medicare Eagle (PPO) (H1608-060) | $0 | Local PPO * | $5,000 | |
| Anthem MediBlue Service (PPO) (H4909-021) | $0 | Local PPO * | $6,700 | |
| Humana Gold Choice H8145-120 (PFFS) (H8145-120) | $31.00 | PFFS * | $- | |
| Humana Honor (PPO) (H5216-140) | $0 | Local PPO * | $4,500 | |
| HumanaChoice R1532-001 (Regional PPO) (R1532-001) | $0 | Regional PPO * | $3,900 | |
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA | |
| Wellcare Patriot Giveback Open (PPO) (H7518-002) | $0 | Local PPO * | $4,000 | NA |
2022 Medicare Special Needs Plans in Jefferson county Missouri
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Aetna Medicare Assure Gold Prime (HMO D-SNP) | $33.40 | $375.0 | No Gap Coverage | Dual-Eligible | |
| American Health Advantage of Missouri (HMO I-SNP) | $33.40 | $480.0 | No Gap Coverage | Institutional | NA |
| American Health Advantage of Missouri Choice (HMO I-SNP) | $33.40 | $480.0 | No Gap Coverage | Institutional | NA |
| American Health Advantage of Missouri Premier (HMO I-SNP) | $115.0 | $0 | No Gap Coverage | Institutional | NA |
| Anthem MediBlue Dual Advantage (HMO D-SNP) | $30.80 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Essence Dual Advantage (HMO D-SNP) | $33.40 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus SNP-DE H0028-015 (HMO D-SNP) | $21.10 | $300.0 | No Gap Coverage | Dual-Eligible | |
| Provider Partners Missouri Advantage Plan (HMO I-SNP) | $33.40 | $480.0 | No Gap Coverage | Institutional | Too New |
| UnitedHealthcare Dual Complete (HMO D-SNP) | $30.40 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete Choice (PPO D-SNP) | $33.40 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Medicare Gold (Regional PPO C-SNP) | $17.00 | $295.0 | Some Generics | Chronic or Disabling Condition | |
| UnitedHealthcare Medicare Silver (Regional PPO C-SNP) | $4.60 | $480.0 | No Gap Coverage | Chronic or Disabling Condition | |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) | $33.40 | $480.0 | No Gap Coverage | Institutional | |
| Wellcare Dual Access (HMO D-SNP) | $33.40 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Wellcare Dual Access Open (PPO D-SNP) | $30.20 | $480.0 | No Gap Coverage | Dual-Eligible | NA |
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.