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The 2023 Medicare Advantage Plans in Lincoln County ME.



2022 Lincoln County Maine
Medicare Advantage Plans

There are 28 Medicare Advantage Plans available in Lincoln County ME from 6 different health insurance providers. 10 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $4500 and the highest out of pocket is $7550. Lincoln County Maine residents can also pick from 8 Medicare Special Needs Plans. The best Medicare Advantage plan in Lincoln County Maine received a 5 overall star rating from CMS and the lowest rated plan is 4 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)
(R5329-001)

$72.00$295.00$7,550YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 1 (PPO)
(H2001-001)

$0$250.00$5,900YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 2 (PPO)
(H2001-010)

$59.00$150.00$5,500YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 3 (PPO)
(H2001-019)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Explorer Plan (PPO)
(H5521-143)

$59.00$250.00$7,550YesBrowse
Formulary
Aetna Medicare Value Plan (HMO)
(H3597-007)

$0$0$5,900YesBrowse
Formulary
Anthem l MaineHealth Advantage Access (PPO)
(H9219-001)

$0$400.00$5,800YesToo NewBrowse
Formulary
Anthem l MaineHealth Advantage Choice (HMO-POS)
(H9065-003)

$22.00$0$5,500YesBrowse
Formulary
Anthem l MaineHealth Advantage Extra (HMO)
(H9065-006)

$28.20$275.00$4,900YesBrowse
Formulary
Anthem l MaineHealth Advantage Plus (HMO)
(H9065-008)

$0$0$5,500YesBrowse
Formulary
Humana Gold Plus H5619-066 (HMO)
(H5619-066)

$0$355.00$7,550NoBrowse
Formulary
Humana Gold Plus H5619-137 (HMO)
(H5619-137)

$29.00$400.00$6,700NoBrowse
Formulary
HumanaChoice H5216-138 (PPO)
(H5216-138)

$0$275.00$4,800NoBrowse
Formulary
HumanaChoice H5216-175 (PPO)
(H5216-175)

$0$250.00$4,800NoBrowse
Formulary
HumanaChoice H5216-177 (PPO)
(H5216-177)

$39.60$0$4,800NoBrowse
Formulary
Martins Point Generations Advantage Flex (Regional PPO)
(R0802-001)

$53.00$275.00$7,000NoBrowse
Formulary
Martins Point Generations Advantage Prime (HMO-POS)
(H5591-015)

$89.00$0$6,500NoBrowse
Formulary
Martins Point Generations Advantage Select (PPO)
(H1365-001)

$99.00$0$7,300NoBrowse
Formulary
Martins Point Generations Advantage Value Plus (HMO)
(H5591-009)

$0$275.00$7,100NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H2775-114)

$29.60$480.00$4,500NoBrowse
Formulary
Wellcare Giveback (HMO)
(H9364-004)

$0$0$7,550NoBrowse
Formulary
Wellcare No Premium (HMO)
(H9364-001)

$0$0$6,700NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H2775-109)

$0$0$5,000NoBrowse
Formulary


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2022 Medicare Special Needs Plans in Lincoln county Maine

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Plan (HMO-POS D-SNP) $26.90$480.0No Gap CoverageDual-Eligible
Anthem l MaineHealth Advantage Dual Plus (HMO D-SNP) $22.20$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP) $22.60$480.0No Gap CoverageDual-Eligible
HumanaChoice SNP-DE H5216-291 (PPO D-SNP) $25.60$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete (PPO D-SNP) $30.50$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access (HMO D-SNP) $21.20$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty (HMO D-SNP) $25.20$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty Open (PPO D-SNP) $30.50$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.