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The 2023 Medicare Advantage Plans in Madison County IA.



2022 Madison County Iowa
Medicare Advantage Plans

There are 25 Medicare Advantage Plans available in Madison County IA from 7 different health insurance providers. 11 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3200 and the highest out of pocket is $6700. Madison County Iowa residents can also pick from 4 Medicare Special Needs Plans. The best Medicare Advantage plan in Madison County Iowa 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 (HMO-POS)
(H5253-108)

$34.00$0$3,300YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 1 (PPO)
(H8768-017)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO-POS)
(H5253-107)

$0$0$3,700YesBrowse
Formulary
Aetna Medicare Elite (PPO)
(H1608-037)

$0$0$4,900YesBrowse
Formulary
Aetna Medicare Premier (HMO-POS)
(H1609-001)

$0$0$3,900YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H1608-001)

$0$0$4,400YesBrowse
Formulary
Aetna Medicare Premier Plus (PPO)
(H1608-048)

$0$0$4,300YesBrowse
Formulary
Blue Medicare Advantage Enhanced PPO (PPO)
(H5900-002)

$49.00$0$3,800NoToo NewBrowse
Formulary
Blue Medicare Advantage HMO (HMO)
(H8095-001)

$0$0$3,600NoToo NewBrowse
Formulary
Blue Medicare Advantage PPO (PPO)
(H5900-001)

$0$0$3,900NoToo NewBrowse
Formulary
HealthPartners UnityPoint Health Align (PPO)
(H3416-001)

$0$0$3,900NoBrowse
Formulary
HealthPartners UnityPoint Health Symmetry (PPO)
(H3416-002)

$49.00$0$3,300YesBrowse
Formulary
Humana Gold Choice H8145-089 (PFFS)
(H8145-089)

$96.00$445.00$-NoBrowse
Formulary
Humana Gold Plus H0028-053 (HMO)
(H0028-053)

$0$150.00$3,850NoBrowse
Formulary
Humana Value Plus H5216-171 (PPO)
(H5216-171)

$25.90$460.00$6,700NoBrowse
Formulary
HumanaChoice H5216-014 (PPO)
(H5216-014)

$60.00$350.00$6,700NoBrowse
Formulary
HumanaChoice H5216-254 (PPO)
(H5216-254)

$0$250.00$4,050NoBrowse
Formulary
MediGold Essential Care (HMO)
(H3668-025)

$0$0$3,500YesBrowse
Formulary
MediGold Prime Choice (PPO)
(H1846-007)

$0$0$3,900YesBrowse
Formulary
MediGold True Advantage (HMO)
(H3668-026)

$29.00$0$3,200YesBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Iowa

Mahaska County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (PPO)
(H8768-018)

$0Local PPO *$6,700
Aetna Medicare Eagle (HMO-POS)
(H1609-058)

$0Local HMO *$6,700
Central Iowa Health Senior Plan (Cost)
(H1651-011)

$147.00Cost *$-NA
Humana Honor (PPO)
(H5216-278)

$0Local PPO *$6,700
MediGold Medical Only (HMO)
(H3668-029)

$19.00Local HMO *$3,900





2022 Medicare Special Needs Plans in Madison county Iowa

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Assure Premier (HMO D-SNP) $24.00$450.0No Gap CoverageDual-Eligible
Amerivantage Dual Coordination (HMO D-SNP) $36.00$480.0No Gap CoverageDual-EligibleToo New
HumanaChoice SNP-DE H5216-268 (PPO D-SNP) $27.20$460.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP) $38.90$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.